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Signed and dated written informed consent by date of visit 1(screening) in accordance with Good Clinical Practice (GCP) and local legislation prior to any study related procedure \\\\\n8.High risk of CV events defined by: \\\\\n- Albuminuria (micro or macro) and previous macrovascular disease: defined according to section 3.3.2 and/or \\\\\n- Impaired renal function with predefined UACR: for criteria see section 3.3.2 Refer to section 3.3.3 for exclusion criteria.\n\\end{tabular}","cell_row":7,"cell_column":3,"cell_row_span":1,"cell_col_span":1,"confidence":0.53125,"confidence_rate":0.999507205313068},{"cnt":[[617,1286],[1474,1286],[1474,1325],[617,1325]],"region":{"top_left_x":617,"top_left_y":1286,"width":857,"height":40},"line":68,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"ba9db224c53b47ce8ac3192d67972c23","type":"text","conversion_output":false,"parent_id":"ae3981ae5022410a90b0beab5fc049be","text":"1. 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Stable antidiabetic background medication (unchanged daily dose) for at least 8","text_display":"\n3. Stable antidiabetic background medication (unchanged daily dose) for at least 8","confidence":1,"confidence_rate":1},{"cnt":[[615,1503],[1821,1503],[1821,1542],[615,1542]],"region":{"top_left_x":614,"top_left_y":1502,"width":1208,"height":40},"line":73,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c5128d60f33a4cbcaa995b47d42bdfd2","type":"text","conversion_output":false,"parent_id":"ae3981ae5022410a90b0beab5fc049be","text":"weeks prior to randomization. If insulin is part of the background therapy, the average","text_display":" weeks prior to randomization. If insulin is part of the background therapy, the average","confidence":1,"confidence_rate":1},{"cnt":[[617,1540],[1835,1540],[1835,1583],[617,1583]],"region":{"top_left_x":617,"top_left_y":1539,"width":1219,"height":45},"line":74,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c1feba2638494f94a745f33726afb2d2","type":"text","conversion_output":false,"parent_id":"ae3981ae5022410a90b0beab5fc049be","text":"daily insulin dose should not have changed by more than \\(10 \\%\\) within the 8 weeks prior","text_display":" daily insulin dose should not have changed by more than \\(10 \\%\\) within the 8 weeks prior","confidence":0.974609375,"confidence_rate":0.9997293152807948},{"cnt":[[615,1581],[1632,1581],[1632,1625],[615,1625]],"region":{"top_left_x":614,"top_left_y":1580,"width":1019,"height":45},"line":75,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6a1ea675e40044a1850c65acdd36d5b6","type":"text","conversion_output":false,"parent_id":"ae3981ae5022410a90b0beab5fc049be","text":"to randomization compared with the daily insulin dose at randomization.","text_display":" to randomization compared with the daily insulin dose at randomization.","confidence":1,"confidence_rate":1},{"cnt":[[615,1627],[1393,1627],[1393,1671],[615,1671]],"region":{"top_left_x":614,"top_left_y":1627,"width":779,"height":44},"line":76,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"093c3f1ec40645a0ae93ce41f43a99ea","type":"text","conversion_output":false,"parent_id":"ae3981ae5022410a90b0beab5fc049be","text":"4. HbA1c of \\(\\geq 6.5 \\%\\) and \\(\\leq 10.0 \\%\\) at visit 1 (screening)","text_display":"\n4. HbA1c of \\(\\geq 6.5 \\%\\) and \\(\\leq 10.0 \\%\\) at visit 1 (screening)","confidence":0.9446697235107422,"confidence_rate":0.9991246923591488},{"cnt":[[617,1678],[1743,1678],[1743,1721],[617,1721]],"region":{"top_left_x":617,"top_left_y":1677,"width":1126,"height":45},"line":77,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"04e24381846347ba9914261e5c307c77","type":"text","conversion_output":false,"parent_id":"ae3981ae5022410a90b0beab5fc049be","text":"5. Age \\(\\geq 18\\) years at visit 1 (screening). For Japan only: Age \\(\\geq 20\\) years at visit 1","text_display":"\n5. Age \\(\\geq 18\\) years at visit 1 (screening). For Japan only: Age \\(\\geq 20\\) years at visit 1","confidence":0.98876953125,"confidence_rate":0.9998798582110203},{"cnt":[[617,1724],[1457,1724],[1457,1772],[617,1772]],"region":{"top_left_x":617,"top_left_y":1723,"width":841,"height":50},"line":78,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1b3623053b2547bfad2fb7e3f31ad22e","type":"text","conversion_output":false,"parent_id":"ae3981ae5022410a90b0beab5fc049be","text":"6. Body Mass Index (BMI) \\(\\leq 45 kg / m ^{2}\\) at visit 1 (screening)","text_display":"\n6. Body Mass Index (BMI) \\(\\leq 45 kg / m ^{2}\\) at visit 1 (screening)","confidence":0.9970703125,"confidence_rate":0.9999633258295789},{"cnt":[[615,1774],[1690,1774],[1690,1818],[615,1818]],"region":{"top_left_x":614,"top_left_y":1774,"width":1076,"height":45},"line":79,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"0d4f4eeaa4964aa0bef0e3f0cef89d9e","type":"text","conversion_output":false,"parent_id":"ae3981ae5022410a90b0beab5fc049be","text":"7. Signed and dated written informed consent by date of visit 1(screening) in","text_display":"\n7. 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Trial period & Screening & \\multicolumn{6}{|c|}{Treatment period} & FU \\\\\n\\hline Visit & 1 & 2 & 3 & 4 & 5 & 6 to N & EOT \\({ }^{\\text {C }}\\) & \\(F U ^{ D }\\) \\\\\n\\hline Week & -2 & 0 & 12 & 36 & 60 & 84 to \\(N ^{ B }\\) & - & - \\\\\n\\hline Days from randomization & \\(-14^{ A }\\) & 0 & 84 & 252 & 420 & 588 to N \\(^{ B }\\) & - & EOT + 30 \\\\\n\\hline Time window (days) \\({ }^{ O }\\) & \\(+13{ }^{\\text {A }}\\) & & \\(\\pm 7\\) & \\(\\pm 14\\) & \\(\\pm 14\\) & \\(\\pm 14\\) & \\(\\pm 14\\) & +7 \\\\\n\\hline Informed consent & X & & & & & & & \\\\\n\\hline In-/exclusion criteria & X & X & & & & & & \\\\\n\\hline Medical history/ concomitant diagnoses & X & & & & & & & \\\\\n\\hline Demographics & X & & & & & & & \\\\\n\\hline Physical examination \\({ }^{\\text {F }}\\) & & X & & X & & X & X & \\(X ^{ D }\\) \\\\\n\\hline Vital signs & X & X & X & X & X & X & X & \\(X ^{ D }\\) \\\\\n\\hline Height & X \\({ }^{\\text {E }}\\) & & & & & & & \\\\\n\\hline Weight & X \\({ }^{\\text {E }}\\) & & & X & X & X & X & \\\\\n\\hline Waist circumference & & X & & X & X & X & X & \\\\\n\\hline & & & & & & & & \\\\\n\\hline 12-lead-ECG \\({ }^{\\text {H }}\\) & & X & & X & X & X & X & \\(X ^{ D }\\) \\\\\n\\hline Pregnancy Test \\({ }^{ I }\\) & & X & & X & X & X & X & \\\\\n\\hline Fasted home blood glucose monitoring \\({ }^{\\text {J }}\\) & & X & X & X & X & X & X & \\\\\n\\hline Safety laboratory \\({ }^{\\text {K }}\\) & X & X & X & X & X & X & X & \\(X ^{ D }\\) \\\\\n\\hline UACR \\({ }^{\\text {Q }}\\) & X & \\(X ^{ A }\\) & & X & & \\(X ^{ K }\\) & X & \\(X ^{ D }\\) \\\\\n\\hline \\(HbA _{1 c }\\) & X & X & X & X & X & X & X & \\\\\n\\hline Lipid panel & & X & & X & & \\(X ^{ K }\\) & X & \\(X ^{ D }\\) \\\\\n\\hline eGFR \\({ }^{\\text {L }}\\) & X & X & X & X & X & X & X & \\(X ^{ D }\\) \\\\\n\\hline Pharmacogenetic sampling \\({ }^{\\text {P }}\\) & & X & & & & & & \\\\\n\\hline Adverse events/outcome events \\({ }^{\\text {M }}\\) & X & X & 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If the UACR result at visit 2 is required to fulfil inclusion criterion","text_display":" all other eligibility criteria are met. If the UACR result at visit 2 is required to fulfil inclusion criterion","confidence":1,"confidence_rate":1},{"cnt":[[370,503],[1775,503],[1775,546],[370,546]],"region":{"top_left_x":370,"top_left_y":502,"width":1405,"height":44},"line":11,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5ed3aa6657004927881914bc06b001d6","type":"text","conversion_output":true,"text":"8, randomization may be postponed until the laboratory results are known. It's not required to repeat","text_display":" 8, randomization may be postponed until the laboratory results are known. It's not required to repeat","confidence":0.81298828125,"confidence_rate":0.9980487120562032},{"cnt":[[370,544],[1368,544],[1368,587],[370,587]],"region":{"top_left_x":370,"top_left_y":543,"width":999,"height":45},"line":12,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"cac3df75e5ef4100bfaeadcad3ad556b","type":"text","conversion_output":true,"text":"visit 2 assessments if the patient returns to the clinic for randomization.","text_display":" visit 2 assessments if the patient returns to the clinic for randomization.","confidence":0.9990234375,"confidence_rate":0.9999882285072625},{"cnt":[[244,599],[1259,599],[1259,646],[244,646]],"region":{"top_left_x":244,"top_left_y":598,"width":1015,"height":49},"line":13,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"398247f600204eabbcc6f22fc6f9352c","type":"text","conversion_output":true,"text":"B A clinic visit will be scheduled every 24 weeks until study end.","text_display":"\nB A clinic visit will be scheduled every 24 weeks until study end.","confidence":1,"confidence_rate":1},{"cnt":[[244,662],[1725,662],[1725,706],[244,706]],"region":{"top_left_x":244,"top_left_y":662,"width":1481,"height":44},"line":14,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"0902cf912e0d42a48369651efb8b5b31","type":"text","conversion_output":true,"text":"C The study is event driven. The number of confirmed adjudicated primary endpoint events will be","text_display":"\nC The study is event driven. The number of confirmed adjudicated primary endpoint events will be","confidence":1,"confidence_rate":1},{"cnt":[[370,704],[1812,704],[1812,747],[370,747]],"region":{"top_left_x":370,"top_left_y":703,"width":1442,"height":44},"line":15,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"50f5002b933d4e6db2e0b799fc4b6754","type":"text","conversion_output":true,"text":"continuously monitored during the trial. Based on the available number of events the projected number","text_display":" continuously monitored during the trial. Based on the available number of events the projected number","confidence":1,"confidence_rate":1},{"cnt":[[370,742],[1775,742],[1775,788],[370,788]],"region":{"top_left_x":370,"top_left_y":742,"width":1405,"height":47},"line":16,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"aaff9b275d104a2fb9b83fc4b90ded9a","type":"text","conversion_output":true,"text":"of expected future events will be calculated. As soon as the projection reliably suggests that the total","text_display":" of expected future events will be calculated. As soon as the projection reliably suggests that the total","confidence":1,"confidence_rate":1},{"cnt":[[370,781],[1812,781],[1812,827],[370,827]],"region":{"top_left_x":370,"top_left_y":781,"width":1442,"height":46},"line":17,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"659b2385b9394e57b3276156384d8022","type":"text","conversion_output":true,"text":"number of patients with a by adjudication confirmed primary endpoint event will reach 625611 within","text_display":" number of patients with a by adjudication confirmed primary endpoint event will reach 625611 within","confidence":0.9736328125,"confidence_rate":0.9997503018747429},{"cnt":[[370,822],[1789,822],[1789,866],[370,866]],"region":{"top_left_x":370,"top_left_y":822,"width":1419,"height":44},"line":18,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"033d6757ae8e43f183687de43d2a7a62","type":"text","conversion_output":true,"text":"the next 24 weeks, the trial team will perform respective actions to stop the trial. From this time point","text_display":" the next 24 weeks, the trial team will perform respective actions to stop the trial. From this time point","confidence":1,"confidence_rate":1},{"cnt":[[370,863],[1761,863],[1761,905],[370,905]],"region":{"top_left_x":370,"top_left_y":863,"width":1392,"height":42},"line":19,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b5f476b2ef6247b197ab3dbff920412c","type":"text","conversion_output":true,"text":"on, all patients are expected to perform their last visit (EOT visit) within the regular proposed time","text_display":" on, all patients are expected to perform their last visit (EOT visit) within the regular proposed time","confidence":1,"confidence_rate":1},{"cnt":[[370,900],[1807,900],[1807,943],[370,943]],"region":{"top_left_x":370,"top_left_y":900,"width":1437,"height":44},"line":20,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d037e0230f464391837a495338c99d0e","type":"text","conversion_output":true,"text":"schedule, which means within the next 24 weeks communicated via an investigator letter. A follow-","text_display":" schedule, which means within the next 24 weeks communicated via an investigator letter. A follow","confidence":0.99951171875,"confidence_rate":0.9999953485775026},{"cnt":[[370,941],[1489,941],[1489,985],[370,985]],"region":{"top_left_x":370,"top_left_y":941,"width":1120,"height":44},"line":21,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"28d4fcb0c47e41e59acf5a38902e4dd2","type":"text","conversion_output":true,"text":"up visit will take place ene week \\(3 0\\) days after the end of treatment (EOT visit).","text_display":"up visit will take place ene week \\(3 0\\) days after the end of treatment (EOT visit).","confidence":0.4443046525120735,"confidence_rate":0.991220885233296},{"cnt":[[370,1001],[1766,1001],[1766,1046],[370,1046]],"region":{"top_left_x":370,"top_left_y":1000,"width":1396,"height":47},"line":22,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"587c667cabb6486d8996bbfa466a4717","type":"text","conversion_output":true,"text":"Patients who discontinue study drug prematurely should continue study visits until study end. Study","text_display":"\n\nPatients who discontinue study drug prematurely should continue study visits until study end. Study","confidence":1,"confidence_rate":1},{"cnt":[[370,1042],[1693,1042],[1693,1085],[370,1085]],"region":{"top_left_x":370,"top_left_y":1041,"width":1323,"height":45},"line":23,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"9dabfc8ebd32495fa78e6c69820702c3","type":"text","conversion_output":true,"text":"assessments may be omitted if a patient is willing to return to the pre-defined study visits, with","text_display":" assessments may be omitted if a patient is willing to return to the pre-defined study visits, with","confidence":1,"confidence_rate":1},{"cnt":[[370,1083],[1711,1083],[1711,1126],[370,1126]],"region":{"top_left_x":370,"top_left_y":1082,"width":1341,"height":45},"line":24,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"a3bd343cb6094566ae920bbbfc052b7e","type":"text","conversion_output":true,"text":"exception , collection of adverse events, outcome events, concomitant","text_display":" exception , collection of adverse events, outcome events, concomitant","confidence":0.9990234375,"confidence_rate":0.9999867968486782},{"cnt":[[370,1124],[1428,1124],[1428,1165],[370,1165]],"region":{"top_left_x":370,"top_left_y":1123,"width":1058,"height":43},"line":25,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"407e17aaef96487298062249238ed84c","type":"text","conversion_output":true,"text":"therapy and laboratory testing of creatinine for the calculation of the eGFR.","text_display":" therapy and laboratory testing of creatinine for the calculation of the eGFR.","confidence":0.9697265625,"confidence_rate":0.9996251782930399},{"cnt":[[370,1202],[1775,1202],[1775,1245],[370,1245]],"region":{"top_left_x":370,"top_left_y":1201,"width":1405,"height":44},"line":26,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6c9f4df70e8741f3abafaf1aaf363013","type":"text","conversion_output":true,"text":"If a patient who prematurely discontinued study drug is not willing to return to the pre-defined study","text_display":"\n\nIf a patient who prematurely discontinued study drug is not willing to return to the pre-defined study","confidence":1,"confidence_rate":1},{"cnt":[[370,1243],[1818,1243],[1818,1286],[370,1286]],"region":{"top_left_x":370,"top_left_y":1242,"width":1449,"height":45},"line":27,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"191bd142c11b4ad5b08a340eeb1994c1","type":"text","conversion_output":true,"text":"visits, at minimum a yearly telephone call (preferably every 6 months) and a telephone call at study end","text_display":" visits, at minimum a yearly telephone call (preferably every 6 months) and a telephone call at study end","confidence":1,"confidence_rate":1},{"cnt":[[370,1284],[1734,1284],[1734,1327],[370,1327]],"region":{"top_left_x":370,"top_left_y":1283,"width":1364,"height":45},"line":28,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d19c76f602184b5c8774e98c3946bb26","type":"text","conversion_output":true,"text":"will be required, to document the occurrence of outcome events and vital status. If possible, other","text_display":" will be required, to document the occurrence of outcome events and vital status. If possible, other","confidence":1,"confidence_rate":1},{"cnt":[[370,1325],[1750,1325],[1750,1366],[370,1366]],"region":{"top_left_x":370,"top_left_y":1324,"width":1380,"height":43},"line":29,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b192ce05f5ba4d07a9a941447ee7ccdd","type":"text","conversion_output":true,"text":"adverse events and concomitant therapy changes since last visit might should be recorded (refer to","text_display":" adverse events and concomitant therapy changes since last visit might should be recorded (refer to","confidence":1,"confidence_rate":1},{"cnt":[[370,1366],[573,1366],[573,1405],[370,1405]],"region":{"top_left_x":370,"top_left_y":1366,"width":204,"height":39},"line":30,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d8ade5203fef4441ae7b5bc2e383c21b","type":"text","conversion_output":true,"text":"section 3.3.4).","text_display":" section 3.3.4).","confidence":1,"confidence_rate":1},{"cnt":[[247,1444],[1814,1444],[1814,1487],[247,1487]],"region":{"top_left_x":246,"top_left_y":1443,"width":1568,"height":45},"line":31,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"93ff4f0ad0e647a9bce3928584df4e03","type":"text","conversion_output":true,"text":"D All patients will have a follow up visit eneek \\(3 0\\) days following regular or premature completion of","text_display":"\n\nD All patients will have a follow up visit eneek \\(3 0\\) days following regular or premature completion of","confidence":0.9719506056288745,"confidence_rate":0.9997460117866548},{"cnt":[[368,1485],[1770,1485],[1770,1528],[368,1528]],"region":{"top_left_x":367,"top_left_y":1484,"width":1404,"height":45},"line":32,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c5ed5dba27774f6a913ad8e0601269cf","type":"text","conversion_output":true,"text":"the treatment period. The follow-up visit may be performed as a phone visit for patients who did not","text_display":" the treatment period. The follow-up visit may be performed as a phone visit for patients who did not","confidence":1,"confidence_rate":1},{"cnt":[[370,1526],[1770,1526],[1770,1569],[370,1569]],"region":{"top_left_x":370,"top_left_y":1525,"width":1401,"height":45},"line":33,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c42c006b132f47c2baef05756a839968","type":"text","conversion_output":true,"text":"prematurely discontinue study medication and who do not have abnormalities at the EOT visit (only","text_display":" prematurely discontinue study medication and who do not have abnormalities at the EOT visit (only","confidence":1,"confidence_rate":1},{"cnt":[[370,1567],[1540,1567],[1540,1610],[370,1610]],"region":{"top_left_x":370,"top_left_y":1567,"width":1170,"height":44},"line":34,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c014a3f1e03442cb876f291cf67f60aa","type":"text","conversion_output":true,"text":"adverse events/outcome events and changes in concomitant therapy to be obtained).","text_display":" adverse events/outcome events and changes in concomitant therapy to be obtained).","confidence":1,"confidence_rate":1},{"cnt":[[247,1645],[1081,1645],[1081,1688],[247,1688]],"region":{"top_left_x":246,"top_left_y":1644,"width":835,"height":45},"line":35,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b22c915afa874424a16ff573b5480b4e","type":"text","conversion_output":true,"text":"E Body Mass Index will be calculated automatically.","text_display":"\n\nE Body Mass Index will be calculated automatically.","confidence":0.99853515625,"confidence_rate":0.9999738232411441},{"cnt":[[247,1709],[1734,1709],[1734,1750],[247,1750]],"region":{"top_left_x":246,"top_left_y":1708,"width":1488,"height":42},"line":36,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"4744483ad2b44a08bf60c1815b367bb3","type":"text","conversion_output":true,"text":"F A complete, head-to-toe physical examination (e.g. evaluation of the body and its functions using","text_display":"\nF A complete, head-to-toe physical examination (e.g. evaluation of the body and its functions using","confidence":1,"confidence_rate":1},{"cnt":[[370,1750],[1277,1750],[1277,1793],[370,1793]],"region":{"top_left_x":370,"top_left_y":1749,"width":907,"height":45},"line":37,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"f9779e054d3d4c94b1ffc850821acd39","type":"text","conversion_output":true,"text":"inspection, palpation, percussion, and auscultation) will be done.","text_display":" inspection, palpation, percussion, and auscultation) will be done.","confidence":0.99951171875,"confidence_rate":0.9999931211434043},{"cnt":[[240,1809],[279,1809],[279,1846],[240,1846]],"region":{"top_left_x":239,"top_left_y":1809,"width":40,"height":37},"line":38,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3c58c741d1ee4346b83db746717c1c5b","type":"text","conversion_output":true,"text":"G","text_display":"\n\nG","confidence":1,"confidence_rate":1},{"cnt":[[247,2108],[1770,2108],[1770,2150],[247,2150]],"region":{"top_left_x":246,"top_left_y":2108,"width":1525,"height":42},"line":39,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3e9cc08c4e2642cc9881a2aa736fe07b","type":"text","conversion_output":true,"text":"H In addition to the visits indicated, electrocardiogram (ECG) should be recorded in case of respective","text_display":"\n\nH In addition to the visits indicated, electrocardiogram (ECG) should be recorded in case of respective","confidence":1,"confidence_rate":1},{"cnt":[[370,2147],[1332,2147],[1332,2191],[370,2191]],"region":{"top_left_x":370,"top_left_y":2147,"width":962,"height":44},"line":40,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e89a3d9ac2bd422b8179ee4e2d63b30b","type":"text","conversion_output":true,"text":"cardiac symptoms (indicating rhythm disorders or cardiac ischemia).","text_display":" cardiac symptoms (indicating rhythm disorders or cardiac ischemia).","confidence":1,"confidence_rate":1},{"cnt":[[244,2207],[1761,2207],[1761,2252],[244,2252]],"region":{"top_left_x":244,"top_left_y":2206,"width":1518,"height":47},"line":41,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"ed183f93419a439781532a4da7f41a5a","type":"text","conversion_output":true,"text":"I For female patients (local urine pregnancy test in women of child bearing potential). More frequent","text_display":"\n\nI For female patients (local urine pregnancy test in women of child bearing potential). More frequent","confidence":1,"confidence_rate":1},{"cnt":[[370,2248],[1247,2248],[1247,2291],[370,2291]],"region":{"top_left_x":370,"top_left_y":2247,"width":878,"height":45},"line":42,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"f8810cc5e84540439abf005eb39a4639","type":"text","conversion_output":true,"text":"testing can be done if required by local regulations/authorities.","text_display":" testing can be done if required by local regulations/authorities.","confidence":1,"confidence_rate":1},{"cnt":[[247,2310],[1798,2310],[1798,2351],[247,2351]],"region":{"top_left_x":246,"top_left_y":2309,"width":1552,"height":42},"line":43,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7e788309cb9141e7a011b886a2256b79","type":"text","conversion_output":true,"text":"J Distribution of glucometer and testing supplies with instructions at randomization (visit 2). During the","text_display":"\n\nJ Distribution of glucometer and testing supplies with instructions at randomization (visit 2). During the","confidence":1,"confidence_rate":1},{"cnt":[[368,2348],[1750,2348],[1750,2392],[368,2392]],"region":{"top_left_x":367,"top_left_y":2348,"width":1383,"height":44},"line":44,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5ce52ae21ba04eb78f66fd8931c4ba1a","type":"text","conversion_output":true,"text":"treatment period, weekly finger stick glucose measurements are recommended (fasted). During the","text_display":" treatment period, weekly finger stick glucose measurements are recommended (fasted). During the","confidence":1,"confidence_rate":1},{"cnt":[[370,2389],[1798,2389],[1798,2433],[370,2433]],"region":{"top_left_x":370,"top_left_y":2389,"width":1428,"height":44},"line":45,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e1c87df8df4043c3986add41c318b326","type":"text","conversion_output":true,"text":"whole trial participation, additional measurements should be done if necessary and in case of hypo- or","text_display":" whole trial participation, additional measurements should be done if necessary and in case of hypo- or","confidence":1,"confidence_rate":1},{"cnt":[[368,2431],[1780,2431],[1780,2474],[368,2474]],"region":{"top_left_x":367,"top_left_y":2430,"width":1413,"height":44},"line":46,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1210d45589d54df090632b458ad51f0a","type":"text","conversion_output":true,"text":"hyperglycaemia related symptoms. The patient should be instructed to bring their HBGM device and","text_display":" hyperglycaemia related symptoms. The patient should be instructed to bring their HBGM device and","confidence":1,"confidence_rate":1},{"cnt":[[370,2472],[1176,2472],[1176,2511],[370,2511]],"region":{"top_left_x":370,"top_left_y":2471,"width":807,"height":40},"line":47,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"451d4c1dd9d14f93b5a667df2edb0d96","type":"text","conversion_output":true,"text":"diary to the clinic for an additional measurement (fasted).","text_display":" diary to the clinic for an additional measurement (fasted).","confidence":1,"confidence_rate":1},{"cnt":[[790,2584],[1300,2584],[1300,2622],[790,2622]],"region":{"top_left_x":790,"top_left_y":2583,"width":510,"height":40},"line":48,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"c73044c031f8454ab1838db36031aebc","type":"text","conversion_output":true,"text":"Proprietary confidential information.","text_display":"\n\nProprietary confidential information.","confidence":0.99755859375,"confidence_rate":0.9999418018997234},{"cnt":[[292,2622],[1798,2622],[1798,2661],[292,2661]],"region":{"top_left_x":292,"top_left_y":2622,"width":1506,"height":40},"line":49,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"4574e80d39e749f098b982c06ed22235","type":"text","conversion_output":true,"text":"© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","text_display":"\n© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","confidence":0.9912109375,"confidence_rate":0.9999258185992773},{"cnt":[[297,2664],[1770,2664],[1770,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2663,"width":1475,"height":40},"line":50,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"c7222c35668143a19979bc4e98bce7a9","type":"page_info","conversion_output":false,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-010","page":10,"lines":[{"cnt":[[247,123],[610,123],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":123,"width":364,"height":44},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7cd99cdcda574b1d87989380f6424d55","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,162],[1503,162]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":45},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e3b5b0975aa442669798b85e4ac5add0","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[601,164],[601,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":355,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5d4b5da4d85e4d7093d8a3a7b426d86f","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,210],[637,210],[637,249],[247,249]],"region":{"top_left_x":246,"top_left_y":210,"width":392,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"daa71c61456646d18ac19328d55fb1d0","type":"page_info","conversion_output":false,"text":"Doc. No.: c02155180-06","text_display":"","confidence":0.9990234375,"confidence_rate":0.9999638140011058},{"cnt":[[868,210],[1108,210],[1108,249],[868,249]],"region":{"top_left_x":868,"top_left_y":210,"width":240,"height":39},"line":5,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e2b9a10f71b04fbdb30c0399d4521204","type":"page_info","conversion_output":false,"text":"Trial Protocol","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1572,208],[1816,208],[1816,254],[1572,254]],"region":{"top_left_x":1571,"top_left_y":207,"width":246,"height":47},"line":6,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"20767b85b35b4b65adf52846c1fc1fbc","type":"page_info","conversion_output":false,"text":"Page 10 of 123","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[244,336],[1720,336],[1720,381],[244,381]],"region":{"top_left_x":244,"top_left_y":335,"width":1477,"height":47},"line":7,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"24e86220965943199686196236494540","type":"text","conversion_output":true,"text":"K At visit 1 safety laboratory includes ALT, AST, alkaline phosphatase and creatinine to check for","text_display":"\n\nK At visit 1 safety laboratory includes ALT, AST, alkaline phosphatase and creatinine to check for","confidence":1,"confidence_rate":1},{"cnt":[[368,379],[1816,379],[1816,423],[368,423]],"region":{"top_left_x":367,"top_left_y":379,"width":1450,"height":44},"line":8,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"45885b3bb8b54f63a21d1d2e1d3e4194","type":"text","conversion_output":true,"text":"eligibility in addition to lipase, urine albumin, urine creatinine and \\(HbA _{1 c }\\) as specified in the flow chart.","text_display":" eligibility in addition to lipase, urine albumin, urine creatinine and \\(HbA _{1 c }\\) as specified in the flow chart.","confidence":1,"confidence_rate":1},{"cnt":[[370,420],[1752,420],[1752,459],[370,459]],"region":{"top_left_x":370,"top_left_y":420,"width":1383,"height":40},"line":9,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"15cb9bcb5ceb4eed91de7c7cc14b5899","type":"text","conversion_output":true,"text":"At randomization (visit 2) baseline laboratory will be obtained. See section 5.2.3 for to be obtained","text_display":" At randomization (visit 2) baseline laboratory will be obtained. See section 5.2.3 for to be obtained","confidence":1,"confidence_rate":1},{"cnt":[[370,457],[1748,457],[1748,500],[370,500]],"region":{"top_left_x":370,"top_left_y":456,"width":1378,"height":45},"line":10,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c1030745cfdc4ce8a2801618f69a2541","type":"text","conversion_output":true,"text":"laboratory parameters. As of visit 6: yearly (every other visit) lipid profile (Total cholesterol, HDL","text_display":" laboratory parameters. As of visit 6: yearly (every other visit) lipid profile (Total cholesterol, HDL","confidence":1,"confidence_rate":1},{"cnt":[[370,498],[1531,498],[1531,539],[370,539]],"region":{"top_left_x":370,"top_left_y":497,"width":1161,"height":43},"line":11,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"eb598b422da84e95ae7b3f59ed7a9a03","type":"text","conversion_output":true,"text":"cholesterol, LDL cholesterol and triglycerides), urine albumin and urine creatinine.","text_display":" cholesterol, LDL cholesterol and triglycerides), urine albumin and urine creatinine.","confidence":1,"confidence_rate":1},{"cnt":[[247,557],[1807,557],[1807,601],[247,601]],"region":{"top_left_x":246,"top_left_y":557,"width":1561,"height":44},"line":12,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5e0f3b38d35048ea8f5bb7148bc4dbb2","type":"text","conversion_output":true,"text":"L Estimated ereatinine clearance glomerular filtration rate (eGFR) will be calculated using the MDRD","text_display":"\n\nL Estimated ereatinine clearance glomerular filtration rate (eGFR) will be calculated using the MDRD","confidence":0.7918077417657514,"confidence_rate":0.9977792631411039},{"cnt":[[370,599],[1761,599],[1761,642],[370,642]],"region":{"top_left_x":370,"top_left_y":598,"width":1392,"height":44},"line":13,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"cba0ac68919d4881ad754d98ceb70420","type":"text","conversion_output":true,"text":"formula. This formula considers the race as an adjustment factor, therefore, the race must be known","text_display":" formula. This formula considers the race as an adjustment factor, therefore, the race must be known","confidence":1,"confidence_rate":1},{"cnt":[[370,640],[1786,640],[1786,678],[370,678]],"region":{"top_left_x":370,"top_left_y":639,"width":1417,"height":40},"line":14,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e5428614656044baa01d7578e6124afc","type":"text","conversion_output":true,"text":"(and will be collected) for accurate estimation. In case of an eGFR decrease of \\(\\geq 40 \\%\\) since baseline","text_display":" (and will be collected) for accurate estimation. In case of an eGFR decrease of \\(\\geq 40 \\%\\) since baseline","confidence":1,"confidence_rate":1},{"cnt":[[370,678],[1812,678],[1812,720],[370,720]],"region":{"top_left_x":370,"top_left_y":678,"width":1442,"height":42},"line":15,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3f251a8deecf43188ce80248f260b54b","type":"text","conversion_output":true,"text":"(visit 2) and again in case of an eGFR decrease of \\(\\geq 50 \\%\\) since baseline (visit 2) an additional visit 4-8","text_display":" (visit 2) and again in case of an eGFR decrease of \\(\\geq 50 \\%\\) since baseline (visit 2) an additional visit 4-8","confidence":0.7738208770751953,"confidence_rate":0.9977132003520551},{"cnt":[[370,717],[1766,717],[1766,761],[370,761]],"region":{"top_left_x":370,"top_left_y":717,"width":1396,"height":44},"line":16,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b46b3f3c7a634c9ab47cfc830b2ba714","type":"text","conversion_output":true,"text":"weeks after detection should be scheduled to collect a blood sample for repeat analysis of creatinine","text_display":" weeks after detection should be scheduled to collect a blood sample for repeat analysis of creatinine","confidence":1,"confidence_rate":1},{"cnt":[[370,758],[1725,758],[1725,800],[370,800]],"region":{"top_left_x":370,"top_left_y":758,"width":1355,"height":42},"line":17,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"ce0af481b9914592a669f0fe68606f87","type":"text","conversion_output":true,"text":"(eGFR). An additional sample of creatinine should also be taken between the visits if a signal of","text_display":" (eGFR). An additional sample of creatinine should also be taken between the visits if a signal of","confidence":0.99951171875,"confidence_rate":0.999995211771286},{"cnt":[[370,800],[1567,800],[1567,843],[370,843]],"region":{"top_left_x":370,"top_left_y":799,"width":1198,"height":44},"line":18,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e3eb6cba872a417693afa47502e2652f","type":"text","conversion_output":true,"text":"increasing creatinine is reported to the study site by others (e.g., GPs from local labs).","text_display":" increasing creatinine is reported to the study site by others (e.g., GPs from local labs).","confidence":1,"confidence_rate":1},{"cnt":[[247,859],[1793,859],[1793,902],[247,902]],"region":{"top_left_x":246,"top_left_y":858,"width":1548,"height":45},"line":19,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"209eb6252c2a4cb4b2d36be634073b18","type":"text","conversion_output":true,"text":"M In case of a stroke the reported value from the modified Rankin Scale will be collected approximately","text_display":"\n\nM In case of a stroke the reported value from the modified Rankin Scale will be collected approximately","confidence":1,"confidence_rate":1},{"cnt":[[368,900],[1784,900],[1784,943],[368,943]],"region":{"top_left_x":367,"top_left_y":900,"width":1418,"height":44},"line":20,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"2e75bc8fe34843699e78d736809f5939","type":"text","conversion_output":true,"text":"one week after stroke onset and 3 months after stroke onset. This might require an additional contact.","text_display":" one week after stroke onset and 3 months after stroke onset. This might require an additional contact.","confidence":1,"confidence_rate":1},{"cnt":[[247,980],[1766,980],[1766,1021],[247,1021]],"region":{"top_left_x":246,"top_left_y":979,"width":1520,"height":43},"line":21,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1bf060dbe7794816846c406a24ba9248","type":"text","conversion_output":true,"text":"N Interactive Response Technology (IRT) will allocate medication kit numbers at all study visits from","text_display":"\n\nN Interactive Response Technology (IRT) will allocate medication kit numbers at all study visits from","confidence":1,"confidence_rate":1},{"cnt":[[368,1019],[1816,1019],[1816,1062],[368,1062]],"region":{"top_left_x":367,"top_left_y":1018,"width":1450,"height":45},"line":22,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"97a5e231833d4f768a8ba21f5cf92fd5","type":"text","conversion_output":true,"text":"visit 2 till study end. At visit 2 patients will receive one treatment box sufficient for 12 weeks treatment","text_display":" visit 2 till study end. At visit 2 patients will receive one treatment box sufficient for 12 weeks treatment","confidence":1,"confidence_rate":1},{"cnt":[[370,1060],[1732,1060],[1732,1103],[370,1103]],"region":{"top_left_x":370,"top_left_y":1059,"width":1362,"height":45},"line":23,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1fa2155cf4e143b68839aacf3e94258e","type":"text","conversion_output":true,"text":"(plus one week reserve). As of visit 3 patients will receive two medication boxes sufficient for 24","text_display":" (plus one week reserve). As of visit 3 patients will receive two medication boxes sufficient for 24","confidence":1,"confidence_rate":1},{"cnt":[[370,1101],[966,1101],[966,1144],[370,1144]],"region":{"top_left_x":370,"top_left_y":1101,"width":597,"height":44},"line":24,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"25e9b1e2fde64be2a932980eb3c0d062","type":"text","conversion_output":true,"text":"weeks treatment (plus two weeks reserve).","text_display":" weeks treatment (plus two weeks reserve).","confidence":1,"confidence_rate":1},{"cnt":[[247,1160],[1780,1160],[1780,1204],[247,1204]],"region":{"top_left_x":246,"top_left_y":1160,"width":1534,"height":44},"line":25,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"ea0b2d33d599495cba7d7b357b1a1f13","type":"text","conversion_output":true,"text":"O The protocol allows a time window of +/- 7 days for visit 3 and +/- 14 days for all scheduled visits in","text_display":"\n\nO The protocol allows a time window of +/- 7 days for visit 3 and +/- 14 days for all scheduled visits in","confidence":0.67236328125,"confidence_rate":0.9966697886935868},{"cnt":[[370,1202],[1684,1202],[1684,1245],[370,1245]],"region":{"top_left_x":370,"top_left_y":1201,"width":1314,"height":44},"line":26,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"cb0a84fe9c2347d1bb5f8301989e8b6f","type":"text","conversion_output":true,"text":"the treatment period after visit 3 . To ensure sufficient medication, visits after visit 3 should be","text_display":" the treatment period after visit 3 . To ensure sufficient medication, visits after visit 3 should be","confidence":0.7243895530700684,"confidence_rate":0.9970994761614345},{"cnt":[[370,1238],[1622,1238],[1622,1282],[370,1282]],"region":{"top_left_x":370,"top_left_y":1238,"width":1252,"height":44},"line":27,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"8fdec4a78bb2419bb28c758787c86380","type":"text","conversion_output":true,"text":"scheduled within 182 days and visit 3 should take place no later than 91 days after visit 2 .","text_display":" scheduled within 182 days and visit 3 should take place no later than 91 days after visit 2 .","confidence":0.9931640625,"confidence_rate":0.9999376436755919},{"cnt":[[247,1302],[1789,1302],[1789,1343],[247,1343]],"region":{"top_left_x":246,"top_left_y":1302,"width":1543,"height":42},"line":28,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"4f9d479715ce411ba2fc99798fd3b0a9","type":"text","conversion_output":true,"text":"P To allow possible retrospective pharmacogenetic analyses, all patients eligible for randomization will","text_display":"\n\nP To allow possible retrospective pharmacogenetic analyses, all patients eligible for randomization will","confidence":0.99951171875,"confidence_rate":0.9999955192715237},{"cnt":[[370,1341],[1761,1341],[1761,1382],[370,1382]],"region":{"top_left_x":370,"top_left_y":1340,"width":1392,"height":43},"line":29,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"621af4d8bbb8415f9769fe32a8a63034","type":"text","conversion_output":true,"text":"be asked for a blood sample with a separate informed consent. The pharmacogenetic sample should","text_display":" be asked for a blood sample with a separate informed consent. The pharmacogenetic sample should","confidence":1,"confidence_rate":1},{"cnt":[[370,1380],[1802,1380],[1802,1423],[370,1423]],"region":{"top_left_x":370,"top_left_y":1379,"width":1433,"height":45},"line":30,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"ad2399eba417477e80dc3b7ef3684804","type":"text","conversion_output":true,"text":"preferably be taken at visit 2 , but could also be taken at any later visit, depending on availability of the","text_display":" preferably be taken at visit 2 , but could also be taken at any later visit, depending on availability of the","confidence":0.97705078125,"confidence_rate":0.9998015867670594},{"cnt":[[370,1421],[1729,1421],[1729,1464],[370,1464]],"region":{"top_left_x":370,"top_left_y":1420,"width":1360,"height":45},"line":31,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"f4be863b1d3c46f69308cf3c8963f5dc","type":"text","conversion_output":true,"text":"respective informed consent. Pharmacogenetic sampling is voluntary and is not a prerequisite for","text_display":" respective informed consent. Pharmacogenetic sampling is voluntary and is not a prerequisite for","confidence":1,"confidence_rate":1},{"cnt":[[370,1462],[733,1462],[733,1505],[370,1505]],"region":{"top_left_x":370,"top_left_y":1462,"width":364,"height":44},"line":32,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"a612a30a802e4044a58f4b51d00a9a5a","type":"text","conversion_output":true,"text":"participation in the study.","text_display":" participation in the study.","confidence":1,"confidence_rate":1},{"cnt":[[247,1540],[1798,1540],[1798,1583],[247,1583]],"region":{"top_left_x":246,"top_left_y":1539,"width":1552,"height":45},"line":33,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"42a6aba1183945ca81034e9d72e76f2e","type":"text","conversion_output":true,"text":"Q Urine Albumin Creatinine Ratio (UACR) will be calculated at the central lab, and should be measured","text_display":"\n\nQ Urine Albumin Creatinine Ratio (UACR) will be calculated at the central lab, and should be measured","confidence":0.99951171875,"confidence_rate":0.9999953924587458},{"cnt":[[368,1581],[1103,1581],[1103,1624],[368,1624]],"region":{"top_left_x":367,"top_left_y":1580,"width":737,"height":45},"line":34,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"9faf554ed5d04621a8f3324e8af462be","type":"text","conversion_output":true,"text":"on a first morning void specimen wherever possible.","text_display":" on a first morning void specimen wherever possible.","confidence":1,"confidence_rate":1},{"cnt":[[793,2586],[1300,2586],[1300,2622],[793,2622]],"region":{"top_left_x":792,"top_left_y":2585,"width":508,"height":38},"line":35,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"f1fe18f2a4b94a50973c3ba602798738","type":"page_info","conversion_output":false,"text":"Proprietary confidential information.","text_display":"","confidence":0.99755859375,"confidence_rate":0.9999418018997234},{"cnt":[[292,2622],[1798,2622],[1798,2661],[292,2661]],"region":{"top_left_x":292,"top_left_y":2622,"width":1506,"height":40},"line":36,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"fcea0570af5c46b4bb25ec2422b24759","type":"page_info","conversion_output":false,"text":"© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. 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Studies suggest that 70-75\\%","text_display":" diseases is chronic kidney disease (CKD) which often co-exist. 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Most","text_display":" issued [R07-1076, P10-00533, R09-1164, R09-6397, R08-1310, R10-4077, P08-01788]. 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A survey in the US (National Health and Nutrition Examination Survey","text_display":" of diabetes duration. A survey in the US (National Health and Nutrition Examination Survey","confidence":1,"confidence_rate":1},{"cnt":[[247,1563],[1802,1563],[1802,1610],[247,1610]],"region":{"top_left_x":246,"top_left_y":1562,"width":1557,"height":49},"line":31,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"b3fc7ae813c24980835a20cb4e145014","type":"text","conversion_output":true,"text":"[NHANES] 2003-2004) found that only \\(57 \\%\\) of participants had \\(HbA 1 c <7.0 \\%\\) [R10-0133].","text_display":" [NHANES] 2003-2004) found that only \\(57 \\%\\) of participants had \\(HbA 1 c <7.0 \\%\\) [R10-0133].","confidence":0.9825151692038043,"confidence_rate":0.9998218391456138},{"cnt":[[247,1610],[1793,1610],[1793,1656],[247,1656]],"region":{"top_left_x":246,"top_left_y":1610,"width":1548,"height":47},"line":32,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"a69e4383ffa446d686afcba657d70c7c","type":"text","conversion_output":true,"text":"Poor control was also noted among the 7000 individuals with T2DM in the Cost of Diabetes","text_display":" Poor control was also noted among the 7000 individuals with T2DM in the Cost of Diabetes","confidence":0.9990234375,"confidence_rate":0.999989822555459},{"cnt":[[247,1658],[1821,1658],[1821,1706],[247,1706]],"region":{"top_left_x":246,"top_left_y":1658,"width":1575,"height":49},"line":33,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"6bd0fb9b3249473db56d9239cf5391a0","type":"text","conversion_output":true,"text":"in Europe - Type 2 study where only \\(31 \\%\\) achieved the \\(<6.5 \\% HbA\\) 1c goal for HbA 1c [R10-","text_display":" in Europe - Type 2 study where only \\(31 \\%\\) achieved the \\(<6.5 \\% HbA\\) 1c goal for HbA 1c [R10","confidence":0.7515818414629456,"confidence_rate":0.9973834733860651},{"cnt":[[247,1706],[1711,1706],[1711,1752],[247,1752]],"region":{"top_left_x":246,"top_left_y":1706,"width":1465,"height":47},"line":34,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"a7e0f0e61da64b3b818e53e33e03c80a","type":"text","conversion_output":true,"text":"0134]. Reasons for this are, amongst other factors, related to a progressive failure of the","text_display":"0134]. 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In guidance for the","confidence":1,"confidence_rate":1},{"cnt":[[247,1946],[1775,1946],[1775,1994],[247,1994]],"region":{"top_left_x":246,"top_left_y":1946,"width":1529,"height":49},"line":39,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"caab87fbe17e4474b39fde18d1413cd3","type":"text","conversion_output":true,"text":"clinician on which pharmacological compounds to use to achieve glycaemic goals amongst","text_display":" clinician on which pharmacological compounds to use to achieve glycaemic goals amongst","confidence":1,"confidence_rate":1},{"cnt":[[247,1994],[1812,1994],[1812,2040],[247,2040]],"region":{"top_left_x":246,"top_left_y":1994,"width":1566,"height":46},"line":40,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"601550b676a140e2b9d2ab6e07109389","type":"text","conversion_output":true,"text":"patients with T2DM the international guidelines differs slightly [R07-1076, P10-00533, R09-","text_display":" patients with T2DM the international guidelines differs slightly [R07-1076, P10-00533, R09","confidence":0.9912188034504652,"confidence_rate":0.9999081294447617},{"cnt":[[247,2042],[1642,2042],[1642,2090],[247,2090]],"region":{"top_left_x":246,"top_left_y":2042,"width":1397,"height":49},"line":41,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"ebd3c15e94924504a755065c8e75bac5","type":"text","conversion_output":true,"text":"1164, R09-6397, R08-1310, R10-4077, P08-01788]. 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Despite some limitations, this","confidence":0.99951171875,"confidence_rate":0.9999946913130248},{"cnt":[[247,2138],[1812,2138],[1812,2186],[247,2186]],"region":{"top_left_x":246,"top_left_y":2138,"width":1566,"height":49},"line":43,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"464f445e0f064db1811ac55f4ec3ee15","type":"text","conversion_output":true,"text":"compound is the most widely used with a good safety profile, with some evidence suggesting","text_display":" compound is the most widely used with a good safety profile, with some evidence suggesting","confidence":1,"confidence_rate":1},{"cnt":[[247,2186],[1757,2186],[1757,2232],[247,2232]],"region":{"top_left_x":246,"top_left_y":2186,"width":1511,"height":46},"line":44,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"281decb9e9b04f949998ce82a7512607","type":"text","conversion_output":true,"text":"cardio protective properties [R09-6405, R09-6406], and without associated cardiotoxicity.","text_display":" cardio protective properties [R09-6405, R09-6406], and without associated cardiotoxicity.","confidence":0.99951171875,"confidence_rate":0.999994804263518},{"cnt":[[247,2234],[1213,2234],[1213,2280],[247,2280]],"region":{"top_left_x":246,"top_left_y":2234,"width":968,"height":46},"line":45,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"147b8a77fcee44b781315aac516a7d67","type":"text","conversion_output":true,"text":"Most other drugs on the market lack such documentation.","text_display":" Most other drugs on the market lack such documentation.","confidence":1,"confidence_rate":1},{"cnt":[[247,2330],[1800,2330],[1800,2378],[247,2378]],"region":{"top_left_x":246,"top_left_y":2330,"width":1555,"height":49},"line":46,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"be7677f189da4ac9a447b5da8aa1eabd","type":"text","conversion_output":true,"text":"As a second line treatment, because of the progressive loss of \\(\\beta\\)-cell function in patients with","text_display":"\n\nAs a second line treatment, because of the progressive loss of \\(\\beta\\)-cell function in patients with","confidence":0.5256221294403076,"confidence_rate":0.9938347307744111},{"cnt":[[247,2378],[1713,2378],[1713,2424],[247,2424]],"region":{"top_left_x":246,"top_left_y":2378,"width":1468,"height":46},"line":47,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"2d02876e0551460ebce103cb50c58741","type":"text","conversion_output":true,"text":"T2DM, traditional insulin secretagogues such as the sulfonylurea's (SUs) that stimulate","text_display":" T2DM, traditional insulin secretagogues such as the sulfonylurea's (SUs) that stimulate","confidence":1,"confidence_rate":1},{"cnt":[[247,2426],[1748,2426],[1748,2472],[247,2472]],"region":{"top_left_x":246,"top_left_y":2426,"width":1502,"height":46},"line":48,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"216b985ce6254deea4b8cf50879046fe","type":"text","conversion_output":true,"text":"insulin secretion in a non-glucose-dependent manner are widely used; in fact, they are the","text_display":" insulin secretion in a non-glucose-dependent manner are widely used; in fact, they are the","confidence":1,"confidence_rate":1},{"cnt":[[247,2474],[1802,2474],[1802,2520],[247,2520]],"region":{"top_left_x":246,"top_left_y":2473,"width":1557,"height":47},"line":49,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"4bd3a1c860fc4604a5a50bf21b8dabbc","type":"text","conversion_output":true,"text":"most commonly used second line therapy. However, treatment with SUs carries an increased","text_display":" most commonly used second line therapy. However, treatment with SUs carries an increased","confidence":1,"confidence_rate":1},{"cnt":[[247,2522],[1748,2522],[1748,2570],[247,2570]],"region":{"top_left_x":246,"top_left_y":2521,"width":1502,"height":49},"line":50,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"53b252292cf5403ebeed2161514fc942","type":"text","conversion_output":true,"text":"risk for hypoglycaemia and weight gain [R09-6400], and as is the case for metformin, are","text_display":" risk for hypoglycaemia and weight gain [R09-6400], and as is the case for metformin, are","confidence":0.990234375,"confidence_rate":0.9998944827560637},{"cnt":[[790,2586],[1300,2586],[1300,2622],[790,2622]],"region":{"top_left_x":790,"top_left_y":2585,"width":510,"height":38},"line":51,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"8223880b9a2a47fcb77ff82747569916","type":"text","conversion_output":true,"text":"Proprietary confidential information.","text_display":"\n\nProprietary confidential information.","confidence":0.986328125,"confidence_rate":0.9996722871437795},{"cnt":[[292,2622],[1798,2622],[1798,2661],[292,2661]],"region":{"top_left_x":292,"top_left_y":2622,"width":1506,"height":40},"line":52,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"f80474c159344c5d9781bb961d544d72","type":"text","conversion_output":true,"text":"© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","text_display":"\n© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","confidence":0.99072265625,"confidence_rate":0.9999216783081981},{"cnt":[[297,2668],[1770,2668],[1770,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2668,"width":1475,"height":35},"line":53,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"a7e684406f8b411897aedd846da74272","type":"text","conversion_output":true,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"\nThis document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-018","page":18,"lines":[{"cnt":[[247,119],[610,119],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":118,"width":364,"height":49},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"f61c1850189744128423605f3361ec75","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1818,119],[1818,162],[1503,162]],"region":{"top_left_x":1503,"top_left_y":118,"width":316,"height":45},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"05ee1f7a5e8648be8f46b5639dd58039","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[601,164],[601,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":355,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"2fee067e73514350a533568ea3f9a267","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,210],[637,210],[637,249],[247,249]],"region":{"top_left_x":246,"top_left_y":210,"width":392,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"58b2b5430efa4053925f442c79cd727f","type":"page_info","conversion_output":false,"text":"Doc. No.: c02155180-06","text_display":"","confidence":0.9990234375,"confidence_rate":0.9999638140011058},{"cnt":[[868,210],[1108,210],[1108,249],[868,249]],"region":{"top_left_x":868,"top_left_y":210,"width":240,"height":39},"line":5,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b3c2d9f6c7354a19b3a7c01c0bf82906","type":"page_info","conversion_output":false,"text":"Trial Protocol","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1574,210],[1816,210],[1816,254],[1574,254]],"region":{"top_left_x":1573,"top_left_y":210,"width":244,"height":44},"line":6,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1fd899a6a3954469800a28d44c4b711e","type":"page_info","conversion_output":false,"text":"Page 18 of 123","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,338],[1665,338],[1665,386],[247,386]],"region":{"top_left_x":246,"top_left_y":338,"width":1420,"height":49},"line":7,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d37c9a2630db415091b9ae0a2bfbe30e","type":"text","conversion_output":true,"text":"also associated with a lack of sustainable effect [R09-6400]. Therefore, international","text_display":"\nalso associated with a lack of sustainable effect [R09-6400]. Therefore, international","confidence":1,"confidence_rate":1},{"cnt":[[247,386],[1789,386],[1789,436],[247,436]],"region":{"top_left_x":246,"top_left_y":386,"width":1543,"height":51},"line":8,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"0724549a00ce41178b27e2d008a605ec","type":"text","conversion_output":true,"text":"treatment guidelines have endorsed use of other drugs, e.g. insulins, glitazones, glinides and","text_display":" treatment guidelines have endorsed use of other drugs, e.g. insulins, glitazones, glinides and","confidence":1,"confidence_rate":1},{"cnt":[[247,429],[1748,429],[1748,482],[247,482]],"region":{"top_left_x":246,"top_left_y":429,"width":1502,"height":54},"line":9,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"ccaedaaef499405cac2d0d8186426c85","type":"text","conversion_output":true,"text":"alpha-glucosidase inhibitors, to be used as \\(2^{\\text {nd }}\\) line or \\(3^{\\text {rd }}\\) line in certain settings. However,","text_display":" alpha-glucosidase inhibitors, to be used as \\(2^{\\text {nd }}\\) line or \\(3^{\\text {rd }}\\) line in certain settings. However,","confidence":0.7642428874969482,"confidence_rate":0.9979179099058578},{"cnt":[[247,484],[1802,484],[1802,532],[247,532]],"region":{"top_left_x":246,"top_left_y":484,"width":1557,"height":49},"line":10,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d20f64a927494177bb6b73e36478b9c0","type":"text","conversion_output":true,"text":"most of these drugs also have side effects that limit their use, such as hypoglycaemia, weight","text_display":" most of these drugs also have side effects that limit their use, such as hypoglycaemia, weight","confidence":1,"confidence_rate":1},{"cnt":[[247,532],[1693,532],[1693,580],[247,580]],"region":{"top_left_x":246,"top_left_y":532,"width":1447,"height":49},"line":11,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c9164670c38b4850a8d8ef93e20846c3","type":"text","conversion_output":true,"text":"gain, gastrointestinal (GI) side effects and peripheral oedema. In addition to morbidity","text_display":" gain, gastrointestinal (GI) side effects and peripheral oedema. In addition to morbidity","confidence":1,"confidence_rate":1},{"cnt":[[247,580],[1729,580],[1729,628],[247,628]],"region":{"top_left_x":246,"top_left_y":580,"width":1484,"height":49},"line":12,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"68f70793f90943099c1e99f251c29010","type":"text","conversion_output":true,"text":"associated with each of these side effects, they could also have adverse CV implications.","text_display":" associated with each of these side effects, they could also have adverse CV implications.","confidence":1,"confidence_rate":1},{"cnt":[[247,626],[1711,626],[1711,676],[247,676]],"region":{"top_left_x":246,"top_left_y":625,"width":1465,"height":52},"line":13,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"42c0650ce7414f4f9316439f0e793036","type":"text","conversion_output":true,"text":"Hypoglycaemia and weight gain were recently postulated as contributors to the adverse","text_display":" Hypoglycaemia and weight gain were recently postulated as contributors to the adverse","confidence":1,"confidence_rate":1},{"cnt":[[247,672],[1784,672],[1784,724],[247,724]],"region":{"top_left_x":246,"top_left_y":671,"width":1539,"height":54},"line":14,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b1b2ce6f99aa40c185e60af85d145c8d","type":"text","conversion_output":true,"text":"mortality outcomes in the \"Action to Control Cardiovascular Risk in Diabetes\" (ACCORD)","text_display":" mortality outcomes in the \"Action to Control Cardiovascular Risk in Diabetes\" (ACCORD)","confidence":1,"confidence_rate":1},{"cnt":[[244,717],[1720,717],[1720,770],[244,770]],"region":{"top_left_x":244,"top_left_y":717,"width":1477,"height":53},"line":15,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"397648f9e093408fa8cfb098be3d803c","type":"text","conversion_output":true,"text":"trial [R09-6407]. 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Such an assessment could involve dedicated","text_display":" drugs for the treatment of T2DM [R09-2151]. Such an assessment could involve dedicated","confidence":1,"confidence_rate":1},{"cnt":[[247,1147],[1688,1147],[1688,1197],[247,1197]],"region":{"top_left_x":246,"top_left_y":1146,"width":1443,"height":52},"line":23,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"a7a4a29ac5914a50ab5eaceb4ebdae55","type":"text","conversion_output":true,"text":"trials. It is therefore of interest to explore novel treatment options that offer glycaemic","text_display":" trials. It is therefore of interest to explore novel treatment options that offer glycaemic","confidence":1,"confidence_rate":1},{"cnt":[[247,1192],[1099,1192],[1099,1240],[247,1240]],"region":{"top_left_x":246,"top_left_y":1192,"width":853,"height":49},"line":24,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"08e6a667ef6d47ecb4c60966940481ad","type":"text","conversion_output":true,"text":"reduction without an associated increased CV risk.","text_display":" reduction without an associated increased CV risk.","confidence":1,"confidence_rate":1},{"cnt":[[247,1284],[1782,1284],[1782,1336],[247,1336]],"region":{"top_left_x":246,"top_left_y":1283,"width":1536,"height":54},"line":25,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"4dbf85356b754ca9a10ef51d164d8e0a","type":"text","conversion_output":true,"text":"Of note is that data from recent years indicates a decrease in the age-specific mortality rates","text_display":"\n\nOf note is that data from recent years indicates a decrease in the age-specific mortality rates","confidence":1,"confidence_rate":1},{"cnt":[[247,1330],[1821,1330],[1821,1382],[247,1382]],"region":{"top_left_x":246,"top_left_y":1329,"width":1575,"height":54},"line":26,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"54188d35d7bf4404b8af19f39807f70e","type":"text","conversion_output":true,"text":"due to CV diseases (although the increased relative CV risk between subjects with T2DM and","text_display":" due to CV diseases (although the increased relative CV risk between subjects with T2DM and","confidence":1,"confidence_rate":1},{"cnt":[[247,1380],[1780,1380],[1780,1432],[247,1432]],"region":{"top_left_x":246,"top_left_y":1379,"width":1534,"height":54},"line":27,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"f810f2e32c694ca0a8f14a67dcaa508e","type":"text","conversion_output":true,"text":"without still is high and increased 2-4 fold), a reduction in renal complications seems not to","text_display":" without still is high and increased 2-4 fold), a reduction in renal complications seems not to","confidence":0.8755488395690918,"confidence_rate":0.998658432585623},{"cnt":[[247,1430],[1713,1430],[1713,1478],[247,1478]],"region":{"top_left_x":246,"top_left_y":1430,"width":1468,"height":48},"line":28,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"46dde7c900b94e54831afa34301b4608","type":"text","conversion_output":true,"text":"occur. Establishing treatment options for T2DM that potentially not only reduce overall","text_display":" occur. 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The potential","text_display":" affect weight loss, and, in animal models, to maintain long-term \\(\\beta\\)-cell function. 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However, no long term studies in","text_display":" humans, would represent an important clinical finding. However, no long term studies in","confidence":1,"confidence_rate":1},{"cnt":[[247,580],[1793,580],[1793,628],[247,628]],"region":{"top_left_x":246,"top_left_y":580,"width":1548,"height":49},"line":12,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"32498dd0253144b9b66acfa2cef54979","type":"text","conversion_output":true,"text":"humans have confirmed this. An added interesting feature of this therapeutic option is that it","text_display":" humans have confirmed this. An added interesting feature of this therapeutic option is that it","confidence":1,"confidence_rate":1},{"cnt":[[247,626],[1622,626],[1622,678],[247,678]],"region":{"top_left_x":246,"top_left_y":625,"width":1376,"height":54},"line":13,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"113ff4000d2c466cbfb76c142fb55839","type":"text","conversion_output":true,"text":"seems to be associated with no weight gain and a very low risk of hypoglycaemia.","text_display":" seems to be associated with no weight gain and a very low risk of hypoglycaemia.","confidence":0.99853515625,"confidence_rate":0.9999827540583306},{"cnt":[[242,713],[509,713],[509,770],[242,770]],"region":{"top_left_x":242,"top_left_y":712,"width":268,"height":58},"line":14,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"f0d485d0865a431cbe8338a0d473d943","type":"section_header","conversion_output":false,"children_ids":["28306a41304e4c758b6a86ee8af8f732"],"text":"","text_display":""},{"cnt":[[247,717],[505,717],[505,765],[247,765]],"region":{"top_left_x":246,"top_left_y":717,"width":259,"height":49},"line":15,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"28306a41304e4c758b6a86ee8af8f732","type":"text","conversion_output":true,"parent_id":"f0d485d0865a431cbe8338a0d473d943","text":"Study proposal","text_display":"\n\n\\section*{Study proposal}","confidence":1,"confidence_rate":1},{"cnt":[[247,806],[1706,806],[1706,854],[247,854]],"region":{"top_left_x":246,"top_left_y":806,"width":1461,"height":49},"line":16,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"538bb5c084c242ed828fa00de2c0a98f","type":"text","conversion_output":true,"text":"In this large-scale intervention trial we will test the impact of treatment with the DPP-4","text_display":"\n\nIn this large-scale intervention trial we will test the impact of treatment with the DPP-4","confidence":1,"confidence_rate":1},{"cnt":[[247,854],[1702,854],[1702,902],[247,902]],"region":{"top_left_x":246,"top_left_y":854,"width":1456,"height":49},"line":17,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"f82bdf593ed548d4b5f30d1dddf0d940","type":"text","conversion_output":true,"text":"inhibitor linagliptin head-to-head versus placebo on long-term CV safety as well as the","text_display":" inhibitor linagliptin head-to-head versus placebo on long-term CV safety as well as the","confidence":1,"confidence_rate":1},{"cnt":[[247,902],[1711,902],[1711,953],[247,953]],"region":{"top_left_x":246,"top_left_y":902,"width":1465,"height":51},"line":18,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"01b0e9b61b754c29b12235706b03e201","type":"text","conversion_output":true,"text":"potential preventive impact on CV and renal complications. The study will be given the","text_display":" potential preventive impact on CV and renal complications. The study will be given the","confidence":0.9682769775390625,"confidence_rate":0.9996458089073738},{"cnt":[[247,950],[1711,950],[1711,998],[247,998]],"region":{"top_left_x":246,"top_left_y":950,"width":1465,"height":49},"line":19,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"ca8b96b17a084550a252910a734b931d","type":"text","conversion_output":true,"text":"acronym CARMELINA (CArdiovascular Safety \\& Renal Microvascular outcomE with","text_display":" acronym CARMELINA (CArdiovascular Safety \\& Renal Microvascular outcomE with","confidence":1,"confidence_rate":1},{"cnt":[[247,996],[1503,996],[1503,1046],[247,1046]],"region":{"top_left_x":246,"top_left_y":995,"width":1258,"height":52},"line":20,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"cd77ef507dc74f02b023a474329e686b","type":"text","conversion_output":true,"text":"LINAgliptin in patients with type 2 diabetes mellitus at high vascular risk).","text_display":" LINAgliptin in patients with type 2 diabetes mellitus at high vascular risk).","confidence":1,"confidence_rate":1},{"cnt":[[242,1083],[733,1083],[733,1135],[242,1135]],"region":{"top_left_x":242,"top_left_y":1082,"width":492,"height":54},"line":21,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"b412c73ca03c489990e6eca5d0ac7fbf","type":"section_header","conversion_output":false,"children_ids":["dfb66a2a602f400fb27e1475730d8f77"],"text":"","text_display":""},{"cnt":[[247,1087],[729,1087],[729,1131],[247,1131]],"region":{"top_left_x":246,"top_left_y":1087,"width":483,"height":44},"line":22,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"dfb66a2a602f400fb27e1475730d8f77","type":"text","conversion_output":true,"parent_id":"b412c73ca03c489990e6eca5d0ac7fbf","text":"1.2 DRUG PROFILE","text_display":"\n\n\\subsection*{1.2 DRUG PROFILE}","confidence":0.99951171875,"confidence_rate":0.9999767431038692},{"cnt":[[247,1179],[1796,1179],[1796,1227],[247,1227]],"region":{"top_left_x":246,"top_left_y":1178,"width":1550,"height":49},"line":23,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"91c80a2a5b8542d5a5b449f13ddf72cb","type":"text","conversion_output":true,"text":"The DPP-4 inhibitor compound linagliptin was discovered by Boehringer Ingelheim Pharma","text_display":"\n\nThe DPP-4 inhibitor compound linagliptin was discovered by Boehringer Ingelheim Pharma","confidence":1,"confidence_rate":1},{"cnt":[[247,1224],[733,1224],[733,1272],[247,1272]],"region":{"top_left_x":246,"top_left_y":1224,"width":488,"height":49},"line":24,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"501a4c6b77344fc29bd99b5e1f085465","type":"text","conversion_output":true,"text":"GmbH \\& Co. KG, Germany.","text_display":" GmbH \\& Co. KG, Germany.","confidence":0.9239730834960938,"confidence_rate":0.9971799716932874},{"cnt":[[247,1316],[1775,1316],[1775,1364],[247,1364]],"region":{"top_left_x":246,"top_left_y":1315,"width":1529,"height":49},"line":25,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"9882f9a24ebd4736a9ba86ba2b7c78cf","type":"text","conversion_output":true,"text":"Linagliptin is a potent inhibitor of DPP-4 activity and prolongs the half-life of GLP-1. This","text_display":"\n\nLinagliptin is a potent inhibitor of DPP-4 activity and prolongs the half-life of GLP-1. This","confidence":1,"confidence_rate":1},{"cnt":[[247,1361],[1738,1361],[1738,1409],[247,1409]],"region":{"top_left_x":246,"top_left_y":1361,"width":1493,"height":49},"line":26,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"5745046e2ada415fbfa7b2c5bb0c5a5e","type":"text","conversion_output":true,"text":"has been shown in vitro, in various animal models, and in clinical trials. Linagliptin is an","text_display":" has been shown in vitro, in various animal models, and in clinical trials. Linagliptin is an","confidence":1,"confidence_rate":1},{"cnt":[[247,1412],[1652,1412],[1652,1460],[247,1460]],"region":{"top_left_x":246,"top_left_y":1411,"width":1406,"height":49},"line":27,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"b7d2e929bd454ddabe3f51ea21a383eb","type":"text","conversion_output":true,"text":"orally available compound with a low risk for hypoglycaemic episodes [U04-1767].","text_display":" orally available compound with a low risk for hypoglycaemic episodes [U04-1767].","confidence":0.99853515625,"confidence_rate":0.9999827540583306},{"cnt":[[247,1508],[1688,1508],[1688,1556],[247,1556]],"region":{"top_left_x":246,"top_left_y":1507,"width":1443,"height":49},"line":28,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"e447ddb11cf54ea7a650f36494b539b1","type":"text","conversion_output":true,"text":"In general pharmacological tests, linagliptin exhibited good tolerability in a variety of","text_display":"\n\nIn general pharmacological tests, linagliptin exhibited good tolerability in a variety of","confidence":0.9990234375,"confidence_rate":0.9999896060152111},{"cnt":[[247,1556],[1784,1556],[1784,1601],[247,1601]],"region":{"top_left_x":246,"top_left_y":1555,"width":1539,"height":47},"line":29,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"7d7e48c7e7184d3ea05895170f1014d1","type":"text","conversion_output":true,"text":"physiological systems. No genotoxic effect was observed in any of the tests performed with","text_display":" physiological systems. No genotoxic effect was observed in any of the tests performed with","confidence":0.99951171875,"confidence_rate":0.9999948589553403},{"cnt":[[247,1604],[1656,1604],[1656,1652],[247,1652]],"region":{"top_left_x":246,"top_left_y":1603,"width":1411,"height":49},"line":30,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"dd52657d2aa049f4971d14589634eda9","type":"text","conversion_output":true,"text":"linagliptin or with its major metabolite CD 1790. The single dose (acute) toxicity of","text_display":" linagliptin or with its major metabolite CD 1790. 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This was also true with respect to exposure to the major metabolite","confidence":0.9990236759185791,"confidence_rate":0.9999899299373404},{"cnt":[[247,1796],[416,1796],[416,1834],[247,1834]],"region":{"top_left_x":246,"top_left_y":1795,"width":170,"height":40},"line":34,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"8fd5f6ddba21496ca47dcfbc3df015b7","type":"text","conversion_output":true,"text":"CD 1750.","text_display":" CD 1750.","confidence":0.996584415435791,"confidence_rate":0.9997149213934967},{"cnt":[[247,1891],[1812,1891],[1812,1939],[247,1939]],"region":{"top_left_x":246,"top_left_y":1891,"width":1566,"height":49},"line":35,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"86388d02da1e459180af9de23ca348ee","type":"text","conversion_output":true,"text":"Linagliptin shows nonlinear pharmacokinetics, both after oral and intravenous administration","text_display":"\n\nLinagliptin shows nonlinear pharmacokinetics, both after oral and intravenous administration","confidence":0.9209747314453125,"confidence_rate":0.9991516726198834},{"cnt":[[247,1937],[1638,1937],[1638,1985],[247,1985]],"region":{"top_left_x":246,"top_left_y":1937,"width":1392,"height":49},"line":36,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"8f203fe472514c079cef0d3b59f7a68f","type":"text","conversion_output":true,"text":"in the therapeutic dose range, with a less than dose proportional increase in plasma","text_display":" in the therapeutic dose range, with a less than dose proportional increase in plasma","confidence":1,"confidence_rate":1},{"cnt":[[247,1985],[1805,1985],[1805,2035],[247,2035]],"region":{"top_left_x":246,"top_left_y":1985,"width":1559,"height":51},"line":37,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"b8b4dad79fc44c789060366b3118e383","type":"text","conversion_output":true,"text":"concentrations. After oral administration of a 5 mg dose, linagliptin is rapidly absorbed, with","text_display":" concentrations. After oral administration of a 5 mg dose, linagliptin is rapidly absorbed, with","confidence":0.980478048324585,"confidence_rate":0.9998122555134159},{"cnt":[[244,2033],[1748,2033],[1748,2086],[244,2086]],"region":{"top_left_x":244,"top_left_y":2033,"width":1504,"height":53},"line":38,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"f53d4582fc6343cd825957fbb21c27ea","type":"text","conversion_output":true,"text":"peak plasma concentrations (median Tmax) occurring approximately 1.5 hours post dose.","text_display":" peak plasma concentrations (median Tmax) occurring approximately 1.5 hours post dose.","confidence":0.9719226722546975,"confidence_rate":0.9996938207213709},{"cnt":[[247,2122],[1743,2122],[1743,2170],[247,2170]],"region":{"top_left_x":246,"top_left_y":2122,"width":1497,"height":49},"line":39,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"1c8d1cf41d614b3fb8f2736a0c9e6aa7","type":"text","conversion_output":true,"text":"Clearance, volume of distribution, and amount excreted unchanged in urine increase with","text_display":"\n\nClearance, volume of distribution, and amount excreted unchanged in urine increase with","confidence":1,"confidence_rate":1},{"cnt":[[247,2170],[1693,2170],[1693,2218],[247,2218]],"region":{"top_left_x":246,"top_left_y":2170,"width":1447,"height":49},"line":40,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"2f80ca57214f4a068862cd6bdbd171be","type":"text","conversion_output":true,"text":"increasing doses, which may be a result of nonlinear protein binding in the therapeutic","text_display":" increasing doses, which may be a result of nonlinear protein binding in the therapeutic","confidence":1,"confidence_rate":1},{"cnt":[[247,2220],[1720,2220],[1720,2268],[247,2268]],"region":{"top_left_x":246,"top_left_y":2220,"width":1475,"height":49},"line":41,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"e1419c579ba44a78b9925018b2377187","type":"text","conversion_output":true,"text":"plasma concentration range. Linagliptin is predominantly excreted unchanged in faeces.","text_display":" plasma concentration range. Linagliptin is predominantly excreted unchanged in faeces.","confidence":0.921875,"confidence_rate":0.9991064912909783},{"cnt":[[247,2266],[1793,2266],[1793,2314],[247,2314]],"region":{"top_left_x":246,"top_left_y":2266,"width":1548,"height":49},"line":42,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"995984ee75124d9da9e6057118b266d2","type":"text","conversion_output":true,"text":"Renal excretion is considered to be a minor elimination pathway of linagliptin at therapeutic","text_display":" Renal excretion is considered to be a minor elimination pathway of linagliptin at therapeutic","confidence":0.7607259750366211,"confidence_rate":0.9972132568168423},{"cnt":[[247,2316],[448,2316],[448,2355],[247,2355]],"region":{"top_left_x":246,"top_left_y":2316,"width":202,"height":40},"line":43,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"c04f607f01e44d42b8b3ca704aa8af0b","type":"text","conversion_output":true,"text":"dose levels.","text_display":" dose levels.","confidence":0.998046875,"confidence_rate":0.9998850045633173},{"cnt":[[247,2410],[1743,2410],[1743,2460],[247,2460]],"region":{"top_left_x":246,"top_left_y":2410,"width":1497,"height":51},"line":44,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"c3cf3d2c094246bab57d3019904c32a1","type":"text","conversion_output":true,"text":"The long terminal half life of \\(>100\\) hours does not reflect the effective half life, as steady","text_display":"\n\nThe long terminal half life of \\(>100\\) hours does not reflect the effective half life, as steady","confidence":0.9931697845458984,"confidence_rate":0.9999321443999507},{"cnt":[[795,2586],[1300,2586],[1300,2625],[795,2625]],"region":{"top_left_x":794,"top_left_y":2585,"width":506,"height":40},"line":45,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"e876cb096b5e4983a2a5edbb01561382","type":"page_info","conversion_output":false,"text":"Proprietary confidential information.","text_display":"","confidence":0.99267578125,"confidence_rate":0.9998249873990863},{"cnt":[[292,2622],[1798,2622],[1798,2661],[292,2661]],"region":{"top_left_x":292,"top_left_y":2622,"width":1506,"height":40},"line":46,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"bdd1d3bed2c94819bb044d57c3390211","type":"page_info","conversion_output":false,"text":"© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","text_display":"","confidence":0.99072265625,"confidence_rate":0.9999216783081981},{"cnt":[[297,2668],[1770,2668],[1770,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2668,"width":1475,"height":35},"line":47,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"7cce84b347ae453b85b0f8527cfcc5cd","type":"page_info","conversion_output":false,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-020","page":20,"lines":[{"cnt":[[247,121],[610,121],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":121,"width":364,"height":46},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e13830f1da6b4a1cbdc57e16d132da11","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,162],[1503,162]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":45},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"f46166e7251f414f8040d8fa1e4258dd","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[601,164],[601,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":355,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"8f3e70cd62c0421f84b4cb6d8f70125d","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,210],[637,210],[637,249],[247,249]],"region":{"top_left_x":246,"top_left_y":210,"width":392,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"ff195e3d7f7b490dbc57ca45ad11d0f6","type":"page_info","conversion_output":false,"text":"Doc. No.: c02155180-06","text_display":"","confidence":0.9990234375,"confidence_rate":0.9999638140011059},{"cnt":[[868,210],[1108,210],[1108,249],[868,249]],"region":{"top_left_x":868,"top_left_y":210,"width":240,"height":39},"line":5,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"71523878c4fe47d19e3f165e214400d1","type":"page_info","conversion_output":false,"text":"Trial Protocol","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1574,210],[1816,210],[1816,254],[1574,254]],"region":{"top_left_x":1573,"top_left_y":210,"width":244,"height":44},"line":6,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"848da8cfb6e342b0aee2db44583a7dd4","type":"page_info","conversion_output":false,"text":"Page 20 of 123","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,338],[1807,338],[1807,388],[247,388]],"region":{"top_left_x":246,"top_left_y":338,"width":1561,"height":51},"line":7,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e552f28b2b534fafb3bf80b2d6fdb492","type":"text","conversion_output":true,"text":"days to 2 days for once daily dosing of \\(1-10 mg\\) linagliptin. The accumulation factors of \\(C _{\\max }\\)","text_display":"\ndays to 2 days for once daily dosing of \\(1-10 mg\\) linagliptin. The accumulation factors of \\(C _{\\max }\\)","confidence":0.9791189645411578,"confidence_rate":0.9998211844008654},{"cnt":[[247,388],[1081,388],[1081,436],[247,436]],"region":{"top_left_x":246,"top_left_y":388,"width":835,"height":49},"line":8,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1fba16586cbf492c85aed8869d02961a","type":"text","conversion_output":true,"text":"and AUC range from 1.2-2 upon multiple dosing.","text_display":" and AUC range from 1.2-2 upon multiple dosing.","confidence":0.9578697038814425,"confidence_rate":0.999156365496412},{"cnt":[[247,434],[1780,434],[1780,482],[247,482]],"region":{"top_left_x":246,"top_left_y":434,"width":1534,"height":49},"line":9,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7ec11f77047646239083734ec47538e4","type":"text","conversion_output":true,"text":"No adjustment of linagliptin dosage based on the intrinsic factors age, BMI, weight, gender","text_display":"\nNo adjustment of linagliptin dosage based on the intrinsic factors age, BMI, weight, gender","confidence":0.99951171875,"confidence_rate":0.9999949125077527},{"cnt":[[247,484],[1748,484],[1748,532],[247,532]],"region":{"top_left_x":246,"top_left_y":484,"width":1502,"height":49},"line":10,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"15e607a7b3d946939261ec5e3ccf9d67","type":"text","conversion_output":true,"text":"or race is considered necessary. Linagliptin showed no clinically relevant interaction with","text_display":" or race is considered necessary. Linagliptin showed no clinically relevant interaction with","confidence":0.9956116636761293,"confidence_rate":0.9999541886188087},{"cnt":[[247,532],[1688,532],[1688,578],[247,578]],"region":{"top_left_x":246,"top_left_y":532,"width":1443,"height":46},"line":11,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"10f6f706c2fb41ff8dac4a8805408fbd","type":"text","conversion_output":true,"text":"either the CYP 3A4 substrate simvastatin, with metformin, pioglitazone, glyburide, or","text_display":" either the CYP 3A4 substrate simvastatin, with metformin, pioglitazone, glyburide, or","confidence":0.99951171875,"confidence_rate":0.9999945733425232},{"cnt":[[247,580],[1661,580],[1661,628],[247,628]],"region":{"top_left_x":246,"top_left_y":580,"width":1415,"height":49},"line":12,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d58a62fe3f824e33abd8ddc57bddc110","type":"text","conversion_output":true,"text":"empagliflozin (BI 10773). After strong inhibition of P-gp and CYP 3A4 by ritonavir","text_display":" empagliflozin (BI 10773). After strong inhibition of P-gp and CYP 3A4 by ritonavir","confidence":0.7328260984262678,"confidence_rate":0.9964334230817249},{"cnt":[[244,626],[1727,626],[1727,678],[244,678]],"region":{"top_left_x":244,"top_left_y":625,"width":1483,"height":54},"line":13,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"19701dcc3e044466a63085bb0bc6f55f","type":"text","conversion_output":true,"text":"linagliptin AUC and Cmax increased approximately twofold and threefold, respectively.","text_display":" linagliptin AUC and Cmax increased approximately twofold and threefold, respectively.","confidence":0.9557666206018212,"confidence_rate":0.9994974428081637},{"cnt":[[247,676],[1777,676],[1777,724],[247,724]],"region":{"top_left_x":246,"top_left_y":676,"width":1532,"height":49},"line":14,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"41167816860b4b53adbcc6ffd70f14e2","type":"text","conversion_output":true,"text":"Since linagliptin has a large safety window and no obvious change in the safety profile was","text_display":" Since linagliptin has a large safety window and no obvious change in the safety profile was","confidence":0.998535871389322,"confidence_rate":0.9999847376009057},{"cnt":[[247,722],[1805,722],[1805,772],[247,772]],"region":{"top_left_x":246,"top_left_y":721,"width":1559,"height":52},"line":15,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"a49652ecf35849b9b08beccb32f61d28","type":"text","conversion_output":true,"text":"seen under concomitant administration of P gp and/or CYP3A4 inhibitors in phase H and HI ,","text_display":" seen under concomitant administration of P gp and/or CYP3A4 inhibitors in phase H and HI ,","confidence":0.7213248472322953,"confidence_rate":0.9971133276403591},{"cnt":[[244,770],[1213,770],[1213,820],[244,820]],"region":{"top_left_x":244,"top_left_y":769,"width":970,"height":52},"line":16,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"abd4cbe43c9d4290a11725945a6bef16","type":"text","conversion_output":true,"text":"these changes are considered to be not clinically relevant.","text_display":" these changes are considered to be not clinically relevant.","confidence":1,"confidence_rate":1},{"cnt":[[244,866],[1816,866],[1816,916],[244,916]],"region":{"top_left_x":244,"top_left_y":865,"width":1573,"height":52},"line":17,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"bfcf5fc0362f467bb115dcc206274deb","type":"text","conversion_output":true,"text":"There is no effect of food on the extent of absorption. Only the rate of absorption was slightly","text_display":"\n\nThere is no effect of food on the extent of absorption. Only the rate of absorption was slightly","confidence":0.998535871389322,"confidence_rate":0.9999854931597368},{"cnt":[[244,914],[1793,914],[1793,962],[244,962]],"region":{"top_left_x":244,"top_left_y":913,"width":1550,"height":49},"line":18,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"2eda693a1f3941fc8e56ff02723ab04b","type":"text","conversion_output":true,"text":"reduced (median Tmax increased from 1.02 to 2.99 hours and Cmax reduced by about \\(15 \\%\\) )","text_display":" reduced (median Tmax increased from 1.02 to 2.99 hours and Cmax reduced by about \\(15 \\%\\) )","confidence":0.95654296875,"confidence_rate":0.9995558030025624},{"cnt":[[247,962],[1766,962],[1766,1012],[247,1012]],"region":{"top_left_x":246,"top_left_y":961,"width":1520,"height":51},"line":19,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"51cfad743b06465991a7b381e28c2ad5","type":"text","conversion_output":true,"text":"when linagliptin was given with food, which was considered to be of no clinical relevance.","text_display":" when linagliptin was given with food, which was considered to be of no clinical relevance.","confidence":1,"confidence_rate":1},{"cnt":[[244,1010],[1789,1010],[1789,1062],[244,1062]],"region":{"top_left_x":244,"top_left_y":1009,"width":1545,"height":54},"line":20,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d9b732f2987b4e5ead24e4685cb2eb3b","type":"text","conversion_output":true,"text":"No dose adjustment of linagliptin in patients with any degree of hepatic or renal impairment","text_display":" No dose adjustment of linagliptin in patients with any degree of hepatic or renal impairment","confidence":1,"confidence_rate":1},{"cnt":[[244,1055],[1802,1055],[1802,1108],[244,1108]],"region":{"top_left_x":244,"top_left_y":1055,"width":1559,"height":53},"line":21,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3e2c05d0810f41609e6554670aaffd22","type":"text","conversion_output":true,"text":"is suggested as the pharmacokineties of linagliptin did not relevantly change with decreasing","text_display":" is suggested as the pharmacokineties of linagliptin did not relevantly change with decreasing","confidence":0.86763287867464,"confidence_rate":0.9985522061618246},{"cnt":[[247,1106],[1743,1106],[1743,1156],[247,1156]],"region":{"top_left_x":246,"top_left_y":1105,"width":1497,"height":51},"line":22,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"61e865b373ed4cf19a9ef946bd066c5a","type":"text","conversion_output":true,"text":"hepatic function and the exposure changes seen at steady state in patients decreased renal","text_display":" hepatic function and the exposure changes seen at steady state in patients decreased renal","confidence":0.99951171875,"confidence_rate":0.9999948589553403},{"cnt":[[244,1154],[1074,1154],[1074,1204],[244,1204]],"region":{"top_left_x":244,"top_left_y":1153,"width":830,"height":51},"line":23,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5a8d8753b3854bf5a096401275ed486c","type":"text","conversion_output":true,"text":"function are considered as not clinically relevant.","text_display":" function are considered as not clinically relevant.","confidence":0.99755859375,"confidence_rate":0.9999563511072518},{"cnt":[[247,1250],[1793,1250],[1793,1300],[247,1300]],"region":{"top_left_x":246,"top_left_y":1249,"width":1548,"height":51},"line":24,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"021735c24ec44d1281b5db01a75a34a2","type":"text","conversion_output":true,"text":"In all trials to date in patients with T2DM, more than 5955 patients have received linagliptin","text_display":"\n\nIn all trials to date in patients with T2DM, more than 5955 patients have received linagliptin","confidence":1,"confidence_rate":1},{"cnt":[[247,1298],[1752,1298],[1752,1345],[247,1345]],"region":{"top_left_x":246,"top_left_y":1297,"width":1507,"height":49},"line":25,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c9e517c2dc1e479eb8a885ec56495bc4","type":"text","conversion_output":true,"text":"5 mg . Inhibition of DPP-4 activity by linagliptin also translated into an increase in plasma","text_display":" 5 mg . Inhibition of DPP-4 activity by linagliptin also translated into an increase in plasma","confidence":0.9825085330050327,"confidence_rate":0.9998217709323237},{"cnt":[[247,1343],[1720,1343],[1720,1396],[247,1396]],"region":{"top_left_x":246,"top_left_y":1343,"width":1475,"height":53},"line":26,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"04216f370f14417fa2780380c8497038","type":"text","conversion_output":true,"text":"GLP-1 levels. In addition, linagliptin exhibited excellent tolerability at all dose levels in","text_display":" GLP-1 levels. In addition, linagliptin exhibited excellent tolerability at all dose levels in","confidence":1,"confidence_rate":1},{"cnt":[[244,1393],[1588,1393],[1588,1441],[244,1441]],"region":{"top_left_x":244,"top_left_y":1393,"width":1344,"height":49},"line":27,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7558e5b5cd374e8185d5b0053d1dd3d3","type":"text","conversion_output":true,"text":"phase \\(I\\) studies with an absence of a dose dependent increase in adverse events.","text_display":" phase \\(I\\) studies with an absence of a dose dependent increase in adverse events.","confidence":0.4739003781368982,"confidence_rate":0.9914533054025301},{"cnt":[[247,1439],[1722,1439],[1722,1492],[247,1492]],"region":{"top_left_x":246,"top_left_y":1439,"width":1477,"height":53},"line":28,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d7b7df07a77a43d691cd89cecb412621","type":"text","conversion_output":true,"text":"In phase II and III clinical trials in patients with T2DM, the overall incidence of adverse","text_display":" In phase II and III clinical trials in patients with T2DM, the overall incidence of adverse","confidence":0.8042783816345036,"confidence_rate":0.9977337195675156},{"cnt":[[247,1489],[1725,1489],[1725,1537],[247,1537]],"region":{"top_left_x":246,"top_left_y":1489,"width":1479,"height":49},"line":29,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"0f14fe10558d4a4886d371d977a0960c","type":"text","conversion_output":true,"text":"events (AEs) with linagliptin 5 mg was comparable to placebo (linagliptin 5 mg : 52.5\\%,","text_display":" events (AEs) with linagliptin 5 mg was comparable to placebo (linagliptin 5 mg : 52.5\\%,","confidence":0.9965860823871253,"confidence_rate":0.999966473519608},{"cnt":[[244,1535],[1784,1535],[1784,1588],[244,1588]],"region":{"top_left_x":244,"top_left_y":1535,"width":1541,"height":53},"line":30,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d0d0ff207338468a9ba036db2b1ead56","type":"text","conversion_output":true,"text":"placebo: \\(51.6 \\%\\) ). In addition, the number of patients with AEs leading to discontinuation of","text_display":" placebo: \\(51.6 \\%\\) ). In addition, the number of patients with AEs leading to discontinuation of","confidence":0.87939453125,"confidence_rate":0.9987156091270732},{"cnt":[[247,1585],[1793,1585],[1793,1633],[247,1633]],"region":{"top_left_x":246,"top_left_y":1585,"width":1548,"height":49},"line":31,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"92d9316940624e22ad2e401e6c537bcd","type":"text","conversion_output":true,"text":"trial drug (linagliptin \\(5 mg : 2.3 \\%\\), placebo: \\(2.8 \\%\\) ) and with investigator defined drug-related","text_display":" trial drug (linagliptin \\(5 mg : 2.3 \\%\\), placebo: \\(2.8 \\%\\) ) and with investigator defined drug-related","confidence":0.6617668167564261,"confidence_rate":0.9961490971289269},{"cnt":[[244,1631],[1780,1631],[1780,1684],[244,1684]],"region":{"top_left_x":244,"top_left_y":1631,"width":1536,"height":53},"line":32,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"63d6571ec8374295a643f69398fe2164","type":"text","conversion_output":true,"text":"AEs (linagliptin \\(5 mg : 8.3 \\%\\), placebo: \\(9.1 \\%\\) ) did not differ significantly between linagliptin","text_display":" AEs (linagliptin \\(5 mg : 8.3 \\%\\), placebo: \\(9.1 \\%\\) ) did not differ significantly between linagliptin","confidence":0.8174595229872824,"confidence_rate":0.998100354816094},{"cnt":[[247,1681],[464,1681],[464,1729],[247,1729]],"region":{"top_left_x":246,"top_left_y":1681,"width":218,"height":49},"line":33,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"08e74b244ec24ac488875357d7a1adbb","type":"text","conversion_output":true,"text":"and placebo.","text_display":" and placebo.","confidence":0.99169921875,"confidence_rate":0.9995098010938792},{"cnt":[[244,1777],[1633,1777],[1633,1825],[244,1825]],"region":{"top_left_x":244,"top_left_y":1777,"width":1390,"height":49},"line":34,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"f2e6f85ef0ad48d2b20f0c8d5c1b28f2","type":"text","conversion_output":true,"text":"The most frequently reported adverse events ( \\(\\geq 5 \\%\\) ) in both treatment groups were","text_display":"\n\nThe most frequently reported adverse events ( \\(\\geq 5 \\%\\) ) in both treatment groups were","confidence":0.9921944125089794,"confidence_rate":0.9999119565665325},{"cnt":[[247,1823],[1738,1823],[1738,1873],[247,1873]],"region":{"top_left_x":246,"top_left_y":1822,"width":1493,"height":52},"line":35,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"cdac9921bf174b0fa65e0607dbb0a8d5","type":"text","conversion_output":true,"text":"nasopharyngitis ( \\(4.7 \\%\\) placebo, \\(5.9 \\%\\) linagliptin 5 mg ), hyperglycaemia ( \\(10.6 \\%\\) placebo,","text_display":" nasopharyngitis ( \\(4.7 \\%\\) placebo, \\(5.9 \\%\\) linagliptin 5 mg ), hyperglycaemia ( \\(10.6 \\%\\) placebo,","confidence":0.8246437161246065,"confidence_rate":0.9981997173613034},{"cnt":[[247,1873],[1679,1873],[1679,1921],[247,1921]],"region":{"top_left_x":246,"top_left_y":1873,"width":1434,"height":49},"line":36,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"45253f5122dd44efb03a04da272a3b60","type":"text","conversion_output":true,"text":"\\(5.1 \\%\\) linagliptin 5 mg ) and hypoglycaemia ( \\(5.1 \\%\\) placebo and \\(7.8 \\%\\) linagliptin 5 mg )","text_display":" \\(5.1 \\%\\) linagliptin 5 mg ) and hypoglycaemia ( \\(5.1 \\%\\) placebo and \\(7.8 \\%\\) linagliptin 5 mg )","confidence":0.625913182861537,"confidence_rate":0.9955049063594525},{"cnt":[[247,1969],[1738,1969],[1738,2017],[247,2017]],"region":{"top_left_x":246,"top_left_y":1969,"width":1493,"height":49},"line":37,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6e97513bb02d450d9b6e7fd2d2aa48f0","type":"text","conversion_output":true,"text":"The increased incidence of hypoglycaemia observed in the phase \\(\\amalg\\) and II studies nearly","text_display":"\n\nThe increased incidence of hypoglycaemia observed in the phase \\(\\amalg\\) and II studies nearly","confidence":0.26090922744609596,"confidence_rate":0.9863835266458071},{"cnt":[[247,2015],[1798,2015],[1798,2067],[247,2067]],"region":{"top_left_x":246,"top_left_y":2014,"width":1552,"height":54},"line":38,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"9af23905ea914121b470e3d7f68a2a61","type":"text","conversion_output":true,"text":"exclusively came from trial 1218.18 where linagliptin was added to a background therapy of","text_display":" exclusively came from trial 1218.18 where linagliptin was added to a background therapy of","confidence":0.93896484375,"confidence_rate":0.9993575815353783},{"cnt":[[247,2065],[1789,2065],[1789,2113],[247,2113]],"region":{"top_left_x":246,"top_left_y":2065,"width":1543,"height":49},"line":39,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"628f60491cd046169f93f74f860543f9","type":"text","conversion_output":true,"text":"metformin and SU where hypoglycemia rates after 24 weeks were observed to be \\(14.8 \\%\\) for","text_display":" metformin and SU where hypoglycemia rates after 24 weeks were observed to be \\(14.8 \\%\\) for","confidence":1,"confidence_rate":1},{"cnt":[[247,2111],[1798,2111],[1798,2163],[247,2163]],"region":{"top_left_x":246,"top_left_y":2110,"width":1552,"height":54},"line":40,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7f8afabd50b14173a0f876569502ba62","type":"text","conversion_output":true,"text":"placebo, and \\(22.8 \\%\\) for linagliptin 5 mg . When linagliptin was administered as monotherapy","text_display":" placebo, and \\(22.8 \\%\\) for linagliptin 5 mg . 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Also the addition of linagliptin to a metformin background","text_display":" eccurrence of 'hypoglycaemia'. 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Linagliptin showed no clinically relevant interaction with metformin,","confidence":1,"confidence_rate":1},{"cnt":[[247,1156],[971,1156],[971,1204],[247,1204]],"region":{"top_left_x":246,"top_left_y":1155,"width":725,"height":49},"line":23,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"566a565618d741c3bace0383e2637438","type":"text","conversion_output":true,"text":"pioglitazone, glyburide or empagliflozin.","text_display":" pioglitazone, glyburide or empagliflozin.","confidence":1,"confidence_rate":1},{"cnt":[[244,1247],[733,1247],[733,1300],[244,1300]],"region":{"top_left_x":244,"top_left_y":1247,"width":490,"height":53},"line":24,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6a15289d41f14e2783fab0933d969d94","type":"section_header","conversion_output":false,"children_ids":["7ee9923f5c694a1094e02b72ff81b6d6"],"text":"","text_display":""},{"cnt":[[247,1252],[729,1252],[729,1295],[247,1295]],"region":{"top_left_x":246,"top_left_y":1251,"width":483,"height":45},"line":25,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7ee9923f5c694a1094e02b72ff81b6d6","type":"text","conversion_output":true,"parent_id":"6a15289d41f14e2783fab0933d969d94","text":"Clinical efficacy and safety","text_display":"\n\n\\section*{Clinical efficacy and safety}","confidence":1,"confidence_rate":1},{"cnt":[[247,1300],[1743,1300],[1743,1345],[247,1345]],"region":{"top_left_x":246,"top_left_y":1299,"width":1497,"height":47},"line":26,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"ad71b02b4148477ca8d19ec50c4212f7","type":"text","conversion_output":true,"text":"Treatment with 5 mg linagliptin once daily has resulted in clinically meaningful and","text_display":"\n\nTreatment with 5 mg linagliptin once daily has resulted in clinically meaningful and","confidence":0.5746869519352913,"confidence_rate":0.9941244585023379},{"cnt":[[247,1348],[1780,1348],[1780,1396],[247,1396]],"region":{"top_left_x":246,"top_left_y":1347,"width":1534,"height":49},"line":27,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"ecc5956579a5403783ee20dfb25079ab","type":"text","conversion_output":true,"text":"statistically significant reductions in \\(HbA _{1 c}, FPG\\), and postprandial glucose. 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There is a","confidence":0.38017218048351414,"confidence_rate":0.9911664851153607},{"cnt":[[247,1396],[1720,1396],[1720,1441],[247,1441]],"region":{"top_left_x":246,"top_left_y":1395,"width":1475,"height":47},"line":28,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"a8ae039168f5446d910e0018e0696a44","type":"text","conversion_output":true,"text":"consistent pattern in the improvement in \\(HbA _{1 c }\\) levels when linagliptin was used in","text_display":" consistent pattern in the improvement in \\(HbA _{1 c }\\) levels when linagliptin was used in","confidence":0.99609375,"confidence_rate":0.9999620016994184},{"cnt":[[247,1444],[1770,1444],[1770,1492],[247,1492]],"region":{"top_left_x":246,"top_left_y":1443,"width":1525,"height":49},"line":29,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"a303191d22bc4907b5e77ed4422d5777","type":"text","conversion_output":true,"text":"patients with different background therapies. These findings demonstrate efficacy for","text_display":" patients with different background therapies. 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RATIONALE, OBJECTIVES, AND BENEFIT - RISK","text_display":"\n\n\\section*{2. RATIONALE, OBJECTIVES, AND BENEFIT - RISK","confidence":1,"confidence_rate":1},{"cnt":[[402,397],[733,397],[733,445],[402,445]],"region":{"top_left_x":402,"top_left_y":397,"width":332,"height":49},"line":9,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"84fdeeb68b6a4813936648702f925f93","type":"text","conversion_output":true,"parent_id":"3c063f2ce9294cf7bacf0b7720a98a37","text":"ASSESSMENT","text_display":" ASSESSMENT}","confidence":1,"confidence_rate":1},{"cnt":[[242,489],[1307,489],[1307,541],[242,541]],"region":{"top_left_x":242,"top_left_y":488,"width":1065,"height":54},"line":10,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"f758f8a9195241a9a42bddac53dedea6","type":"section_header","conversion_output":false,"children_ids":["59619991591a4d85ad6c68cca5620a65"],"text":"","text_display":""},{"cnt":[[247,493],[1304,493],[1304,537],[247,537]],"region":{"top_left_x":246,"top_left_y":493,"width":1059,"height":44},"line":11,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"59619991591a4d85ad6c68cca5620a65","type":"text","conversion_output":true,"parent_id":"f758f8a9195241a9a42bddac53dedea6","text":"2.1 RATIONALE FOR PERFORMING THE TRIAL","text_display":"\n\n\\subsection*{2.1 RATIONALE FOR PERFORMING THE TRIAL}","confidence":0.99951171875,"confidence_rate":0.9999886419133848},{"cnt":[[247,580],[1734,580],[1734,630],[247,630]],"region":{"top_left_x":246,"top_left_y":580,"width":1488,"height":51},"line":12,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"0b648f10606648c0b5470a7becc21a5a","type":"text","conversion_output":true,"text":"The aim of the present study is to investigate the long-term impact on CV morbidity and","text_display":"\n\nThe aim of the present study is to investigate the long-term impact on CV morbidity and","confidence":1,"confidence_rate":1},{"cnt":[[247,630],[1757,630],[1757,678],[247,678]],"region":{"top_left_x":246,"top_left_y":630,"width":1511,"height":49},"line":13,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"fd29ebb77ad645bf84ca3b2570dc6bed","type":"text","conversion_output":true,"text":"mortality of treatment with linagliptin in a selected population of patients with T2DM and","text_display":" mortality of treatment with linagliptin in a selected population of patients with T2DM and","confidence":1,"confidence_rate":1},{"cnt":[[247,678],[1814,678],[1814,726],[247,726]],"region":{"top_left_x":246,"top_left_y":678,"width":1568,"height":49},"line":14,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"e60aa1099c3347809192c01f934f371a","type":"text","conversion_output":true,"text":"compare outcomes against placebo, on a background of standard of care. To date, this has not","text_display":" compare outcomes against placebo, on a background of standard of care. To date, this has not","confidence":1,"confidence_rate":1},{"cnt":[[247,726],[1793,726],[1793,774],[247,774]],"region":{"top_left_x":246,"top_left_y":726,"width":1548,"height":49},"line":15,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"0579d1add02f41f2b51b22f5a4a276e4","type":"text","conversion_output":true,"text":"been tested in long-term trials of linagliptin. Since this is the case for other DPP-4 inhibitors","text_display":" been tested in long-term trials of linagliptin. 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There","confidence":1,"confidence_rate":1},{"cnt":[[247,822],[1798,822],[1798,870],[247,870]],"region":{"top_left_x":246,"top_left_y":822,"width":1552,"height":49},"line":17,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"91f566cd900040ea8ae0695097353ba9","type":"text","conversion_output":true,"text":"are currently no safety signals that indicate that linagliptin should be inferior to placebo with","text_display":" are currently no safety signals that indicate that linagliptin should be inferior to placebo with","confidence":1,"confidence_rate":1},{"cnt":[[247,870],[1793,870],[1793,918],[247,918]],"region":{"top_left_x":246,"top_left_y":870,"width":1548,"height":49},"line":18,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"31925b8b208b45f2b12bb5e245f09f25","type":"text","conversion_output":true,"text":"respect to CV safety [P12-00933]. A recent meta-analysis of the marketed DPP-4 inhibitors,","text_display":" respect to CV safety [P12-00933]. A recent meta-analysis of the marketed DPP-4 inhibitors,","confidence":1,"confidence_rate":1},{"cnt":[[247,918],[1761,918],[1761,966],[247,966]],"region":{"top_left_x":246,"top_left_y":918,"width":1516,"height":49},"line":19,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"a985ed87e61247d5b14623bb3d440acd","type":"text","conversion_output":true,"text":"on the contrary, indicates actually a potential beneficial CV effect of DPP-4 inhibitors as a","text_display":" on the contrary, indicates actually a potential beneficial CV effect of DPP-4 inhibitors as a","confidence":1,"confidence_rate":1},{"cnt":[[247,964],[1812,964],[1812,1012],[247,1012]],"region":{"top_left_x":246,"top_left_y":964,"width":1566,"height":48},"line":20,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"849fe96413bf4814aa45bb9fb98952df","type":"text","conversion_output":true,"text":"class, although this meta-analysis mainly included trials of shorter duration with patients who","text_display":" class, although this meta-analysis mainly included trials of shorter duration with patients who","confidence":1,"confidence_rate":1},{"cnt":[[247,1014],[1752,1014],[1752,1062],[247,1062]],"region":{"top_left_x":246,"top_left_y":1014,"width":1507,"height":49},"line":21,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"10ce30af072a4481b96a5851ca69d995","type":"text","conversion_output":true,"text":"were not at a particular high CV risk, limiting the findings to hypothesis generation [R09-","text_display":" were not at a particular high CV risk, limiting the findings to hypothesis generation [R09","confidence":0.97412109375,"confidence_rate":0.9997269158688921},{"cnt":[[247,1062],[916,1062],[916,1108],[247,1108]],"region":{"top_left_x":246,"top_left_y":1062,"width":671,"height":46},"line":22,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"1cbd9f04a5284316aeb9c39b5163bc8a","type":"text","conversion_output":true,"text":"6410]; thus this requires further studies.","text_display":"6410]; thus this requires further studies.","confidence":1,"confidence_rate":1},{"cnt":[[247,1151],[1743,1151],[1743,1199],[247,1199]],"region":{"top_left_x":246,"top_left_y":1151,"width":1497,"height":49},"line":23,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"24bcea4fed564778b0a0eb7dd712c36a","type":"text","conversion_output":true,"text":"The rationale to assess microvascular outcomes, in particular renal safety with the aim of","text_display":"\n\nThe rationale to assess microvascular outcomes, in particular renal safety with the aim of","confidence":1,"confidence_rate":1},{"cnt":[[247,1199],[1812,1199],[1812,1247],[247,1247]],"region":{"top_left_x":246,"top_left_y":1199,"width":1566,"height":49},"line":24,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"7c21c0f341584189addab8ae1fe8ffb3","type":"text","conversion_output":true,"text":"demonstrating renal benefits, is derived from the hypothesis based on pre-clinical and limited","text_display":" demonstrating renal benefits, is derived from the hypothesis based on pre-clinical and limited","confidence":1,"confidence_rate":1},{"cnt":[[247,1247],[1722,1247],[1722,1295],[247,1295]],"region":{"top_left_x":246,"top_left_y":1247,"width":1477,"height":49},"line":25,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"4bf7e18195bb427a82ac0dd415c23385","type":"text","conversion_output":true,"text":"clinical data, that GLP-1 based therapies, and in particular linagliptin, may have a direct","text_display":" clinical data, that GLP-1 based therapies, and in particular linagliptin, may have a direct","confidence":1,"confidence_rate":1},{"cnt":[[247,1293],[1784,1293],[1784,1341],[247,1341]],"region":{"top_left_x":246,"top_left_y":1292,"width":1539,"height":49},"line":26,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"5f892fd1808e4a569293eb4cb81f9dc1","type":"text","conversion_output":true,"text":"impact on the integrity of the endothelium and podocytes of the glomerula and the proximal","text_display":" impact on the integrity of the endothelium and podocytes of the glomerula and the proximal","confidence":1,"confidence_rate":1},{"cnt":[[247,1343],[1725,1343],[1725,1391],[247,1391]],"region":{"top_left_x":246,"top_left_y":1343,"width":1479,"height":49},"line":27,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"113ca09a12b64588a34e8e3a00f3a9f2","type":"text","conversion_output":true,"text":"tubular cells as well as endothelial function and last, that linagliptin has a relatively high","text_display":" tubular cells as well as endothelial function and last, that linagliptin has a relatively high","confidence":1,"confidence_rate":1},{"cnt":[[247,1391],[1757,1391],[1757,1437],[247,1437]],"region":{"top_left_x":246,"top_left_y":1391,"width":1511,"height":46},"line":28,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"080e85aea0b84eb0ba12d9df9cb86809","type":"text","conversion_output":true,"text":"tissue distribution, including in the kidney, albeit all these features currently remains to be","text_display":" tissue distribution, including in the kidney, albeit all these features currently remains to be","confidence":1,"confidence_rate":1},{"cnt":[[247,1439],[487,1439],[487,1483],[247,1483]],"region":{"top_left_x":246,"top_left_y":1439,"width":241,"height":44},"line":29,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"8d197c6c37c648dc984287666eeaa727","type":"text","conversion_output":true,"text":"demonstrated.","text_display":" demonstrated.","confidence":1,"confidence_rate":1},{"cnt":[[247,1528],[1823,1528],[1823,1576],[247,1576]],"region":{"top_left_x":246,"top_left_y":1528,"width":1577,"height":49},"line":30,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"39c8fa860724444fa544b9b5ea59ff4c","type":"text","conversion_output":true,"text":"As the study population of this trial are patients with high CV risk, all with various degrees of","text_display":"\n\nAs the study population of this trial are patients with high CV risk, all with various degrees of","confidence":1,"confidence_rate":1},{"cnt":[[247,1576],[1684,1576],[1684,1624],[247,1624]],"region":{"top_left_x":246,"top_left_y":1576,"width":1438,"height":49},"line":31,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"5f2a9b7e42f945908c877271f3ab4766","type":"text","conversion_output":true,"text":"end-organ damage (i.e., renal impairment) it is conceivable that the study will include","text_display":" end-organ damage (i.e., renal impairment) it is conceivable that the study will include","confidence":1,"confidence_rate":1},{"cnt":[[247,1622],[1789,1622],[1789,1672],[247,1672]],"region":{"top_left_x":246,"top_left_y":1621,"width":1543,"height":52},"line":32,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"f1851f2127d14e1cae0d3c433976e78b","type":"text","conversion_output":true,"text":"patients at all stages of T2DM duration since in fact many patients are being diagnosed with","text_display":" patients at all stages of T2DM duration since in fact many patients are being diagnosed with","confidence":1,"confidence_rate":1},{"cnt":[[247,1672],[1757,1672],[1757,1720],[247,1720]],"region":{"top_left_x":246,"top_left_y":1672,"width":1511,"height":49},"line":33,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"060c9ff85d7147c2945ee69cb8115345","type":"text","conversion_output":true,"text":"T2DM for the first time at the occasion of a CV event [R12-1135]. Therefore, antidiabetic","text_display":" T2DM for the first time at the occasion of a CV event [R12-1135]. Therefore, antidiabetic","confidence":1,"confidence_rate":1},{"cnt":[[247,1720],[1679,1720],[1679,1766],[247,1766]],"region":{"top_left_x":246,"top_left_y":1720,"width":1434,"height":46},"line":34,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"496bd565f39a404788d623a91597583a","type":"text","conversion_output":true,"text":"treatment naïve, as well as patients with all kind of approved background antidiabetic","text_display":" treatment naïve, as well as patients with all kind of approved background antidiabetic","confidence":1,"confidence_rate":1},{"cnt":[[247,1768],[1679,1768],[1679,1816],[247,1816]],"region":{"top_left_x":246,"top_left_y":1768,"width":1434,"height":49},"line":35,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"63454b2261014ea8bbff0079e3556e7d","type":"text","conversion_output":true,"text":"treatment (including insulins) are eligible. The only exceptions are patients on DPP-4","text_display":" treatment (including insulins) are eligible. 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Taking into consideration linagliptins mode of action, there is not an option in this","text_display":" inhibitors. 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All rights reserved.","confidence":0.99072265625,"confidence_rate":0.9999216783081981},{"cnt":[[297,2668],[1770,2668],[1770,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2668,"width":1475,"height":35},"line":52,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"1032d1b6477542faa52b679322f6bdbb","type":"page_info","conversion_output":false,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-023","page":23,"lines":[{"cnt":[[247,121],[610,121],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":121,"width":364,"height":46},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"46ccb1ab5cba45078ff6ddee055fcd7d","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,162],[1503,162]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":45},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"07a2779f9285462ab6b846cf8e48f1db","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[601,164],[601,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":355,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"50f905f6bdb64dee92db37158a04f65d","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,210],[637,210],[637,249],[247,249]],"region":{"top_left_x":246,"top_left_y":210,"width":392,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"199c843dbf844b91833a378ece88be57","type":"page_info","conversion_output":false,"text":"Doc. 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Thereby, it will assess the CV safety profile of linagliptin as compared with","text_display":" [UACR]). Thereby, it will assess the CV safety profile of linagliptin as compared with","confidence":1,"confidence_rate":1},{"cnt":[[244,532],[1818,532],[1818,578],[244,578]],"region":{"top_left_x":244,"top_left_y":532,"width":1575,"height":46},"line":11,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"f9c5492fe0d4446db19f4bb408c602d0","type":"text","conversion_output":true,"text":"placebo in a broad (> 50\\% of patients with T2DM and CV complications are assumed to have","text_display":" placebo in a broad (> 50\\% of patients with T2DM and CV complications are assumed to have","confidence":0.99951171875,"confidence_rate":0.9999947483955305},{"cnt":[[247,580],[1775,580],[1775,628],[247,628]],"region":{"top_left_x":246,"top_left_y":580,"width":1529,"height":49},"line":12,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"80ba8cb66bba4271a992867934e8170b","type":"text","conversion_output":true,"text":"some degree of renal impairment and some others \\(>20 \\%\\) have renal impairment alone) and","text_display":" some degree of renal impairment and some others \\(>20 \\%\\) have renal impairment alone) and","confidence":0.55029296875,"confidence_rate":0.9935979522625129},{"cnt":[[247,626],[1734,626],[1734,674],[247,674]],"region":{"top_left_x":246,"top_left_y":625,"width":1488,"height":49},"line":13,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d10585675c0c4307b8cc38506790bfbe","type":"text","conversion_output":true,"text":"relevant population of patients with T2DM. This study design therefore concurs with the","text_display":" relevant population of patients with T2DM. 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further advance our understanding of important issues in the management of","confidence":1,"confidence_rate":1},{"cnt":[[247,1147],[857,1147],[857,1195],[247,1195]],"region":{"top_left_x":246,"top_left_y":1146,"width":611,"height":49},"line":22,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1cf3c597d509409aaef62d77bdd1ca6e","type":"text","conversion_output":true,"text":"patients with T2DM (Section 5.3.2).","text_display":" patients with T2DM (Section 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All rights reserved.","text_display":"\n© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","confidence":0.998046875,"confidence_rate":0.9999835712707866},{"cnt":[[297,2664],[1768,2664],[1768,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2663,"width":1473,"height":40},"line":49,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"7c806a1ad63146b1a8b687130e8a39eb","type":"text","conversion_output":true,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"\nThis document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-029","page":29,"lines":[{"cnt":[[247,121],[610,121],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":121,"width":364,"height":46},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1e58965832cc4fc69a9b3a06cc3ed942","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,162],[1503,162]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":45},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5b54cd1635df4d26bc9de9e938586576","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[599,164],[599,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":353,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"af565fc2ec494893beb05a88b78d5e1b","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,210],[637,210],[637,249],[247,249]],"region":{"top_left_x":246,"top_left_y":210,"width":392,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d7360e59dec348eba8380dc517afa4dd","type":"page_info","conversion_output":false,"text":"Doc. 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study.","confidence":1,"confidence_rate":1},{"cnt":[[242,567],[720,567],[720,612],[242,612]],"region":{"top_left_x":242,"top_left_y":566,"width":478,"height":47},"line":11,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"6279b613b7894b6eb06a84fda31dccda","type":"section_header","conversion_output":false,"children_ids":["39cb41e4120a4b43bcde169a1a3b6d1f"],"text":"","text_display":""},{"cnt":[[247,569],[715,569],[715,610],[247,610]],"region":{"top_left_x":246,"top_left_y":568,"width":470,"height":42},"line":12,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"39cb41e4120a4b43bcde169a1a3b6d1f","type":"text","conversion_output":true,"parent_id":"6279b613b7894b6eb06a84fda31dccda","text":"3.3.2 Inclusion criteria","text_display":"\n\n\\subsection*{3.3.2 Inclusion criteria}","confidence":1,"confidence_rate":1},{"cnt":[[249,658],[1300,658],[1300,706],[249,706]],"region":{"top_left_x":248,"top_left_y":657,"width":1052,"height":49},"line":13,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"78d4897e2a1c4a9696669dd601ef8760","type":"text","conversion_output":true,"text":"1) Documented diagnosis of T2DM before visit 1 (screening).","text_display":"\n1) Documented diagnosis of T2DM before visit 1 (screening).","confidence":0.99951171875,"confidence_rate":0.9999927104668955},{"cnt":[[247,713],[1640,713],[1640,761],[247,761]],"region":{"top_left_x":246,"top_left_y":712,"width":1395,"height":49},"line":14,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"4ae5c1cfe2b841c0bc1985dde805edf1","type":"text","conversion_output":true,"text":"2) Male or female patients who are drug-naïve or pre-treated with any antidiabetic","text_display":"\n2) Male or female patients who are drug-naïve or pre-treated with any antidiabetic","confidence":1,"confidence_rate":1},{"cnt":[[306,761],[1805,761],[1805,809],[306,809]],"region":{"top_left_x":306,"top_left_y":760,"width":1499,"height":49},"line":15,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"aa527f060d5e43a48564f8f232e7cc52","type":"text","conversion_output":true,"text":"background therapy, excluding treatment with GLP-1 receptor agonists, DPP-4 inhibitors","text_display":" background therapy, excluding treatment with GLP-1 receptor agonists, DPP-4 inhibitors","confidence":1,"confidence_rate":1},{"cnt":[[306,809],[1071,809],[1071,857],[306,857]],"region":{"top_left_x":306,"top_left_y":808,"width":766,"height":49},"line":16,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"452e884fe5484aa0a72b7c8fc9ef5162","type":"text","conversion_output":true,"text":"or SGLT-2 inhibitors if \\(\\geq 7\\) consecutive days.","text_display":" or SGLT-2 inhibitors if \\(\\geq 7\\) consecutive 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If insulin is part of the background therapy, the average daily","text_display":" prior to randomization. If insulin is part of the background therapy, the average daily","confidence":1,"confidence_rate":1},{"cnt":[[306,959],[1802,959],[1802,1007],[306,1007]],"region":{"top_left_x":306,"top_left_y":959,"width":1497,"height":49},"line":19,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"d2b267443e6042db9fbefd98d36c5d4c","type":"text","conversion_output":true,"text":"insulin dose should not have been changed by more than \\(10 \\%\\) within the 8 weeks prior to","text_display":" insulin dose should not have been changed by more than \\(10 \\%\\) within the 8 weeks prior to","confidence":0.98779296875,"confidence_rate":0.9998733879232882},{"cnt":[[306,1010],[1483,1010],[1483,1058],[306,1058]],"region":{"top_left_x":306,"top_left_y":1009,"width":1177,"height":49},"line":20,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"b974228907594b238f0c7fca2cacbc75","type":"text","conversion_output":true,"text":"randomization compared with the daily insulin dose at randomization.","text_display":" randomization compared with the daily insulin dose at randomization.","confidence":1,"confidence_rate":1},{"cnt":[[247,1065],[1195,1065],[1195,1112],[247,1112]],"region":{"top_left_x":246,"top_left_y":1064,"width":949,"height":49},"line":21,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"1d66dcfc6a6d4a159dbe51c6cca96a42","type":"text","conversion_output":true,"text":"4) HbA 1 c of \\(\\geq 6.5 \\%\\) and \\(\\leq 10.0 \\%\\) at visit 1 (screening).","text_display":"\n4) HbA 1 c of \\(\\geq 6.5 \\%\\) and \\(\\leq 10.0 \\%\\) at visit 1 (screening).","confidence":0.9561367034912109,"confidence_rate":0.9994021203896869},{"cnt":[[247,1119],[1642,1119],[1642,1167],[247,1167]],"region":{"top_left_x":246,"top_left_y":1119,"width":1397,"height":49},"line":22,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"dd7888f7f5b543f69e5f841636af9a52","type":"text","conversion_output":true,"text":"5) Age \\(\\geq 18\\) years at visit 1 (screening). For Japan only: Age \\(\\geq 20\\) years at Visit 1.","text_display":"\n5) Age \\(\\geq 18\\) years at visit 1 (screening). For Japan only: Age \\(\\geq 20\\) years at Visit 1.","confidence":1,"confidence_rate":1},{"cnt":[[247,1174],[1282,1174],[1282,1229],[247,1229]],"region":{"top_left_x":246,"top_left_y":1174,"width":1036,"height":55},"line":23,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"4e374ada377f4cdaa0a56a3c5dec44c5","type":"text","conversion_output":true,"text":"6) Body Mass Index (BMI) \\(\\leq 45 kg / m ^{2}\\) at visit 1 (screening).","text_display":"\n6) Body Mass Index (BMI) \\(\\leq 45 kg / m ^{2}\\) at visit 1 (screening).","confidence":0.99951171875,"confidence_rate":0.9999939703823991},{"cnt":[[247,1236],[1761,1236],[1761,1284],[247,1284]],"region":{"top_left_x":246,"top_left_y":1235,"width":1516,"height":49},"line":24,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"843d7bf99f004d2bba1185fcee308446","type":"text","conversion_output":true,"text":"7) Signed and dated written informed consent by date of visit 1 (screening) in accordance","text_display":"\n7) Signed and dated written informed consent by date of visit 1 (screening) in accordance","confidence":1,"confidence_rate":1},{"cnt":[[306,1284],[1441,1284],[1441,1332],[306,1332]],"region":{"top_left_x":306,"top_left_y":1283,"width":1136,"height":49},"line":25,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"0b309c60656841519602ed133521816a","type":"text","conversion_output":true,"text":"with GCP and local legislation prior to any study related procedure.","text_display":" with GCP and local legislation prior to any study related procedure.","confidence":1,"confidence_rate":1},{"cnt":[[247,1339],[939,1339],[939,1387],[247,1387]],"region":{"top_left_x":246,"top_left_y":1338,"width":693,"height":49},"line":26,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"2f65f383213940308f9ff3bf3a52f648","type":"text","conversion_output":true,"text":"8) High risk of CV events (I and/or II):","text_display":"\n8) High risk of CV events (I and/or II):","confidence":1,"confidence_rate":1},{"cnt":[[244,1444],[1841,1444],[1841,2538],[244,2538]],"region":{"top_left_x":244,"top_left_y":1443,"width":1598,"height":1095},"line":27,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"454688e39b7941feb4e13a3ec7662910","type":"table","conversion_output":true,"children_ids":["af24f485b9c64d43a440a5e68496c4b2","23b69109fe5144f5b121f8be21a526cf","c2950ce6c7fe491babced8bb6268b0d3","7937cf93fb0345a18a5a4dcd3e45ce62","6a15d253a6e244b3be3b7e9bf2146047","98ba4982d98646ca9c2d23b8cb7c061a","25299979d15342ae86dfeb1b1c07a9c2","455f90207c1c49d6b6f689cda78ad255","a7d55f8b7e754a458d91d5b66c1abc94","5ad072216054418d94c5c52c356023c4","2ad7061118a8401fbe8a28748302853e","e00ac586aef043fc942ae91cab28a934"],"text":"\\begin{tabular}{|l|l|l|}\n\\hline I. & & Albuminuria (UACR \\(\\geq 3 0 ~ m g / g\\) creatinine or \\(\\geq 3 0 \\mu g / m i n\\) [microgram albumin per minute] or \\(\\geq 30 mg / 24 h\\) [milligram albumin per 24 hours] in two out of three unrelated spot urine or timed samples in the last 24 months prior to randomization)* AND previous macrovascular disease, defined as either one or more: \\\\\n\\hline & a & Confirmed history of MI (> 2 months prior to Visit 1) \\\\\n\\hline & b & \\begin{tabular}{l}\nAdvanced coronary artery disease, defined by any one of the following: \\\\\n- \\(\\geq 50 \\%\\) narrowing of the luminal diameter in 2 or more major coronary arteries by coronary angiography, MRI angiography or CT angiography; \\\\\nDefinition of major coronary arteries: LAD (Left Anterior Descending). CX (Circumflex) or RCA (right coronary artery) \\\\\n- Left main stem coronary artery with \\(\\geq 50 \\%\\) narrowing of the luminal diameter by coronary angiography, MRI angiography or CT angiography; \\\\\n- Prior percutaneous or surgical revascularization of \\(\\geq 2\\) major coronary arteries at least 2 months prior to Visit 1 (screening); \\\\\n- The combination of prior percutaneous or surgical revascularization of 1 major coronary artery at least 2 months prior to visit 1 (screening), and \\(\\geq 50 \\%\\) narrowing of the luminal diameter by coronary angiography, MRI angiography or CT angiography of at least 1 additional major coronary artery.\n\\end{tabular} \\\\\n\\hline\n\\end{tabular}","text_display":"\n\n\\begin{tabular}{|l|l|l|}\n\\hline I. & & Albuminuria (UACR \\(\\geq 3 0 ~ m g / g\\) creatinine or \\(\\geq 3 0 \\mu g / m i n\\) [microgram albumin per minute] or \\(\\geq 30 mg / 24 h\\) [milligram albumin per 24 hours] in two out of three unrelated spot urine or timed samples in the last 24 months prior to randomization)* AND previous macrovascular disease, defined as either one or more: \\\\\n\\hline & a & Confirmed history of MI (> 2 months prior to Visit 1) \\\\\n\\hline & b & \\begin{tabular}{l}\nAdvanced coronary artery disease, defined by any one of the following: \\\\\n- \\(\\geq 50 \\%\\) narrowing of the luminal diameter in 2 or more major coronary arteries by coronary angiography, MRI angiography or CT angiography; \\\\\nDefinition of major coronary arteries: LAD (Left Anterior Descending). CX (Circumflex) or RCA (right coronary artery) \\\\\n- Left main stem coronary artery with \\(\\geq 50 \\%\\) narrowing of the luminal diameter by coronary angiography, MRI angiography or CT angiography; \\\\\n- Prior percutaneous or surgical revascularization of \\(\\geq 2\\) major coronary arteries at least 2 months prior to Visit 1 (screening); \\\\\n- The combination of prior percutaneous or surgical revascularization of 1 major coronary artery at least 2 months prior to visit 1 (screening), and \\(\\geq 50 \\%\\) narrowing of the luminal diameter by coronary angiography, MRI angiography or CT angiography of at least 1 additional major coronary artery.\n\\end{tabular} \\\\\n\\hline\n\\end{tabular}","confidence":0.6086297878016335,"confidence_rate":0.9997887898203712},{"cnt":[[306,1443],[343,1443],[343,2537],[306,2537]],"region":{"top_left_x":306,"top_left_y":1443,"width":38,"height":1094},"line":28,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"af24f485b9c64d43a440a5e68496c4b2","type":"table_column","conversion_output":false,"parent_id":"454688e39b7941feb4e13a3ec7662910","text":"","text_display":""},{"cnt":[[345,1443],[384,1443],[384,2537],[345,2537]],"region":{"top_left_x":345,"top_left_y":1443,"width":40,"height":1094},"line":29,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"23b69109fe5144f5b121f8be21a526cf","type":"table_column","conversion_output":false,"parent_id":"454688e39b7941feb4e13a3ec7662910","text":"","text_display":""},{"cnt":[[398,1443],[1817,1443],[1817,2539],[398,2539]],"region":{"top_left_x":398,"top_left_y":1443,"width":1419,"height":1096},"line":30,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c2950ce6c7fe491babced8bb6268b0d3","type":"table_column","conversion_output":false,"parent_id":"454688e39b7941feb4e13a3ec7662910","text":"","text_display":""},{"cnt":[[244,1450],[1842,1450],[1842,1641],[244,1641]],"region":{"top_left_x":244,"top_left_y":1449,"width":1598,"height":193},"line":31,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7937cf93fb0345a18a5a4dcd3e45ce62","type":"table_row","conversion_output":false,"parent_id":"454688e39b7941feb4e13a3ec7662910","text":"","text_display":""},{"cnt":[[244,1648],[1842,1648],[1842,1699],[244,1699]],"region":{"top_left_x":244,"top_left_y":1647,"width":1598,"height":52},"line":32,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6a15d253a6e244b3be3b7e9bf2146047","type":"table_row","conversion_output":false,"parent_id":"454688e39b7941feb4e13a3ec7662910","text":"","text_display":""},{"cnt":[[244,1696],[1842,1696],[1842,2504],[244,2504]],"region":{"top_left_x":244,"top_left_y":1696,"width":1598,"height":809},"line":33,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"98ba4982d98646ca9c2d23b8cb7c061a","type":"table_row","conversion_output":false,"parent_id":"454688e39b7941feb4e13a3ec7662910","text":"","text_display":""},{"cnt":[[299,1443],[341,1443],[341,1494],[299,1494]],"region":{"top_left_x":299,"top_left_y":1443,"width":42,"height":51},"line":34,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"25299979d15342ae86dfeb1b1c07a9c2","type":"simple_cell","conversion_output":false,"parent_id":"454688e39b7941feb4e13a3ec7662910","text":"I.","text_display":"I.","cell_row":0,"cell_column":0,"cell_row_span":1,"cell_col_span":1,"confidence":1,"confidence_rate":1},{"cnt":[[403,1455],[1803,1455],[1803,1639],[403,1639]],"region":{"top_left_x":402,"top_left_y":1454,"width":1401,"height":185},"line":35,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"455f90207c1c49d6b6f689cda78ad255","type":"complex_cell","conversion_output":false,"parent_id":"454688e39b7941feb4e13a3ec7662910","children_ids":["9e04c41fa9f94f87b6b069e37f9bf31f","1d10f2fccb134d568053af138a51ef06","3d11ba2aef174a688b873146911f7b2e","5c1ee46ed1034d3c87a12bc521d6d11d"],"text":"Albuminuria (UACR \\(\\geq 3 0 ~ m g / g\\) creatinine or \\(\\geq 3 0 \\mu g / m i n\\) [microgram albumin per minute] or \\(\\geq 30 mg / 24 h\\) [milligram albumin per 24 hours] in two out of three unrelated spot urine or timed samples in the last 24 months prior to randomization)* AND previous macrovascular disease, defined as either one or more:","text_display":"Albuminuria (UACR \\(\\geq 3 0 ~ m g / g\\) creatinine or \\(\\geq 3 0 \\mu g / m i n\\) [microgram albumin per minute] or \\(\\geq 30 mg / 24 h\\) [milligram albumin per 24 hours] in two out of three unrelated spot urine or timed samples in the last 24 months prior to randomization)* AND previous macrovascular disease, defined as either one or more:","cell_row":0,"cell_column":2,"cell_row_span":1,"cell_col_span":1,"confidence":0.6086297878016335,"confidence_rate":0.998736102967308},{"cnt":[[405,1457],[1766,1457],[1766,1503],[405,1503]],"region":{"top_left_x":405,"top_left_y":1456,"width":1361,"height":47},"line":36,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"9e04c41fa9f94f87b6b069e37f9bf31f","type":"text","conversion_output":false,"parent_id":"455f90207c1c49d6b6f689cda78ad255","text":"Albuminuria (UACR \\(\\geq 3 0 ~ m g / g\\) creatinine or \\(\\geq 3 0 \\mu g / m i n\\) [microgram albumin per","text_display":"Albuminuria (UACR \\(\\geq 3 0 ~ m g / g\\) creatinine or \\(\\geq 3 0 \\mu g / m i n\\) [microgram albumin per","confidence":0.6086297878016335,"confidence_rate":0.9954129131711537},{"cnt":[[407,1503],[1674,1503],[1674,1547],[407,1547]],"region":{"top_left_x":407,"top_left_y":1502,"width":1267,"height":45},"line":37,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1d10f2fccb134d568053af138a51ef06","type":"text","conversion_output":false,"parent_id":"455f90207c1c49d6b6f689cda78ad255","text":"minute] or \\(\\geq 30 mg / 24 h\\) [milligram albumin per 24 hours] in two out of three","text_display":" minute] or \\(\\geq 30 mg / 24 h\\) [milligram albumin per 24 hours] in two out of three","confidence":0.9648773588705808,"confidence_rate":0.9996028091792455},{"cnt":[[407,1547],[1796,1547],[1796,1593],[407,1593]],"region":{"top_left_x":407,"top_left_y":1546,"width":1389,"height":47},"line":38,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3d11ba2aef174a688b873146911f7b2e","type":"text","conversion_output":false,"parent_id":"455f90207c1c49d6b6f689cda78ad255","text":"unrelated spot urine or timed samples in the last 24 months prior to randomization)*","text_display":" unrelated spot urine or timed samples in the last 24 months prior to randomization)*","confidence":0.994140625,"confidence_rate":0.9999361258608116},{"cnt":[[405,1590],[1529,1590],[1529,1634],[405,1634]],"region":{"top_left_x":405,"top_left_y":1590,"width":1124,"height":45},"line":39,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5c1ee46ed1034d3c87a12bc521d6d11d","type":"text","conversion_output":false,"parent_id":"455f90207c1c49d6b6f689cda78ad255","text":"AND previous macrovascular disease, defined as either one or more:","text_display":" AND previous macrovascular disease, defined as either one or more:","confidence":1,"confidence_rate":1},{"cnt":[[338,1648],[380,1648],[380,1692],[338,1692]],"region":{"top_left_x":338,"top_left_y":1647,"width":42,"height":45},"line":40,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"a7d55f8b7e754a458d91d5b66c1abc94","type":"simple_cell","conversion_output":false,"parent_id":"454688e39b7941feb4e13a3ec7662910","text":"a","text_display":"a","cell_row":1,"cell_column":1,"cell_row_span":1,"cell_col_span":1,"confidence":1,"confidence_rate":1},{"cnt":[[405,1650],[1234,1650],[1234,1696],[405,1696]],"region":{"top_left_x":405,"top_left_y":1650,"width":830,"height":47},"line":41,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5ad072216054418d94c5c52c356023c4","type":"simple_cell","conversion_output":false,"parent_id":"454688e39b7941feb4e13a3ec7662910","text":"Confirmed history of MI (> 2 months prior to Visit 1)","text_display":"Confirmed history of MI (> 2 months prior to Visit 1)","cell_row":1,"cell_column":2,"cell_row_span":1,"cell_col_span":1,"confidence":1,"confidence_rate":1},{"cnt":[[338,1701],[380,1701],[380,1738],[338,1738]],"region":{"top_left_x":338,"top_left_y":1700,"width":42,"height":38},"line":42,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"2ad7061118a8401fbe8a28748302853e","type":"simple_cell","conversion_output":false,"parent_id":"454688e39b7941feb4e13a3ec7662910","text":"b","text_display":"b","cell_row":2,"cell_column":1,"cell_row_span":1,"cell_col_span":1,"confidence":1,"confidence_rate":1},{"cnt":[[403,1696],[1812,1696],[1812,2500],[403,2500]],"region":{"top_left_x":402,"top_left_y":1696,"width":1411,"height":804},"line":43,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e00ac586aef043fc942ae91cab28a934","type":"complex_cell","conversion_output":false,"parent_id":"454688e39b7941feb4e13a3ec7662910","children_ids":["26cb5aba566a459f85ad68c3480d4b29","20601ed3d8954d48bdc1303a235c7606","95278f2c15214893b9ba7fabb6a37d65","889510af3a814a8ea1fa9aa31381e4c3","5620c6820c0a458199db005efea49088","5b5b74fe159145a5b574e0211a9b9f1b","7c274058658f4f9cb2e352b2fa79900c","209a6f04571d4dafbd6a536f52fb4c5d","e11ea55d56e74c1eb7d7960548255850","e31fae0614624de6a3121aae43af31bd","756bd92a0f194933902ffc4c9d955d5e","2ff0dc45e7ad4a158cdaca0aa0cb11e3","8feed491b6634380a17af5ebfc71e7fa"],"text":"\\begin{tabular}{l}\nAdvanced coronary artery disease, defined by any one of the following: \\\\\n- \\(\\geq 50 \\%\\) narrowing of the luminal diameter in 2 or more major coronary arteries by coronary angiography, MRI angiography or CT angiography; \\\\\nDefinition of major coronary arteries: LAD (Left Anterior Descending). CX (Circumflex) or RCA (right coronary artery) \\\\\n- Left main stem coronary artery with \\(\\geq 50 \\%\\) narrowing of the luminal diameter by coronary angiography, MRI angiography or CT angiography; \\\\\n- Prior percutaneous or surgical revascularization of \\(\\geq 2\\) major coronary arteries at least 2 months prior to Visit 1 (screening); \\\\\n- The combination of prior percutaneous or surgical revascularization of 1 major coronary artery at least 2 months prior to visit 1 (screening), and \\(\\geq 50 \\%\\) narrowing of the luminal diameter by coronary angiography, MRI angiography or CT angiography of at least 1 additional major coronary artery.\n\\end{tabular}","text_display":"\\begin{tabular}{l}\nAdvanced coronary artery disease, defined by any one of the following: \\\\\n- \\(\\geq 50 \\%\\) narrowing of the luminal diameter in 2 or more major coronary arteries by coronary angiography, MRI angiography or CT angiography; \\\\\nDefinition of major coronary arteries: LAD (Left Anterior Descending). CX (Circumflex) or RCA (right coronary artery) \\\\\n- Left main stem coronary artery with \\(\\geq 50 \\%\\) narrowing of the luminal diameter by coronary angiography, MRI angiography or CT angiography; \\\\\n- Prior percutaneous or surgical revascularization of \\(\\geq 2\\) major coronary arteries at least 2 months prior to Visit 1 (screening); \\\\\n- The combination of prior percutaneous or surgical revascularization of 1 major coronary artery at least 2 months prior to visit 1 (screening), and \\(\\geq 50 \\%\\) narrowing of the luminal diameter by coronary angiography, MRI angiography or CT angiography of at least 1 additional major coronary artery.\n\\end{tabular}","cell_row":2,"cell_column":2,"cell_row_span":1,"cell_col_span":1,"confidence":0.99853515625,"confidence_rate":0.9999973015019848},{"cnt":[[405,1701],[1510,1701],[1510,1747],[405,1747]],"region":{"top_left_x":405,"top_left_y":1700,"width":1106,"height":47},"line":44,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"26cb5aba566a459f85ad68c3480d4b29","type":"text","conversion_output":false,"parent_id":"e00ac586aef043fc942ae91cab28a934","text":"Advanced coronary artery disease, defined by any one of the following:","text_display":"Advanced coronary artery disease, defined by any one of the following:","confidence":1,"confidence_rate":1},{"cnt":[[477,1788],[1794,1788],[1794,1837],[477,1837]],"region":{"top_left_x":476,"top_left_y":1788,"width":1318,"height":49},"line":45,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"20601ed3d8954d48bdc1303a235c7606","type":"text","conversion_output":false,"parent_id":"e00ac586aef043fc942ae91cab28a934","text":"- \\(\\geq 50 \\%\\) narrowing of the luminal diameter in 2 or more major coronary arteries by","text_display":"\n- \\(\\geq 50 \\%\\) narrowing of the luminal diameter in 2 or more major coronary arteries by","confidence":0.9990234375,"confidence_rate":0.9999892633582115},{"cnt":[[539,1834],[1485,1834],[1485,1880],[539,1880]],"region":{"top_left_x":538,"top_left_y":1834,"width":948,"height":47},"line":46,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"95278f2c15214893b9ba7fabb6a37d65","type":"text","conversion_output":false,"parent_id":"e00ac586aef043fc942ae91cab28a934","text":"coronary angiography, MRI angiography or CT angiography;","text_display":" coronary angiography, MRI angiography or CT angiography;","confidence":1,"confidence_rate":1},{"cnt":[[539,1917],[1711,1917],[1711,1966],[539,1966]],"region":{"top_left_x":538,"top_left_y":1917,"width":1173,"height":49},"line":47,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"889510af3a814a8ea1fa9aa31381e4c3","type":"text","conversion_output":false,"parent_id":"e00ac586aef043fc942ae91cab28a934","text":"Definition of major coronary arteries: LAD (Left Anterior Descending). CX","text_display":"\nDefinition of major coronary arteries: LAD (Left Anterior Descending). CX","confidence":0.99853515625,"confidence_rate":0.9999812063601604},{"cnt":[[541,1966],[1229,1966],[1229,2012],[541,2012]],"region":{"top_left_x":541,"top_left_y":1965,"width":689,"height":47},"line":48,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5620c6820c0a458199db005efea49088","type":"text","conversion_output":false,"parent_id":"e00ac586aef043fc942ae91cab28a934","text":"(Circumflex) or RCA (right coronary artery)","text_display":" (Circumflex) or RCA (right coronary artery)","confidence":1,"confidence_rate":1},{"cnt":[[479,2053],[1794,2053],[1794,2099],[479,2099]],"region":{"top_left_x":478,"top_left_y":2053,"width":1316,"height":47},"line":49,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5b5b74fe159145a5b574e0211a9b9f1b","type":"text","conversion_output":false,"parent_id":"e00ac586aef043fc942ae91cab28a934","text":"- Left main stem coronary artery with \\(\\geq 50 \\%\\) narrowing of the luminal diameter by","text_display":"\n- Left main stem coronary artery with \\(\\geq 50 \\%\\) narrowing of the luminal diameter by","confidence":1,"confidence_rate":1},{"cnt":[[539,2097],[1485,2097],[1485,2145],[539,2145]],"region":{"top_left_x":538,"top_left_y":2096,"width":948,"height":50},"line":50,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7c274058658f4f9cb2e352b2fa79900c","type":"text","conversion_output":false,"parent_id":"e00ac586aef043fc942ae91cab28a934","text":"coronary angiography, MRI angiography or CT angiography;","text_display":" coronary angiography, MRI angiography or CT angiography;","confidence":1,"confidence_rate":1},{"cnt":[[479,2184],[1784,2184],[1784,2233],[479,2233]],"region":{"top_left_x":478,"top_left_y":2184,"width":1307,"height":49},"line":51,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"209a6f04571d4dafbd6a536f52fb4c5d","type":"text","conversion_output":false,"parent_id":"e00ac586aef043fc942ae91cab28a934","text":"- Prior percutaneous or surgical revascularization of \\(\\geq 2\\) major coronary arteries at","text_display":"\n- Prior percutaneous or surgical revascularization of \\(\\geq 2\\) major coronary arteries at","confidence":1,"confidence_rate":1},{"cnt":[[539,2230],[1195,2230],[1195,2277],[539,2277]],"region":{"top_left_x":538,"top_left_y":2230,"width":657,"height":47},"line":52,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e11ea55d56e74c1eb7d7960548255850","type":"text","conversion_output":false,"parent_id":"e00ac586aef043fc942ae91cab28a934","text":"least 2 months prior to Visit 1 (screening);","text_display":" least 2 months prior to Visit 1 (screening);","confidence":1,"confidence_rate":1},{"cnt":[[477,2318],[1757,2318],[1757,2366],[477,2366]],"region":{"top_left_x":476,"top_left_y":2317,"width":1281,"height":50},"line":53,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e31fae0614624de6a3121aae43af31bd","type":"text","conversion_output":false,"parent_id":"e00ac586aef043fc942ae91cab28a934","text":"- The combination of prior percutaneous or surgical revascularization of 1 major","text_display":"\n- The combination of prior percutaneous or surgical revascularization of 1 major","confidence":0.99951171875,"confidence_rate":0.999994450009741},{"cnt":[[539,2359],[1812,2359],[1812,2408],[539,2408]],"region":{"top_left_x":538,"top_left_y":2359,"width":1275,"height":49},"line":54,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"756bd92a0f194933902ffc4c9d955d5e","type":"text","conversion_output":false,"parent_id":"e00ac586aef043fc942ae91cab28a934","text":"coronary artery at least 2 months prior to visit 1 (screening), and \\(\\geq 50 \\%\\) narrowing","text_display":" coronary artery at least 2 months prior to visit 1 (screening), and \\(\\geq 50 \\%\\) narrowing","confidence":1,"confidence_rate":1},{"cnt":[[539,2405],[1692,2405],[1692,2451],[539,2451]],"region":{"top_left_x":538,"top_left_y":2405,"width":1155,"height":47},"line":55,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"2ff0dc45e7ad4a158cdaca0aa0cb11e3","type":"text","conversion_output":false,"parent_id":"e00ac586aef043fc942ae91cab28a934","text":"of the luminal diameter by coronary angiography, MRI angiography or CT","text_display":" of the luminal diameter by coronary angiography, MRI angiography or CT","confidence":1,"confidence_rate":1},{"cnt":[[539,2449],[1439,2449],[1439,2495],[539,2495]],"region":{"top_left_x":538,"top_left_y":2449,"width":902,"height":47},"line":56,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"8feed491b6634380a17af5ebfc71e7fa","type":"text","conversion_output":false,"parent_id":"e00ac586aef043fc942ae91cab28a934","text":"angiography of at least 1 additional major coronary artery.","text_display":" angiography of at least 1 additional major coronary artery.","confidence":1,"confidence_rate":1},{"cnt":[[790,2581],[1300,2581],[1300,2620],[790,2620]],"region":{"top_left_x":790,"top_left_y":2581,"width":510,"height":40},"line":57,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"406904883ff94b68b2ecfef08527f589","type":"text","conversion_output":true,"text":"Proprietary confidential information.","text_display":"\n\nProprietary confidential information.","confidence":0.99853515625,"confidence_rate":0.9999650978071315},{"cnt":[[292,2622],[1798,2622],[1798,2661],[292,2661]],"region":{"top_left_x":292,"top_left_y":2622,"width":1506,"height":40},"line":58,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"56abbc57b5db46f28b6cc677e75b3d4b","type":"text","conversion_output":true,"text":"© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","text_display":"\n© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","confidence":0.998046875,"confidence_rate":0.9999835712707866},{"cnt":[[297,2664],[1766,2664],[1766,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2663,"width":1470,"height":40},"line":59,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"e07e28b1a75b484d9506e9f0d9e0f5e4","type":"page_info","conversion_output":false,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-030","page":30,"lines":[{"cnt":[[247,123],[610,123],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":123,"width":364,"height":44},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3002b9ce3c4e4d6fac96f9a5c26f0ca9","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,117],[1816,160],[1503,162]],"region":{"top_left_x":1502,"top_left_y":116,"width":315,"height":47},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"ee060f5b6a4543bb9a3f482a8d1f1835","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[599,164],[599,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":353,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"45d0d3194b0c43129065b093fb560fa0","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[244,210],[637,210],[637,249],[244,249]],"region":{"top_left_x":244,"top_left_y":210,"width":394,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"85e3971fb87c4712b641e23d631fb65d","type":"page_info","conversion_output":false,"text":"Doc. No.: c02155180-06","text_display":"","confidence":0.99951171875,"confidence_rate":0.9999819112562659},{"cnt":[[868,210],[1108,210],[1108,247],[868,247]],"region":{"top_left_x":868,"top_left_y":210,"width":240,"height":37},"line":5,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3794a36348f045bda35242da8b1faae4","type":"page_info","conversion_output":false,"text":"Trial Protocol","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1574,210],[1816,210],[1816,254],[1574,254]],"region":{"top_left_x":1573,"top_left_y":210,"width":244,"height":44},"line":6,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5dbd1501f7db4a06be69ca197cfa8011","type":"page_info","conversion_output":false,"text":"Page 30 of 123","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[244,334],[1841,334],[1841,2495],[244,2495]],"region":{"top_left_x":244,"top_left_y":333,"width":1598,"height":2162},"line":7,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3358d94d0fbf4a3d8ef498fd84349fe3","type":"table","conversion_output":true,"children_ids":["ccbd1914258e48e99e747dd418081824","45aa007ae5e54242b355f70d4bc632bc","334ff9d2e3fc4ac78b7ca314cbc173f0","669235803e4444dd986538f685756ddd","9e729212f35e444e93145b97c367c3a4","7a3d047507714430b4cc0b2a61b967e4","d3e0fa6f9f3945e490c0c884c50fae38","6ec1feb627014794b2387de13e4945cd","e1fcb37181aa4a7a8a2ceafe841db149","5bb55f46a27e4ea197ed0d6763901a43","c6bcb0d0110a4328b018a5d06676c84a","532cdca11dcb4560b8a8655e79922033","502391616e49401e96f6ff6a50e471d7","61b82021d08c4a2793aa673488e64e2a","04a774ed74c0436aa22089406f0a6d46","7243976347694cd1b8b131335aed1dc5","48dbfc8339bb425fb151467a02679376","509907fb149e4d0ba0bebb81b8cf099b"],"text":"\\begin{tabular}{|l|l|l|}\n\\hline & c & \\begin{tabular}{l}\nHigh-risk single-vessel coronary artery disease, defined as the presence of \\(\\geq 50 \\%\\) narrowing of the luminal diameter of one major coronary artery by coronary angiography, MRI angiography or CT angiography in patients not revascularised: \\\\\nAND at least one of the following: \\\\\n- A positive non invasive stress test, confirmed by either: \\\\\n- a positive ECG exercise tolerance test in patients without left bundle branch block, Wolff-Parkinson-White syndrome, left ventricular hypertrophy with repolarization abnormality, or paced ventricular rhythm, atrial fibrillation in case of abnormal ST-T segments; \\\\\n- a positive stress echocardiogram showing induced regional systolic wall motion abnormalities; \\\\\n- a positive nuclear myocardial perfusion imaging stress test showing stressinduced reversible perfusion abnormality; \\\\\n- a positive cardiac stress perfusion MRI showing a stress induced perfusion defect; \\\\\n- Patient discharged from hospital with a documented diagnosis of unstable angina pectoris between 2 and 12 months prior to visit 1 (screening).\n\\end{tabular} \\\\\n\\hline & d & History of ischemic or haemorrhagic stroke (>3 months prior to visit 1) \\\\\n\\hline & e & \\begin{tabular}{l}\nPresence of carotid artery disease (symptomatic or not) documented by either: \\\\\n- imaging techniques with at least one lesion estimated to be \\(\\geq 50 \\%\\) narrowing of the luminal diameter; \\\\\n- prior percutaneous or surgical carotid revascularization.\n\\end{tabular} \\\\\n\\hline & f & \\begin{tabular}{l}\nPresence of peripheral artery disease documented by either: \\\\\n- previous limb angioplasty, stenting or bypass surgery; \\\\\n- previous limb or foot amputation due to macrocirculatory insufficiency; \\\\\n- angiographic evidence of peripheral artery stenosis \\(\\geq 50 \\%\\) narrowing of the luminal diameter in at least one limb (definition of peripheral artery: common iliac artery, internal iliac artery, external iliac artery, femoral artery, popliteal artery).\n\\end{tabular} \\\\\n\\hline II. & & \\begin{tabular}{l}\nEvidence of impaired renal function with predefined UACR, with or without CV comorbidities, defined as follows (and/or criteria): \\\\\n- Impaired renal function (as defined by MDRD formula) with an eGFR:15-<45 \\(mL / min / 1.73 m^{2}\\) at visit 1 (screening) with any UACR. \\\\\n- Impaired renal function (as defined by MDRD formula) with an eGFR \\(\\geq 45-75 mL / \\min / 1.73 m^{2}\\) at visit 1 (screening) with an UACR \\(>200 mg / g\\) creatinine or \\(>200 \\mu g / min\\) (microgram albumin per minute) or \\(>200 mg / 24 h\\) [milligram albumin per 24 hours] demonstrated in two out of three unrelated spot urine or timed samples in the last 24 months prior to randomization*.\n\\end{tabular} \\\\\n\\hline\n\\end{tabular}","text_display":"\n\n\\begin{tabular}{|l|l|l|}\n\\hline & c & \\begin{tabular}{l}\nHigh-risk single-vessel coronary artery disease, defined as the presence of \\(\\geq 50 \\%\\) narrowing of the luminal diameter of one major coronary artery by coronary angiography, MRI angiography or CT angiography in patients not revascularised: \\\\\nAND at least one of the following: \\\\\n- A positive non invasive stress test, confirmed by either: \\\\\n- a positive ECG exercise tolerance test in patients without left bundle branch block, Wolff-Parkinson-White syndrome, left ventricular hypertrophy with repolarization abnormality, or paced ventricular rhythm, atrial fibrillation in case of abnormal ST-T segments; \\\\\n- a positive stress echocardiogram showing induced regional systolic wall motion abnormalities; \\\\\n- a positive nuclear myocardial perfusion imaging stress test showing stressinduced reversible perfusion abnormality; \\\\\n- a positive cardiac stress perfusion MRI showing a stress induced perfusion defect; \\\\\n- Patient discharged from hospital with a documented diagnosis of unstable angina pectoris between 2 and 12 months prior to visit 1 (screening).\n\\end{tabular} \\\\\n\\hline & d & History of ischemic or haemorrhagic stroke (>3 months prior to visit 1) \\\\\n\\hline & e & \\begin{tabular}{l}\nPresence of carotid artery disease (symptomatic or not) documented by either: \\\\\n- imaging techniques with at least one lesion estimated to be \\(\\geq 50 \\%\\) narrowing of the luminal diameter; \\\\\n- prior percutaneous or surgical carotid revascularization.\n\\end{tabular} \\\\\n\\hline & f & \\begin{tabular}{l}\nPresence of peripheral artery disease documented by either: \\\\\n- previous limb angioplasty, stenting or bypass surgery; \\\\\n- previous limb or foot amputation due to macrocirculatory insufficiency; \\\\\n- angiographic evidence of peripheral artery stenosis \\(\\geq 50 \\%\\) narrowing of the luminal diameter in at least one limb (definition of peripheral artery: common iliac artery, internal iliac artery, external iliac artery, femoral artery, popliteal artery).\n\\end{tabular} \\\\\n\\hline II. & & \\begin{tabular}{l}\nEvidence of impaired renal function with predefined UACR, with or without CV comorbidities, defined as follows (and/or criteria): \\\\\n- Impaired renal function (as defined by MDRD formula) with an eGFR:15-<45 \\(mL / min / 1.73 m^{2}\\) at visit 1 (screening) with any UACR. \\\\\n- Impaired renal function (as defined by MDRD formula) with an eGFR \\(\\geq 45-75 mL / \\min / 1.73 m^{2}\\) at visit 1 (screening) with an UACR \\(>200 mg / g\\) creatinine or \\(>200 \\mu g / min\\) (microgram albumin per minute) or \\(>200 mg / 24 h\\) [milligram albumin per 24 hours] demonstrated in two out of three unrelated spot urine or timed samples in the last 24 months prior to randomization*.\n\\end{tabular} 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single-vessel coronary artery disease, defined as the presence of \\(\\geq 50 \\%\\) narrowing of the luminal diameter of one major coronary artery by coronary angiography, MRI angiography or CT angiography in patients not revascularised: \\\\\nAND at least one of the following: \\\\\n- A positive non invasive stress test, confirmed by either: \\\\\n- a positive ECG exercise tolerance test in patients without left bundle branch block, Wolff-Parkinson-White syndrome, left ventricular hypertrophy with repolarization abnormality, or paced ventricular rhythm, atrial fibrillation in case of abnormal ST-T segments; \\\\\n- a positive stress echocardiogram showing induced regional systolic wall motion abnormalities; \\\\\n- a positive nuclear myocardial perfusion imaging stress test showing stressinduced reversible perfusion abnormality; \\\\\n- a positive cardiac stress perfusion MRI showing a stress induced perfusion defect; \\\\\n- Patient discharged from hospital with a documented diagnosis of unstable angina pectoris between 2 and 12 months prior to visit 1 (screening).\n\\end{tabular}","text_display":"\\begin{tabular}{l}\nHigh-risk single-vessel coronary artery disease, defined as the presence of \\(\\geq 50 \\%\\) narrowing of the luminal diameter of one major coronary artery by coronary angiography, MRI angiography or CT angiography in patients not revascularised: \\\\\nAND at least one of the following: \\\\\n- A positive non invasive stress test, confirmed by either: \\\\\n- a positive ECG exercise tolerance test in patients without left bundle branch block, Wolff-Parkinson-White syndrome, left ventricular hypertrophy with repolarization abnormality, or paced ventricular rhythm, atrial fibrillation in case of abnormal ST-T segments; \\\\\n- a positive stress echocardiogram showing induced regional systolic wall motion abnormalities; \\\\\n- a positive nuclear myocardial perfusion imaging stress test showing stressinduced reversible perfusion abnormality; \\\\\n- a positive cardiac stress perfusion MRI showing a stress induced perfusion defect; \\\\\n- Patient discharged from hospital with a documented diagnosis of unstable angina pectoris between 2 and 12 months prior to visit 1 (screening).\n\\end{tabular}","cell_row":0,"cell_column":2,"cell_row_span":1,"cell_col_span":1,"confidence":0.99951171875,"confidence_rate":0.9999996877235154},{"cnt":[[405,342],[1658,342],[1658,391],[405,391]],"region":{"top_left_x":405,"top_left_y":342,"width":1253,"height":49},"line":18,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e0252c04c5e3475185a3962f08cc3bd8","type":"text","conversion_output":false,"parent_id":"5bb55f46a27e4ea197ed0d6763901a43","text":"High-risk single-vessel coronary artery disease, defined as the presence of \\(\\geq 50 \\%\\)","text_display":"High-risk single-vessel coronary artery disease, defined as the presence of \\(\\geq 50 \\%\\)","confidence":1,"confidence_rate":1},{"cnt":[[407,388],[1789,388],[1789,432],[407,432]],"region":{"top_left_x":407,"top_left_y":388,"width":1382,"height":45},"line":19,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"795aa38a40154758afed1a463bf5ee8e","type":"text","conversion_output":false,"parent_id":"5bb55f46a27e4ea197ed0d6763901a43","text":"narrowing of the luminal diameter of one major coronary artery by coronary angiography,","text_display":" narrowing of the luminal diameter of one major coronary artery by coronary angiography,","confidence":0.99951171875,"confidence_rate":0.9999946913130248},{"cnt":[[407,432],[1453,432],[1453,478],[407,478]],"region":{"top_left_x":407,"top_left_y":432,"width":1046,"height":47},"line":20,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"70020ea1c4dc4e35b74b99aeda54e1bc","type":"text","conversion_output":false,"parent_id":"5bb55f46a27e4ea197ed0d6763901a43","text":"MRI angiography or CT angiography in patients not revascularised:","text_display":" MRI angiography or CT angiography in patients not revascularised:","confidence":1,"confidence_rate":1},{"cnt":[[405,517],[946,517],[946,561],[405,561]],"region":{"top_left_x":405,"top_left_y":517,"width":542,"height":44},"line":21,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b1c32534d3c1448188ee95179ed5f31c","type":"text","conversion_output":false,"parent_id":"5bb55f46a27e4ea197ed0d6763901a43","text":"AND at least one of the following:","text_display":"\nAND at least one of the following:","confidence":1,"confidence_rate":1},{"cnt":[[470,563],[1388,563],[1388,612],[470,612]],"region":{"top_left_x":469,"top_left_y":563,"width":920,"height":49},"line":22,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"9e696e26737c4ab3842fb96ed157debe","type":"text","conversion_output":false,"parent_id":"5bb55f46a27e4ea197ed0d6763901a43","text":"- A positive non invasive stress test, 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All rights reserved.","confidence":0.998046875,"confidence_rate":0.9999835712707866},{"cnt":[[297,2664],[1768,2664],[1768,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2663,"width":1473,"height":40},"line":49,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"c672a5eef33d4afe8a66dc1c0309557e","type":"text","conversion_output":true,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"\nThis document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-033","page":33,"lines":[{"cnt":[[247,121],[610,121],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":121,"width":364,"height":46},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6f9e4935b0fd4da9a4dedfbd9046c261","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,160],[1503,160]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":42},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6ece75835d44479296d6f8a94f747d3a","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[596,164],[596,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":351,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"345527144f2a47298158d6975f81151e","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,210],[637,210],[637,249],[247,249]],"region":{"top_left_x":246,"top_left_y":210,"width":392,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"fa31e8b1bb8c40c991b257668e26f4d1","type":"page_info","conversion_output":false,"text":"Doc. 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Study medication can be taken with or without food.","confidence":1,"confidence_rate":1},{"cnt":[[247,1608],[1780,1608],[1780,1656],[247,1656]],"region":{"top_left_x":246,"top_left_y":1608,"width":1534,"height":49},"line":29,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"254cabe586c34210aa13862d32ec73f6","type":"text","conversion_output":true,"text":"In some situations, it might be necessary to interrupt study medication temporarily. Patients","text_display":"\n\nIn some situations, it might be necessary to interrupt study medication temporarily. 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Patients who fail to do so should have","text_display":" of visit days as they will be dosed whilst in the clinic. 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Any investigator reported silent MI that is","text_display":" adjudication for cardiovascular events. 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Response in this context means that a causal relationship between a","text_display":" and unintended. Response in this context means that a causal relationship between a","confidence":0.97607421875,"confidence_rate":0.9997248486376835},{"cnt":[[247,2120],[1729,2120],[1729,2168],[247,2168]],"region":{"top_left_x":246,"top_left_y":2119,"width":1484,"height":49},"line":42,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e900feb18ea0487bab6dffc1f80cffc6","type":"text","conversion_output":true,"text":"medicinal product and an adverse event is at least a reasonable possibility. Adverse","text_display":" medicinal product and an adverse event is at least a reasonable possibility. Adverse","confidence":0.99169921875,"confidence_rate":0.999906347929685},{"cnt":[[247,2168],[1629,2168],[1629,2216],[247,2216]],"region":{"top_left_x":246,"top_left_y":2167,"width":1383,"height":49},"line":43,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"4d8f0e43ee614c8180412edc9050e5c2","type":"text","conversion_output":true,"text":"reactions may arise from use of the product within or outside the terms of the","text_display":" reactions may arise from use of the product within or outside the terms of the","confidence":0.9985356330871582,"confidence_rate":0.9999823442504918},{"cnt":[[247,2216],[1775,2216],[1775,2264],[247,2264]],"region":{"top_left_x":246,"top_left_y":2215,"width":1529,"height":49},"line":44,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d342ce89edd74e938075983c9f6a1008","type":"text","conversion_output":true,"text":"marketing authorisation or from occupational exposure. Conditions of use outside the","text_display":" marketing authorisation or from occupational exposure. Conditions of use outside the","confidence":1,"confidence_rate":1},{"cnt":[[247,2262],[1780,2262],[1780,2310],[247,2310]],"region":{"top_left_x":246,"top_left_y":2261,"width":1534,"height":49},"line":45,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"615d172b4bc9475f858a65b408d5a25a","type":"text","conversion_output":true,"text":"marketing authorization include off label use, overdose, misuse, abuse and medication","text_display":" marketing authorization include off label use, overdose, misuse, abuse and medication","confidence":1,"confidence_rate":1},{"cnt":[[247,2316],[372,2316],[372,2355],[247,2355]],"region":{"top_left_x":246,"top_left_y":2316,"width":127,"height":40},"line":46,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"01cacdf034774baf9a6cc01ab3a68b21","type":"text","conversion_output":true,"text":"errors.","text_display":" errors.","confidence":1,"confidence_rate":1},{"cnt":[[242,2403],[624,2403],[624,2456],[242,2456]],"region":{"top_left_x":242,"top_left_y":2403,"width":382,"height":53},"line":47,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"575e0ebaec804c02bfd8ec5b94ee68bf","type":"section_header","conversion_output":false,"children_ids":["111948d2ff63499fbbaac46b24733d75"],"text":"","text_display":""},{"cnt":[[247,2408],[619,2408],[619,2451],[247,2451]],"region":{"top_left_x":246,"top_left_y":2407,"width":374,"height":45},"line":48,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"111948d2ff63499fbbaac46b24733d75","type":"text","conversion_output":true,"parent_id":"575e0ebaec804c02bfd8ec5b94ee68bf","text":"Serious adverse event","text_display":"\n\n\\section*{Serious adverse event}","confidence":1,"confidence_rate":1},{"cnt":[[244,2474],[1805,2474],[1805,2524],[244,2524]],"region":{"top_left_x":244,"top_left_y":2473,"width":1561,"height":52},"line":49,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"36fee8b5d23a4fc788c243d3f7c6fd18","type":"text","conversion_output":true,"text":"A serious adverse event (SAE) is defined as any AE that results in death, is immediately life-","text_display":"\n\nA serious adverse event (SAE) is defined as any AE that results in death, is immediately life","confidence":1,"confidence_rate":1},{"cnt":[[244,2522],[1741,2522],[1741,2572],[244,2572]],"region":{"top_left_x":244,"top_left_y":2521,"width":1497,"height":52},"line":50,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3023c8d0192443d889a0169bd444c0ca","type":"text","conversion_output":true,"text":"threatening, results in persistent or significant disability / incapacity, requires or prolongs","text_display":"threatening, results in persistent or significant disability / incapacity, requires or prolongs","confidence":1,"confidence_rate":1},{"cnt":[[790,2581],[1300,2581],[1300,2625],[790,2625]],"region":{"top_left_x":790,"top_left_y":2581,"width":510,"height":44},"line":51,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"9ab33dc32a0745a298422d090a3e793e","type":"page_info","conversion_output":false,"text":"Proprietary confidential information.","text_display":"","confidence":0.99560546875,"confidence_rate":0.9998951432220243},{"cnt":[[292,2622],[1798,2622],[1798,2661],[292,2661]],"region":{"top_left_x":292,"top_left_y":2622,"width":1506,"height":40},"line":52,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"cc826fbc91ec488ca83df4b49c0e0835","type":"page_info","conversion_output":false,"text":"© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. 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if it is an important medical event when based upon appropriate medical","confidence":1,"confidence_rate":1},{"cnt":[[242,434],[1816,434],[1816,484],[242,484]],"region":{"top_left_x":242,"top_left_y":434,"width":1575,"height":51},"line":9,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7e5cb939e77343f28bfa2045f4838433","type":"text","conversion_output":true,"text":"judgement that may jeopardise the patient and may require medical or surgical intervention to","text_display":" judgement that may jeopardise the patient and may require medical or surgical intervention to","confidence":1,"confidence_rate":1},{"cnt":[[242,484],[1336,484],[1336,532],[242,532]],"region":{"top_left_x":242,"top_left_y":484,"width":1095,"height":49},"line":10,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"aa6e29f56f14490f9ea89d0f1720f271","type":"text","conversion_output":true,"text":"prevent one of the other outcomes listed in the above 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intervention to prevent one of the other","text_display":" jeopardize the patient or might require intervention to prevent one of the other","confidence":1,"confidence_rate":1},{"cnt":[[247,745],[1816,745],[1816,793],[247,793]],"region":{"top_left_x":246,"top_left_y":744,"width":1571,"height":49},"line":15,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d83f1d6a7d2e479ebb4013de89361d7a","type":"text","conversion_output":true,"text":"outcomes listed above. 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Examples of such events are intensive treatment in an emergency","confidence":0.99951171875,"confidence_rate":0.9999946329759618},{"cnt":[[247,793],[1816,793],[1816,843],[247,843]],"region":{"top_left_x":246,"top_left_y":792,"width":1571,"height":51},"line":16,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3727f8dd4ddc49f9a23e62ad221abe46","type":"text","conversion_output":true,"text":"room or at home for allergic bronchospasm, blood dyscrasias or convulsions that do not","text_display":" room or at home for allergic bronchospasm, blood dyscrasias or convulsions that do not","confidence":1,"confidence_rate":1},{"cnt":[[247,841],[1665,841],[1665,889],[247,889]],"region":{"top_left_x":246,"top_left_y":840,"width":1420,"height":49},"line":17,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"9c18825f5049495ebb3dcfd3466f8d52","type":"text","conversion_output":true,"text":"result in hospitalization or development of dependency or abuse. 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Every","text_display":"\n\nFor Japan: An AE which possibly leads to disability will be reported as an SAE. 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all asymptomatic hypoglycaemic events that are considered as adverse","confidence":0.84130859375,"confidence_rate":0.9982906037775899},{"cnt":[[247,1672],[1345,1672],[1345,1720],[247,1720]],"region":{"top_left_x":246,"top_left_y":1672,"width":1100,"height":49},"line":31,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"8ebd99a8aed54f6f9fef35f151f3de8d","type":"text","conversion_output":true,"text":"event by the investigator have to be recorded as an adverse event.","text_display":" event by the investigator have to be recorded as an adverse 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All rights reserved.","text_display":"\n© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","confidence":0.998046875,"confidence_rate":0.9999835712707866},{"cnt":[[297,2664],[1768,2664],[1768,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2663,"width":1473,"height":40},"line":48,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"6ac09eedb5a640df8a1c2a87e92fbcba","type":"text","conversion_output":true,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"\nThis document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-047","page":47,"lines":[{"cnt":[[247,121],[610,121],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":121,"width":364,"height":46},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c85880b197e44c4da1579f11094eb9af","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,160],[1503,160]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":42},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6e0fa0b4c7cf45be92610e122fb13aaa","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[596,164],[596,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":351,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d142f30a74844ec183165f9727d1489a","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,210],[637,210],[637,249],[247,249]],"region":{"top_left_x":246,"top_left_y":210,"width":392,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e8092731dfa941b3b4e8c71f41ad58ef","type":"page_info","conversion_output":false,"text":"Doc. 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cancer","confidence":1,"confidence_rate":1},{"cnt":[[306,544],[672,544],[672,592],[306,592]],"region":{"top_left_x":306,"top_left_y":543,"width":366,"height":49},"line":11,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"19d7cc30998146418b9f74d9e8b48c24","type":"text","conversion_output":true,"text":"- Pancreatic cancer","text_display":"\n- Pancreatic cancer","confidence":1,"confidence_rate":1},{"cnt":[[244,635],[1693,635],[1693,683],[244,683]],"region":{"top_left_x":244,"top_left_y":635,"width":1449,"height":49},"line":12,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"37d95bc7a6054969b9121f5c11204481","type":"text","conversion_output":true,"text":"A list of terms that must be documented as AESI for each topic is provided in the ISF.","text_display":"\n\nA list of terms that must be documented as AESI for each topic is provided in the ISF.","confidence":1,"confidence_rate":1},{"cnt":[[242,681],[1711,681],[1711,733],[242,733]],"region":{"top_left_x":242,"top_left_y":680,"width":1469,"height":54},"line":13,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"898f334f8d0644d4ac16c45cafa99f17","type":"text","conversion_output":true,"text":"The renal events and pancreatic events will be adjudicated by independent adjudication","text_display":" The renal events and pancreatic events will be adjudicated by independent adjudication","confidence":0.94970703125,"confidence_rate":0.9994331087643926},{"cnt":[[244,731],[459,731],[459,774],[244,774]],"region":{"top_left_x":244,"top_left_y":731,"width":216,"height":44},"line":14,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7b13f815b4454a4b94a166755a34fa63","type":"text","conversion_output":true,"text":"committees.","text_display":" committees.","confidence":0.9936552047729492,"confidence_rate":0.999602266055431},{"cnt":[[242,777],[1798,777],[1798,829],[242,829]],"region":{"top_left_x":242,"top_left_y":776,"width":1556,"height":54},"line":15,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"00d184a887774b7195c6d35d55de2c32","type":"text","conversion_output":true,"text":"AESI's, even though they might be non-serious are to be documented in the eCRF within 24","text_display":"\nAESI's, even though they might be non-serious are to be documented in the eCRF within 24","confidence":0.9990236759185791,"confidence_rate":0.9999893826542317},{"cnt":[[242,827],[1789,827],[1789,879],[242,879]],"region":{"top_left_x":242,"top_left_y":826,"width":1547,"height":54},"line":16,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"f7ad4aa43f634ef8a3c193030cfd69e8","type":"text","conversion_output":true,"text":"hours of receipt and must be reported to the sponsor/CRO in an expedited manner similar to","text_display":" hours of receipt and must be reported to the sponsor/CRO in an expedited manner similar to","confidence":0.9737221819814295,"confidence_rate":0.9997197313864626},{"cnt":[[242,873],[1300,873],[1300,925],[242,925]],"region":{"top_left_x":242,"top_left_y":872,"width":1058,"height":54},"line":17,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"65dda37ac44543adb96853e7cfd0d90e","type":"text","conversion_output":true,"text":"Serious Adverse Events. For details please see Section 5.2.2.2.","text_display":" Serious Adverse Events. For details please see Section 5.2.2.2.","confidence":0.97900390625,"confidence_rate":0.9996879950598632},{"cnt":[[244,964],[1629,964],[1629,1017],[244,1017]],"region":{"top_left_x":244,"top_left_y":964,"width":1385,"height":53},"line":18,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"293a202d307f4dddb78bc758a1e42ea5","type":"text","conversion_output":true,"text":"Protocol-specified AESIs (as identified by the investigator based on the above","text_display":"\n\nProtocol-specified AESIs (as identified by the investigator based on the above","confidence":1,"confidence_rate":1},{"cnt":[[244,1012],[1732,1012],[1732,1062],[244,1062]],"region":{"top_left_x":244,"top_left_y":1011,"width":1488,"height":52},"line":19,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"decaf8b04e8e4412a4269f54cc0e0417","type":"text","conversion_output":true,"text":"definitions for adverse events of special interest) can be classified as serious or 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In accordance with the European Medicines Agency initiative","text_display":" occurrence of the cancer. In accordance with the European Medicines Agency initiative","confidence":0.998535871389322,"confidence_rate":0.9999837201159151},{"cnt":[[247,484],[1748,484],[1748,532],[247,532]],"region":{"top_left_x":246,"top_left_y":484,"width":1502,"height":49},"line":10,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e772e7f7fe3a4b5ba93493304d99db63","type":"text","conversion_output":true,"text":"on Important Medical Events, Boehringer Ingelheim has set up a list of further AEs,","text_display":" on Important Medical Events, Boehringer Ingelheim has set up a list of further AEs,","confidence":1,"confidence_rate":1},{"cnt":[[247,532],[1780,532],[1780,580],[247,580]],"region":{"top_left_x":246,"top_left_y":532,"width":1534,"height":49},"line":11,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5f15dd8c7bef4aac866c4be7b1188ef8","type":"text","conversion_output":true,"text":"which by their nature, can always be considered to be \"serious\" even though they may","text_display":" which by their nature, can always be considered to be \"serious\" even though they may","confidence":1,"confidence_rate":1},{"cnt":[[247,580],[1158,580],[1158,628],[247,628]],"region":{"top_left_x":246,"top_left_y":580,"width":913,"height":49},"line":12,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"947a98ede6d342e79d4144029637474f","type":"text","conversion_output":true,"text":"not have met the criteria of an SAE as given above.","text_display":" not have met the criteria of an SAE as given above.","confidence":0.9990234375,"confidence_rate":0.9999825530156321},{"cnt":[[247,626],[1798,626],[1798,678],[247,678]],"region":{"top_left_x":246,"top_left_y":625,"width":1552,"height":54},"line":13,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"2b30536abfea48a0a3dfd543a5e6c2d1","type":"text","conversion_output":true,"text":"The latest list of \"Always Serious AEs\" can be found in the ISF. A copy of the latest list","text_display":"\nThe latest list of \"Always Serious AEs\" can be found in the ISF. A copy of the latest list","confidence":1,"confidence_rate":1},{"cnt":[[247,676],[1734,676],[1734,724],[247,724]],"region":{"top_left_x":246,"top_left_y":676,"width":1488,"height":49},"line":14,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e3b5a64deb9543919e1eedfaeabd844f","type":"text","conversion_output":true,"text":"of \"Always Serious AEs\" will be provided to you upon request. These events should","text_display":" of \"Always Serious AEs\" will be provided to you upon request. 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In order to support the","confidence":0.99951171875,"confidence_rate":0.9999949125077526},{"cnt":[[247,859],[1793,859],[1793,907],[247,907]],"region":{"top_left_x":246,"top_left_y":858,"width":1548,"height":49},"line":17,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"ef28537c094a4ee08873bdcfc7acd76c","type":"text","conversion_output":true,"text":"investigator with the identification of these \"always serious adverse events\", if a non-serious","text_display":" investigator with the identification of these \"always serious adverse events\", if a non-serious","confidence":1,"confidence_rate":1},{"cnt":[[247,905],[1793,905],[1793,955],[247,955]],"region":{"top_left_x":246,"top_left_y":904,"width":1548,"height":51},"line":18,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1e5c3c815acb41bbafce75413aa0dc1e","type":"text","conversion_output":true,"text":"AE is identified to be serious per BI definition, a query will be raised. 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If the event description is correct, the item","confidence":1,"confidence_rate":1},{"cnt":[[247,1001],[1816,1001],[1816,1053],[247,1053]],"region":{"top_left_x":246,"top_left_y":1000,"width":1571,"height":54},"line":20,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e61c19cc2e38442383543846ef24668b","type":"text","conversion_output":true,"text":"\"serious\" needs to be ticked and an SAE has to be reported in expedited fashion following the","text_display":" \"serious\" needs to be ticked and an SAE has to be reported in expedited fashion following the","confidence":1,"confidence_rate":1},{"cnt":[[247,1051],[678,1051],[678,1099],[247,1099]],"region":{"top_left_x":246,"top_left_y":1050,"width":433,"height":49},"line":21,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"db62e249694a424fa08d6142cf72b016","type":"text","conversion_output":true,"text":"same procedure as above.","text_display":" same procedure as above.","confidence":1,"confidence_rate":1},{"cnt":[[244,1188],[1775,1188],[1775,1236],[244,1236]],"region":{"top_left_x":244,"top_left_y":1187,"width":1531,"height":49},"line":22,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"276eca5c0eb04c638aadb66913473846","type":"text","conversion_output":true,"text":"For Japan: This information must be also reported immediately to the head of the trial site.","text_display":"\n\nFor Japan: This information must be also reported immediately to the head of the trial site.","confidence":1,"confidence_rate":1},{"cnt":[[247,1284],[1734,1284],[1734,1332],[247,1332]],"region":{"top_left_x":246,"top_left_y":1283,"width":1488,"height":49},"line":23,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d3897543a8e5425bbdb358f6741c89a3","type":"text","conversion_output":true,"text":"With receipt of any further information to these events, a follow-up SAE report has to be","text_display":"\n\nWith receipt of any further information to these events, a follow-up SAE report has to be","confidence":1,"confidence_rate":1},{"cnt":[[244,1330],[1780,1330],[1780,1382],[244,1382]],"region":{"top_left_x":244,"top_left_y":1329,"width":1536,"height":54},"line":24,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"aaaac44e551a4fc2af2367102869380c","type":"text","conversion_output":true,"text":"provided. 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The SAE form is to be forwarded to the defined unique entry point","confidence":1,"confidence_rate":1},{"cnt":[[247,1428],[1697,1428],[1697,1476],[247,1476]],"region":{"top_left_x":246,"top_left_y":1427,"width":1452,"height":49},"line":26,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"f99dd427580f4680870d83338f3cdec1","type":"text","conversion_output":true,"text":"(contact details will be provided in the Investigator Site File). This immediate report is","text_display":" (contact details will be provided in the Investigator Site File). This immediate report is","confidence":1,"confidence_rate":1},{"cnt":[[247,1476],[1802,1476],[1802,1524],[247,1524]],"region":{"top_left_x":246,"top_left_y":1475,"width":1557,"height":49},"line":27,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d2646ef2253e43e985124ce28c6e3fe0","type":"text","conversion_output":true,"text":"required irrespective of whether the investigational product has been administered or not and","text_display":" required irrespective of whether the investigational product has been administered or not and","confidence":1,"confidence_rate":1},{"cnt":[[247,1524],[1725,1524],[1725,1574],[247,1574]],"region":{"top_left_x":246,"top_left_y":1523,"width":1479,"height":51},"line":28,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"9f5c17409c6a4269a83d8c65386d34be","type":"text","conversion_output":true,"text":"irrespective of causal relationship. It also applies if new information to existing SAEs or","text_display":" irrespective of causal relationship. 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Once a female subject has been","text_display":"\n\nIn rare cases, pregnancy might occur in clinical trials. Once a female subject has been","confidence":1,"confidence_rate":1},{"cnt":[[247,1784],[1725,1784],[1725,1832],[247,1832]],"region":{"top_left_x":246,"top_left_y":1784,"width":1479,"height":49},"line":33,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"683f47987d0d4f7f8e8111b4527766b4","type":"text","conversion_output":true,"text":"enrolled into the clinical trial, after having taken study medication, the investigator must","text_display":" enrolled into the clinical trial, after having taken study medication, the investigator must","confidence":1,"confidence_rate":1},{"cnt":[[244,1832],[1800,1832],[1800,1880],[244,1880]],"region":{"top_left_x":244,"top_left_y":1832,"width":1557,"height":49},"line":34,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"54a91ebb38cf413ca672a270ffe90cef","type":"text","conversion_output":true,"text":"report immediately any drug exposure during pregnancy to the sponsor/CRO. Drug exposure","text_display":" report immediately any drug exposure during pregnancy to the sponsor/CRO. Drug exposure","confidence":1,"confidence_rate":1},{"cnt":[[247,1878],[1702,1878],[1702,1928],[247,1928]],"region":{"top_left_x":246,"top_left_y":1877,"width":1456,"height":52},"line":35,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"bdc4a449e15b400db73b1eb0a32cc784","type":"text","conversion_output":true,"text":"during pregnancy has to be reported immediately (within 24 hours of awareness) to the","text_display":" during pregnancy has to be reported immediately (within 24 hours of awareness) to the","confidence":1,"confidence_rate":1},{"cnt":[[247,1928],[1812,1928],[1812,1976],[247,1976]],"region":{"top_left_x":246,"top_left_y":1928,"width":1566,"height":48},"line":36,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"41117041c2f244508acb74502188f867","type":"text","conversion_output":true,"text":"defined unique entry point for SAE forms (contact details will be provided in the Investigator","text_display":" defined unique entry point for SAE forms (contact details will be provided in the Investigator","confidence":1,"confidence_rate":1},{"cnt":[[247,1974],[1816,1974],[1816,2022],[247,2022]],"region":{"top_left_x":246,"top_left_y":1973,"width":1571,"height":49},"line":37,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"33114566d919411590c9b316e529b9cf","type":"text","conversion_output":true,"text":"Site File). The outcome of the pregnancy associated with the drug exposure during pregnancy","text_display":" Site File). The outcome of the pregnancy associated with the drug exposure during pregnancy","confidence":1,"confidence_rate":1},{"cnt":[[247,2024],[1766,2024],[1766,2072],[247,2072]],"region":{"top_left_x":246,"top_left_y":2023,"width":1520,"height":49},"line":38,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"a895d542a40d4ed6bd0670e9f0b33934","type":"text","conversion_output":true,"text":"must be followed up. In the absence of an (S)AE, only the Pregnancy Monitoring Form for","text_display":" must be followed up. 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The ISF will contain the Pregnancy","confidence":1,"confidence_rate":1},{"cnt":[[247,2120],[1190,2120],[1190,2168],[247,2168]],"region":{"top_left_x":246,"top_left_y":2119,"width":945,"height":49},"line":40,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1301db0e86eb440ebb38d36136500df2","type":"text","conversion_output":true,"text":"Monitoring Form for Clinical Trials (Part A and Part B).","text_display":" Monitoring Form for Clinical Trials (Part A and Part B).","confidence":1,"confidence_rate":1},{"cnt":[[242,2207],[838,2207],[838,2259],[242,2259]],"region":{"top_left_x":242,"top_left_y":2206,"width":597,"height":54},"line":41,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e259db24ed204ef097211ff0df5f5f17","type":"section_header","conversion_output":false,"children_ids":["2690132afc474c61bdad8dad825bcd99"],"text":"","text_display":""},{"cnt":[[247,2209],[834,2209],[834,2255],[247,2255]],"region":{"top_left_x":246,"top_left_y":2208,"width":588,"height":47},"line":42,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"2690132afc474c61bdad8dad825bcd99","type":"text","conversion_output":true,"parent_id":"e259db24ed204ef097211ff0df5f5f17","text":"5.2.2.3 Oncological adverse events","text_display":"\n\n\\subsection*{5.2.2.3 Oncological adverse events}","confidence":1,"confidence_rate":1},{"cnt":[[247,2298],[1802,2298],[1802,2346],[247,2346]],"region":{"top_left_x":246,"top_left_y":2298,"width":1557,"height":49},"line":43,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1d93c74ba624452a809aff10a950f5d7","type":"text","conversion_output":true,"text":"Epidemiological evidence suggests that people with diabetes are at a significantly higher risk","text_display":"\n\nEpidemiological evidence suggests that people with diabetes are at a significantly higher risk","confidence":1,"confidence_rate":1},{"cnt":[[247,2346],[1807,2346],[1807,2394],[247,2394]],"region":{"top_left_x":246,"top_left_y":2346,"width":1561,"height":49},"line":44,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"73a9f83f23a44f3fad474ab8a1de4cdf","type":"text","conversion_output":true,"text":"of several forms of cancer compared with subjects without diabetes [R10-6495]. Currently, it","text_display":" of several forms of cancer compared with subjects without diabetes [R10-6495]. Currently, it","confidence":0.9980475902557373,"confidence_rate":0.9999798525928524},{"cnt":[[247,2394],[1784,2394],[1784,2442],[247,2442]],"region":{"top_left_x":246,"top_left_y":2394,"width":1539,"height":48},"line":45,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e933d4f8c055417b9770db84f0035c0f","type":"text","conversion_output":true,"text":"is unclear whether the association between cancer and diabetes is indirect and largely due to","text_display":" is unclear whether the association between cancer and diabetes is indirect and largely due to","confidence":1,"confidence_rate":1},{"cnt":[[247,2442],[1750,2442],[1750,2490],[247,2490]],"region":{"top_left_x":246,"top_left_y":2441,"width":1504,"height":49},"line":46,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"08aba4e76fa042e5a114488edb87a499","type":"text","conversion_output":true,"text":"shared risk factors (such as the modifiable risk factors: e.g. obesity, diet, physical activity,","text_display":" shared risk factors (such as the modifiable risk factors: e.g. obesity, diet, physical activity,","confidence":1,"confidence_rate":1},{"cnt":[[247,2490],[1656,2490],[1656,2538],[247,2538]],"region":{"top_left_x":246,"top_left_y":2489,"width":1411,"height":49},"line":47,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e62fd8902d65401489779d306cd913ba","type":"text","conversion_output":true,"text":"tobacco smoking, alcohol, or non-modifiable risk factors: e.g. age, gender, race, and","text_display":" tobacco smoking, alcohol, or non-modifiable risk factors: e.g. age, gender, race, and","confidence":1,"confidence_rate":1},{"cnt":[[790,2581],[1300,2581],[1300,2622],[790,2622]],"region":{"top_left_x":790,"top_left_y":2581,"width":510,"height":42},"line":48,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"359740a1e5cc4ce0a27de42ffcca1058","type":"text","conversion_output":true,"text":"Proprietary confidential information.","text_display":"\n\nProprietary confidential information.","confidence":0.998046875,"confidence_rate":0.9999534526348907},{"cnt":[[292,2622],[1798,2622],[1798,2661],[292,2661]],"region":{"top_left_x":292,"top_left_y":2622,"width":1506,"height":40},"line":49,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"20fab77765f44759866bd9eb33382963","type":"text","conversion_output":true,"text":"© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","text_display":"\n© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","confidence":0.998046875,"confidence_rate":0.9999835712707866},{"cnt":[[297,2664],[1766,2664],[1766,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2663,"width":1470,"height":40},"line":50,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"a06e279a9019479aa24168373427e7b9","type":"text","conversion_output":true,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"\nThis document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-050","page":50,"lines":[{"cnt":[[247,119],[610,119],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":118,"width":364,"height":49},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"18508ae1c3974f78ad23d02b6d7ec63d","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,162],[1503,162]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":45},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"95722cfc77084171ba1c5b7e3d8b78ae","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[599,164],[599,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":353,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"9072f3defb0b430a9132c092f7ca6419","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[244,210],[637,210],[637,249],[244,249]],"region":{"top_left_x":244,"top_left_y":210,"width":394,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b3a2f202afef473fa10a5890f18d4148","type":"page_info","conversion_output":false,"text":"Doc. 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The main","confidence":1,"confidence_rate":1},{"cnt":[[247,672],[1798,672],[1798,724],[247,724]],"region":{"top_left_x":246,"top_left_y":671,"width":1552,"height":54},"line":14,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"a8745e6a8d8f41e8866d4d7c1c71ff67","type":"text","conversion_output":true,"text":"focus on oncological adverse events is on the following organ systems, based on [R10-6638]","text_display":" focus on oncological adverse events is on the following organ systems, based on [R10-6638]","confidence":1,"confidence_rate":1},{"cnt":[[247,722],[1766,722],[1766,770],[247,770]],"region":{"top_left_x":246,"top_left_y":721,"width":1520,"height":49},"line":15,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"cd368bfe8f094ff5a106e6c9ffaba591","type":"text","conversion_output":true,"text":"where an increased risk for cancer in the population of patients with T2DM was described:","text_display":" where an increased risk for cancer in the population of patients with T2DM was described:","confidence":1,"confidence_rate":1},{"cnt":[[306,777],[468,777],[468,816],[306,816]],"region":{"top_left_x":306,"top_left_y":776,"width":163,"height":40},"line":16,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"64d7082d0b224baeac3a244a4b622d1c","type":"text","conversion_output":true,"text":"- Liver","text_display":"\n- Liver","confidence":1,"confidence_rate":1},{"cnt":[[306,825],[608,825],[608,866],[306,866]],"region":{"top_left_x":306,"top_left_y":824,"width":302,"height":42},"line":17,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"ed91fd8dda0346fb96a091630204def9","type":"text","conversion_output":true,"text":"- Endometrium","text_display":"\n- Endometrium","confidence":1,"confidence_rate":1},{"cnt":[[306,873],[678,873],[678,916],[306,916]],"region":{"top_left_x":306,"top_left_y":872,"width":373,"height":45},"line":18,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"bb61e7c4b6384494b15b7562be51a079","type":"text","conversion_output":true,"text":"- Colon and rectum","text_display":"\n- Colon and rectum","confidence":1,"confidence_rate":1},{"cnt":[[306,927],[487,927],[487,966],[306,966]],"region":{"top_left_x":306,"top_left_y":927,"width":181,"height":40},"line":19,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"0316e6bf997c4e869a35d0b4b6a73e0c","type":"text","conversion_output":true,"text":"- Breast","text_display":"\n- Breast","confidence":1,"confidence_rate":1},{"cnt":[[306,978],[514,978],[514,1017],[306,1017]],"region":{"top_left_x":306,"top_left_y":977,"width":208,"height":40},"line":20,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6ef824bf9d9d460c8816d7f51cd0b658","type":"text","conversion_output":true,"text":"- Bladder","text_display":"\n- Bladder","confidence":1,"confidence_rate":1},{"cnt":[[306,1028],[514,1028],[514,1071],[306,1071]],"region":{"top_left_x":306,"top_left_y":1027,"width":208,"height":45},"line":21,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d8be0fcee07b4ef1ac273460533ce8c5","type":"text","conversion_output":true,"text":"- Prostate","text_display":"\n- Prostate","confidence":1,"confidence_rate":1},{"cnt":[[247,1124],[1757,1124],[1757,1172],[247,1172]],"region":{"top_left_x":246,"top_left_y":1123,"width":1511,"height":49},"line":22,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"9fa52f9372e942dfbdfe5be76a702750","type":"text","conversion_output":true,"text":"Request for detailed information (e.g. medical history, diagnostic result, laboratory results","text_display":"\n\nRequest for detailed information (e.g. medical history, diagnostic result, laboratory results","confidence":1,"confidence_rate":1},{"cnt":[[244,1172],[1793,1172],[1793,1220],[244,1220]],"region":{"top_left_x":244,"top_left_y":1171,"width":1550,"height":49},"line":23,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"fe6108b91518499aa45244830d6fe338","type":"text","conversion_output":true,"text":"staging), will be mainly focused on the above listed organ systems, however is not restricted","text_display":" staging), will be mainly focused on the above listed organ systems, however is not restricted","confidence":1,"confidence_rate":1},{"cnt":[[247,1220],[1519,1220],[1519,1268],[247,1268]],"region":{"top_left_x":246,"top_left_y":1219,"width":1274,"height":49},"line":24,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3140b9ee091e4fccb56b9fbbd0d18766","type":"text","conversion_output":true,"text":"to them. 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UACR will be performed according to the Flow Chart.","text_display":" specimen wherever possible. UACR will be performed according to the Flow Chart.","confidence":0.99951171875,"confidence_rate":0.9999941857252588},{"cnt":[[247,708],[1802,708],[1802,758],[247,758]],"region":{"top_left_x":246,"top_left_y":708,"width":1557,"height":51},"line":12,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"bebf870b54994d5e86f358b34dbd1b30","type":"text","conversion_output":true,"text":"Pregnancy testing (beta Human Chorionic Gonadotropin [ \\(\\beta HCG\\) method]) will be performed","text_display":"\n\nPregnancy testing (beta Human Chorionic Gonadotropin [ \\(\\beta HCG\\) method]) will be performed","confidence":0.9570046936583552,"confidence_rate":0.9995470409366666},{"cnt":[[247,758],[1469,758],[1469,806],[247,806]],"region":{"top_left_x":246,"top_left_y":758,"width":1223,"height":49},"line":13,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"10eebaadb50d476884e1d89b5ae25d81","type":"text","conversion_output":true,"text":"in female patients of child-bearing potential according to the Flow Chart.","text_display":" in female patients of child-bearing potential according to the Flow Chart.","confidence":1,"confidence_rate":1},{"cnt":[[244,848],[1770,848],[1770,898],[244,898]],"region":{"top_left_x":244,"top_left_y":847,"width":1527,"height":51},"line":14,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"02b4c94391db435e9580cad4418d974b","type":"text","conversion_output":true,"text":"A negative pregnancy test result is required at visit 2 for all female patients of childbearing","text_display":"\n\nA negative pregnancy test result is required at visit 2 for all female patients of childbearing","confidence":1,"confidence_rate":1},{"cnt":[[244,895],[1780,895],[1780,943],[244,943]],"region":{"top_left_x":244,"top_left_y":895,"width":1536,"height":49},"line":15,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7f7b1704a4f844d19c38c05eb9ff1f13","type":"text","conversion_output":true,"text":"potential to remain eligible for entry into the treatment phase of the trial and reconfirmed at","text_display":" potential to remain eligible for entry into the treatment phase of the trial and reconfirmed at","confidence":1,"confidence_rate":1},{"cnt":[[247,946],[459,946],[459,985],[247,985]],"region":{"top_left_x":246,"top_left_y":945,"width":214,"height":40},"line":16,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c6e80139acd94765b113708228249141","type":"text","conversion_output":true,"text":"future visits.","text_display":" future visits.","confidence":1,"confidence_rate":1},{"cnt":[[242,1028],[660,1028],[660,1081],[242,1081]],"region":{"top_left_x":242,"top_left_y":1027,"width":419,"height":54},"line":17,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"0442f1f83666402297f601be68e65e5d","type":"section_header","conversion_output":false,"children_ids":["fd5053c1b6ba484a940c2b2ed3e70cbc"],"text":"","text_display":""},{"cnt":[[247,1033],[656,1033],[656,1076],[247,1076]],"region":{"top_left_x":246,"top_left_y":1032,"width":410,"height":44},"line":18,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"fd5053c1b6ba484a940c2b2ed3e70cbc","type":"text","conversion_output":true,"parent_id":"0442f1f83666402297f601be68e65e5d","text":"5.2.3.1 Renal function","text_display":"\n\n\\subsection*{5.2.3.1 Renal function}","confidence":1,"confidence_rate":1},{"cnt":[[247,1122],[1697,1122],[1697,1172],[247,1172]],"region":{"top_left_x":246,"top_left_y":1121,"width":1452,"height":51},"line":19,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"8fadede3c4d74cffbcc2dfc346b8e83c","type":"text","conversion_output":true,"text":"Renal function will be assessed by the central lab based on the plasma creatinine value","text_display":"\n\nRenal function will be assessed by the central lab based on the plasma creatinine value","confidence":1,"confidence_rate":1},{"cnt":[[247,1170],[1768,1170],[1768,1218],[247,1218]],"region":{"top_left_x":246,"top_left_y":1169,"width":1523,"height":49},"line":20,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"8b870db8405c48b5933ea64a3d6c0bf9","type":"text","conversion_output":true,"text":"measured according to the Flow Chart. The eGFR will be calculated from serum creatinine","text_display":" measured according to the Flow Chart. The eGFR will be calculated from serum creatinine","confidence":1,"confidence_rate":1},{"cnt":[[247,1220],[866,1220],[866,1268],[247,1268]],"region":{"top_left_x":246,"top_left_y":1219,"width":620,"height":49},"line":21,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"83f3922a362841f2a155b6cb52c5a99b","type":"text","conversion_output":true,"text":"using the following MDRD formula:","text_display":" using the following MDRD formula:","confidence":1,"confidence_rate":1},{"cnt":[[247,1298],[1807,1298],[1807,1359],[247,1359]],"region":{"top_left_x":246,"top_left_y":1297,"width":1561,"height":63},"line":22,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"58f8b4bf5cc641ad9e4bd8f3f57f47c6","type":"text","conversion_output":true,"text":"eGFR \\(=175 \\times(\\text { creatinine }(\\mu mol / L ) / 88.4)^{-1.154} \\times\\) age \\(^{-0.203} \\times(0.742\\) if female \\() \\times(1.212\\) if black \\()\\)","text_display":"\neGFR \\(=175 \\times(\\text { creatinine }(\\mu mol / L ) / 88.4)^{-1.154} \\times\\) age \\(^{-0.203} \\times(0.742\\) if female \\() \\times(1.212\\) if black \\()\\)","confidence":0.979116906524204,"confidence_rate":0.9998351367995715},{"cnt":[[247,1398],[1213,1398],[1213,1446],[247,1446]],"region":{"top_left_x":246,"top_left_y":1398,"width":968,"height":49},"line":23,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"22fc7f9718784d168786782962398309","type":"text","conversion_output":true,"text":"Renal impairment will be classified in the following way:","text_display":"\nRenal impairment will be classified in the following way:","confidence":1,"confidence_rate":1},{"cnt":[[306,1453],[1158,1453],[1158,1505],[306,1505]],"region":{"top_left_x":306,"top_left_y":1452,"width":853,"height":54},"line":24,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"eea8be7d325848418f34491e9ff00da5","type":"text","conversion_output":true,"text":"No renal impairment: \\(eGFR \\geq 90 mL / min / 1.73 m^{2}\\);","text_display":"\nNo renal impairment: \\(eGFR \\geq 90 mL / min / 1.73 m^{2}\\);","confidence":0.6803362369537354,"confidence_rate":0.9945127085304017},{"cnt":[[306,1503],[1793,1503],[1793,1560],[306,1560]],"region":{"top_left_x":306,"top_left_y":1503,"width":1488,"height":58},"line":25,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"99901cd83b704e62be351f62855ed05b","type":"text","conversion_output":true,"text":"No renal impairment with evidence of kidney damage ( \\(e G F R \\geq 9 0 ~ m L / m i n / 1 . 7 3 m ^{ 2 }\\) and","text_display":"\nNo renal impairment with evidence of kidney damage ( \\(e G F R \\geq 9 0 ~ m L / m i n / 1 . 7 3 m ^{ 2 }\\) and","confidence":0.38781358735494664,"confidence_rate":0.9915026997751288},{"cnt":[[306,1558],[802,1558],[802,1606],[306,1606]],"region":{"top_left_x":306,"top_left_y":1557,"width":496,"height":49},"line":26,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e285183cd39644cda6f712a2584f1729","type":"text","conversion_output":true,"text":"UACR \\(\\geq 30 mg / g\\) creatinine);","text_display":"\nUACR \\(\\geq 30 mg / g\\) creatinine);","confidence":0.99951171875,"confidence_rate":0.9999874769887185},{"cnt":[[306,1599],[1208,1599],[1208,1656],[306,1656]],"region":{"top_left_x":306,"top_left_y":1599,"width":903,"height":58},"line":27,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"8de898909e9844db80a79a32f3e11d99","type":"text","conversion_output":true,"text":"Mild renal impairment: eGFR \\(60-89 mL / min / 1.73 m^{2}\\);","text_display":"\nMild renal impairment: eGFR \\(60-89 mL / min / 1.73 m^{2}\\);","confidence":1,"confidence_rate":1},{"cnt":[[306,1647],[1286,1647],[1286,1702],[306,1702]],"region":{"top_left_x":306,"top_left_y":1647,"width":981,"height":55},"line":28,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e6af4b1be7274f499bb1762f88b02a56","type":"text","conversion_output":true,"text":"Moderate renal impairment: eGFR \\(30-59 mL / min / 1.73 m^{2}\\);","text_display":"\nModerate renal impairment: eGFR \\(30-59 mL / min / 1.73 m^{2}\\);","confidence":0.99951171875,"confidence_rate":0.9999935736983052},{"cnt":[[306,1695],[1240,1695],[1240,1750],[306,1750]],"region":{"top_left_x":306,"top_left_y":1695,"width":935,"height":55},"line":29,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"fa74e30fea0e4cf4b96d7944f8744d09","type":"text","conversion_output":true,"text":"Severe renal impairment: eGFR \\(15-29 mL / min / 1.73 m^{2}\\);","text_display":"\nSevere renal impairment: eGFR \\(15-29 mL / min / 1.73 m^{2}\\);","confidence":0.9990234375,"confidence_rate":0.9999867968486782},{"cnt":[[306,1741],[916,1741],[916,1793],[306,1793]],"region":{"top_left_x":306,"top_left_y":1740,"width":611,"height":54},"line":30,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d3bd0345fba24ab99eb7b17cbbfb2d66","type":"text","conversion_output":true,"text":"ESRD: \\(eGFR <15 mL / min / 1.73 m^{2}\\).","text_display":"\nESRD: \\(eGFR <15 mL / min / 1.73 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Additional ECGs may be collected by the investigator","text_display":"\n\nThe ECGs will be centrally analysed. Additional ECGs may be collected by the investigator","confidence":0.99951171875,"confidence_rate":0.999994804263518},{"cnt":[[247,2289],[1784,2289],[1784,2337],[247,2337]],"region":{"top_left_x":246,"top_left_y":2288,"width":1539,"height":49},"line":40,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"79b749871384488cb84cb6b38bc121e1","type":"text","conversion_output":true,"text":"for safety reasons. Clinically relevant abnormal findings will be reported as AEs, if they are","text_display":" for safety reasons. 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Patients will be instructed to bring their HBGM","text_display":" hypo- or hyperglycaemia related symptoms. Patients will be instructed to bring their HBGM","confidence":1,"confidence_rate":1},{"cnt":[[244,2284],[1323,2284],[1323,2337],[244,2337]],"region":{"top_left_x":244,"top_left_y":2284,"width":1079,"height":53},"line":44,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5487c53f28074ba0a47302829a21a350","type":"text","conversion_output":true,"text":"device to visits for an additional measurement of fasted glucose.","text_display":" device to visits for an additional measurement of fasted glucose.","confidence":0.99951171875,"confidence_rate":0.9999930228743673},{"cnt":[[247,2376],[1738,2376],[1738,2426],[247,2426]],"region":{"top_left_x":246,"top_left_y":2375,"width":1493,"height":52},"line":45,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"4163004b3ace4c7fb291fab24ebf163d","type":"text","conversion_output":true,"text":"More frequent testing can be done if deemed necessary by the investigator or required by","text_display":"\n\nMore frequent testing can be done if deemed necessary by the investigator or required by","confidence":1,"confidence_rate":1},{"cnt":[[247,2421],[1780,2421],[1780,2474],[247,2474]],"region":{"top_left_x":246,"top_left_y":2421,"width":1534,"height":53},"line":46,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"15fbfcacab35411ea2a1345d32e1bac5","type":"text","conversion_output":true,"text":"local authorities. The respective procedure for illiterate patients (if included) is described in","text_display":" local authorities. The respective procedure for illiterate patients (if included) is described in","confidence":1,"confidence_rate":1},{"cnt":[[244,2472],[605,2472],[605,2524],[244,2524]],"region":{"top_left_x":244,"top_left_y":2471,"width":362,"height":54},"line":47,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"167e54c7991f4e7bb02e6b7e202a0b28","type":"text","conversion_output":true,"text":"the Appendix 10.1.1.","text_display":" the Appendix 10.1.1.","confidence":1,"confidence_rate":1},{"cnt":[[790,2584],[1300,2584],[1300,2622],[790,2622]],"region":{"top_left_x":790,"top_left_y":2583,"width":510,"height":40},"line":48,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"bbe4594d6bd24d19b67202406c4d3438","type":"page_info","conversion_output":false,"text":"Proprietary confidential information.","text_display":"","confidence":0.99169921875,"confidence_rate":0.9998015572024007},{"cnt":[[292,2622],[1798,2622],[1798,2661],[292,2661]],"region":{"top_left_x":292,"top_left_y":2622,"width":1506,"height":40},"line":49,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"e3c0f491739c4e3caa61c92d7e4a7b4e","type":"page_info","conversion_output":false,"text":"© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. 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The patient","text_display":"\n\nInstruction on the proper use of the HBGM will be provided by the study staff. The patient","confidence":1,"confidence_rate":1},{"cnt":[[244,386],[1789,386],[1789,436],[244,436]],"region":{"top_left_x":244,"top_left_y":386,"width":1545,"height":51},"line":8,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"51f8fd80638d4863b529a38ae20fcc28","type":"text","conversion_output":true,"text":"will be asked to record the results of the HBGM test on a HBGM diary that will be included","text_display":" will be asked to record the results of the HBGM test on a HBGM diary that will be included","confidence":1,"confidence_rate":1},{"cnt":[[247,434],[1661,434],[1661,484],[247,484]],"region":{"top_left_x":246,"top_left_y":434,"width":1415,"height":51},"line":9,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1044e0c5d0754e8893e6f583d5b96e58","type":"text","conversion_output":true,"text":"in the patient's source document file. Only in the case of linked adverse events or of","text_display":" in the patient's source document file. Only in the case of linked adverse events or of","confidence":0.970703125,"confidence_rate":0.999673299543683},{"cnt":[[244,482],[1800,482],[1800,532],[244,532]],"region":{"top_left_x":244,"top_left_y":482,"width":1557,"height":51},"line":10,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"9cca6d7af7824626aed4542de4bb1cde","type":"text","conversion_output":true,"text":"asymptomatic hypoglycaemia with a measured plasma glucose concentration \\(\\geq 3.0\\) and \\(\\leq 3.9\\)","text_display":" asymptomatic hypoglycaemia with a measured plasma glucose concentration \\(\\geq 3.0\\) and \\(\\leq 3.9","confidence":1,"confidence_rate":1},{"cnt":[[244,530],[1702,530],[1702,580],[244,580]],"region":{"top_left_x":244,"top_left_y":529,"width":1458,"height":52},"line":11,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c67352838d7f4e408bfd51710b353dba","type":"text","conversion_output":true,"text":"\\(mmol / l (\\geq 54\\) and \\(\\leq 70 mg / dL )\\), the single HBGM values will be recorded in the eCRF.","text_display":" mmol / l (\\geq 54\\) and \\(\\leq 70 mg / dL )\\), the single HBGM values will be recorded in the eCRF.","confidence":0.9299880156759173,"confidence_rate":0.999259625444353},{"cnt":[[244,617],[1702,617],[1702,669],[244,669]],"region":{"top_left_x":244,"top_left_y":616,"width":1458,"height":54},"line":12,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"be9fedc7f43b406592056543a9063220","type":"text","conversion_output":true,"text":"If the results of a HBGM test reveal blood plasma glucose value of \\(>180 mg / dl (>10.0\\)","text_display":"\n\nIf the results of a HBGM test reveal blood plasma glucose value of \\(>180 mg / dl (>10.0","confidence":0.9042544364929199,"confidence_rate":0.9989066361811556},{"cnt":[[244,667],[1743,667],[1743,717],[244,717]],"region":{"top_left_x":244,"top_left_y":667,"width":1499,"height":51},"line":13,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"bd07fad0865b4a29a8fbd754a13de474","type":"text","conversion_output":true,"text":"\\(mmol / L\\) ) after an overnight fast or \\(>400 mg / dl (22.2 mmol / L )\\) randomly determined and","text_display":" mmol / L\\) ) after an overnight fast or \\(>400 mg / dl (22.2 mmol / L )\\) randomly determined and","confidence":0.8434641727944836,"confidence_rate":0.9983952714808837},{"cnt":[[244,715],[1766,715],[1766,765],[244,765]],"region":{"top_left_x":244,"top_left_y":715,"width":1522,"height":51},"line":14,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6021fd09bcf64669b49bccae2b7ca10e","type":"text","conversion_output":true,"text":"confirmed by a second HBGM (not on the same day) the patient should contact the site for","text_display":" confirmed by a second HBGM (not on the same day) the patient should contact the site for","confidence":1,"confidence_rate":1},{"cnt":[[247,763],[496,763],[496,806],[247,806]],"region":{"top_left_x":246,"top_left_y":762,"width":250,"height":45},"line":15,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"17980a6e749e4c248bc91fcbcb775080","type":"text","conversion_output":true,"text":"further advice.","text_display":" further advice.","confidence":1,"confidence_rate":1},{"cnt":[[247,854],[1770,854],[1770,902],[247,902]],"region":{"top_left_x":246,"top_left_y":854,"width":1525,"height":49},"line":16,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d23b719a889048cdb9f5e350c21c160b","type":"text","conversion_output":true,"text":"During the trial, the patient should also contact the site for advice if the results of a HBGM","text_display":"\n\nDuring the trial, the patient should also contact the site for advice if the results of a HBGM","confidence":0.998046875,"confidence_rate":0.9999802523683627},{"cnt":[[244,900],[1812,900],[1812,953],[244,953]],"region":{"top_left_x":244,"top_left_y":900,"width":1568,"height":53},"line":17,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"9f9cbbc8a8c34ca3b1ac33db20767406","type":"text","conversion_output":true,"text":"test reveal blood plasma glucose value of \\(<70 mg / dL (3.9 mmol / L )\\) after an overnight fast. 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The overall one-sided significance level is \\(2.5 \\%\\).","confidence":0.8710373030044138,"confidence_rate":0.998467059763272},{"cnt":[[242,1553],[551,1553],[551,1610],[242,1610]],"region":{"top_left_x":242,"top_left_y":1553,"width":309,"height":58},"line":30,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"73ea078a7707445385b9d5ce9617f31c","type":"section_header","conversion_output":false,"children_ids":["18328d74b7b14ae185fa2efa7ba5203d"],"text":"","text_display":""},{"cnt":[[247,1558],[546,1558],[546,1606],[247,1606]],"region":{"top_left_x":246,"top_left_y":1557,"width":300,"height":49},"line":31,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"18328d74b7b14ae185fa2efa7ba5203d","type":"text","conversion_output":true,"parent_id":"73ea078a7707445385b9d5ce9617f31c","text":"Primary endpoint","text_display":"\n\n\\section*{Primary endpoint}","confidence":1,"confidence_rate":1},{"cnt":[[247,1647],[1711,1647],[1711,1697],[247,1697]],"region":{"top_left_x":246,"top_left_y":1647,"width":1465,"height":51},"line":32,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"7a0b2b8a7a2d426bb0a530b8047e9d78","type":"text","conversion_output":true,"text":"The primary endpoint is time to the first occurrence of any of the following adjudicated","text_display":"\n\nThe primary endpoint is time to the first occurrence of any of the following adjudicated","confidence":0.9990234375,"confidence_rate":0.9999894942525209},{"cnt":[[247,1695],[1780,1695],[1780,1743],[247,1743]],"region":{"top_left_x":246,"top_left_y":1695,"width":1534,"height":48},"line":33,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"0956713e86794df695a98dce8cb282f3","type":"text","conversion_output":true,"text":"components of the composite endpoint ( \\(4 3\\)-point MACE): CV death (including fatal stroke,","text_display":" components of the composite endpoint ( \\(4 3\\)-point MACE): CV death (including fatal stroke,","confidence":0.8301526444388034,"confidence_rate":0.9981402745749428},{"cnt":[[247,1741],[1654,1741],[1654,1793],[247,1793]],"region":{"top_left_x":246,"top_left_y":1740,"width":1408,"height":54},"line":34,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"a8a7af23422c47d7a71a46f2c90c19bf","type":"text","conversion_output":true,"text":"fatal MI, and sudden death), non-fatal MI (excluding silent MI),or non-fatal stroke-","text_display":" fatal MI, and sudden death), non-fatal MI (excluding silent MI),or non-fatal stroke","confidence":0.48079514503479004,"confidence_rate":0.9918055122504815},{"cnt":[[247,1791],[975,1791],[975,1839],[247,1839]],"region":{"top_left_x":246,"top_left_y":1790,"width":730,"height":49},"line":35,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"2fa4d87f9f364b76bdc4607e03ca0e50","type":"text","conversion_output":true,"text":"hospitalisation for unstable angina pectoris.","text_display":"hospitalisation for unstable angina pectoris.","confidence":0.9990234375,"confidence_rate":0.9999804593979635},{"cnt":[[247,1878],[1663,1878],[1663,1930],[247,1930]],"region":{"top_left_x":246,"top_left_y":1877,"width":1418,"height":54},"line":36,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"67318484f6a04b4fb40b32f36b61ada7","type":"text","conversion_output":true,"text":"Patients without occurrence of a specific endpoint (composite endpoint or individual","text_display":"\n\nPatients without occurrence of a specific endpoint (composite endpoint or individual","confidence":0.9990234375,"confidence_rate":0.9999890220866866},{"cnt":[[247,1928],[1656,1928],[1656,1976],[247,1976]],"region":{"top_left_x":246,"top_left_y":1928,"width":1411,"height":48},"line":37,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"a4d520fac4ad4487a61541bb88a66395","type":"text","conversion_output":true,"text":"components) will be considered censored at their last documented study visit. If any","text_display":" components) will be considered censored at their last documented study visit. If any","confidence":1,"confidence_rate":1},{"cnt":[[247,1976],[1816,1976],[1816,2026],[247,2026]],"region":{"top_left_x":246,"top_left_y":1975,"width":1571,"height":52},"line":38,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"6c6e17ef7d4f4527b00eed7cebbf1264","type":"text","conversion_output":true,"text":"measurement of laboratory data or ECG is available after the last visit of a patient, the date of","text_display":" measurement of laboratory data or ECG is available after the last visit of a patient, the date of","confidence":1,"confidence_rate":1},{"cnt":[[247,2024],[1610,2024],[1610,2072],[247,2072]],"region":{"top_left_x":246,"top_left_y":2023,"width":1365,"height":49},"line":39,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"763e427052204a1494545ceb56af14b0","type":"text","conversion_output":true,"text":"the respective measurement will be used for censoring of the CV endpoint. If any","text_display":" the respective measurement will be used for censoring of the CV endpoint. If any","confidence":1,"confidence_rate":1},{"cnt":[[247,2072],[1766,2072],[1766,2122],[247,2122]],"region":{"top_left_x":246,"top_left_y":2071,"width":1520,"height":52},"line":40,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"a5765c69a7504af1a18685a6019c9660","type":"text","conversion_output":true,"text":"measurement of eGFR is available after the last visit of a patient, the date of the respective","text_display":" measurement of eGFR is available after the last visit of a patient, the date of the respective","confidence":0.9833984375,"confidence_rate":0.9998309141665112},{"cnt":[[247,2120],[1807,2120],[1807,2168],[247,2168]],"region":{"top_left_x":246,"top_left_y":2119,"width":1561,"height":49},"line":41,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"6e189e916553416a863583908bb86139","type":"text","conversion_output":true,"text":"measurement will be used for censoring of the renal endpoint. For all endpoints including the","text_display":" measurement will be used for censoring of the renal endpoint. For all endpoints including the","confidence":1,"confidence_rate":1},{"cnt":[[247,2166],[1782,2166],[1782,2218],[247,2218]],"region":{"top_left_x":246,"top_left_y":2165,"width":1536,"height":54},"line":42,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"fa32d44c2bd340c5b0438ee355204bf0","type":"text","conversion_output":true,"text":"component CV (renal) death, adjudicated CV (renal) death will be counted even if occurred","text_display":" component CV (renal) death, adjudicated CV (renal) death will be counted even if occurred","confidence":1,"confidence_rate":1},{"cnt":[[247,2216],[423,2216],[423,2259],[247,2259]],"region":{"top_left_x":246,"top_left_y":2215,"width":177,"height":45},"line":43,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"f6a210d9aed946b694109758edcb8d63","type":"text","conversion_output":true,"text":"thereafter.","text_display":" thereafter.","confidence":1,"confidence_rate":1},{"cnt":[[242,2353],[1204,2353],[1204,2401],[242,2401]],"region":{"top_left_x":242,"top_left_y":2352,"width":962,"height":49},"line":44,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"5b0b003ab55f47cf8778ba6c503e890a","type":"section_header","conversion_output":false,"children_ids":["80abdc659c4248d08b021acd42eae8fa"],"text":"","text_display":""},{"cnt":[[247,2353],[1199,2353],[1199,2396],[247,2396]],"region":{"top_left_x":246,"top_left_y":2352,"width":954,"height":45},"line":45,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"80abdc659c4248d08b021acd42eae8fa","type":"text","conversion_output":true,"parent_id":"5b0b003ab55f47cf8778ba6c503e890a","text":"7.2 NULL AND ALTERNATIVE HYPOTHESES","text_display":"\n\n\\subsection*{7.2 NULL AND ALTERNATIVE HYPOTHESES}","confidence":1,"confidence_rate":1},{"cnt":[[247,2447],[1805,2447],[1805,2492],[247,2492]],"region":{"top_left_x":246,"top_left_y":2446,"width":1559,"height":47},"line":46,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"7e7d54cfa21a42298a2efd48cb92159c","type":"text","conversion_output":true,"text":"An interim analysis will be performed at the one-sided alpha-level of \\(1.0 \\%\\), the final analysis","text_display":"\n\nAn interim analysis will be performed at the one-sided alpha-level of \\(1.0 \\%\\), the final analysis","confidence":0.7702974462881684,"confidence_rate":0.9974694350115052},{"cnt":[[247,2490],[1812,2490],[1812,2538],[247,2538]],"region":{"top_left_x":246,"top_left_y":2489,"width":1566,"height":49},"line":47,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"240f090058484c78bddfb642b6408d26","type":"text","conversion_output":true,"text":"at the one-sided alpha-level of \\(2.12 \\%\\). At the interim analysis MACE endpoints will be tested","text_display":" at the one-sided alpha-level of \\(2.12 \\%\\). 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All rights reserved.","text_display":"\n© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","confidence":0.998046875,"confidence_rate":0.9999835712707866},{"cnt":[[297,2664],[1766,2664],[1766,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2663,"width":1470,"height":40},"line":51,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"312de0e580374338bd9f6393c059cc3d","type":"page_info","conversion_output":false,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-060","page":60,"lines":[{"cnt":[[247,121],[610,121],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":121,"width":364,"height":46},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6285dc3b5b2e4f7582348f3d0dd794bd","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,162],[1503,162]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":45},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7ed90df494be4a079ea6d69deca31469","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[599,164],[599,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":353,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1a6cd074e8ee4c7fbd7c0743f557060d","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,210],[637,210],[637,249],[247,249]],"region":{"top_left_x":246,"top_left_y":210,"width":392,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"474d2cdf69a741aea7988ed430d6a8db","type":"page_info","conversion_output":false,"text":"Doc. 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The experimentwise (multiple) level alpha is controlled with the following","text_display":" for superiority. The experimentwise (multiple) level alpha is controlled with the following","confidence":1,"confidence_rate":1},{"cnt":[[244,434],[1638,434],[1638,482],[244,482]],"region":{"top_left_x":244,"top_left_y":434,"width":1394,"height":49},"line":9,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7ae1129121594752af0f2c3ebd6273f4","type":"text","conversion_output":true,"text":"three step gatekeeping hierarchy within the interim and final analysis, respectively.","text_display":" three step gatekeeping hierarchy within the interim and final analysis, respectively.","confidence":1,"confidence_rate":1},{"cnt":[[247,525],[1793,525],[1793,573],[247,573]],"region":{"top_left_x":246,"top_left_y":525,"width":1548,"height":49},"line":10,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"20239a98b8dd445aaefe5390c3c6ef24","type":"text","conversion_output":true,"text":"No confirmatory interim analysis for efficacy endpoints will be performed. For the final","text_display":"\n\nNo confirmatory interim analysis for efficacy endpoints will be performed. 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In case of significance, the null hypothesis is rejected","text_display":" one-sided alpha-level of \\(2.12 \\% 2 . 5 \\%\\). In case of significance, the null hypothesis is rejected","confidence":0.42064014420247986,"confidence_rate":0.991707863554052},{"cnt":[[247,667],[1800,667],[1800,717],[247,717]],"region":{"top_left_x":246,"top_left_y":667,"width":1555,"height":51},"line":13,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"a56cfd2ae90840baab20118f6dea9eba","type":"text","conversion_output":true,"text":"in a confirmatory sense and the next set of hypotheses (two separate hypothesis tests) will be","text_display":" in a confirmatory sense and the next set of hypotheses (two separate hypothesis tests) will be","confidence":1,"confidence_rate":1},{"cnt":[[244,717],[1693,717],[1693,765],[244,765]],"region":{"top_left_x":244,"top_left_y":717,"width":1449,"height":49},"line":14,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7fb1049405d74241b3c711cac955f330","type":"text","conversion_output":true,"text":"tested: a) test of the primary endpoint for superiority and b) test of the composite renal","text_display":" tested: a) test of the primary endpoint for superiority and b) test of the composite renal","confidence":0.9775879383087158,"confidence_rate":0.9997614281606321},{"cnt":[[247,763],[1748,763],[1748,811],[247,811]],"region":{"top_left_x":246,"top_left_y":762,"width":1502,"height":49},"line":15,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"61e9cb034d2e4625bdadd22735b4e15a","type":"text","conversion_output":true,"text":"endpoint for superiority. To adjust for multiplicity the truncated Hochberg a sequentially","text_display":" endpoint for superiority. 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Both one-sided hypotheses \\(H _{0(\\text { Sup1 })}\\) and \\(H _{0(\\text { Sup2 })}\\) will be tested separately, at the","text_display":" (R12-4087). 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If both null hypotheses cannot be rejected at these initial","text_display":" renal endpoint, respectively. 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After having shown superiority for one of these endpoints, the used alpha can","text_display":" declared. 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If \\(H _{0 \\text { (Sup1) }}\\) is rejected at","text_display":" \\(H _{0 \\text { (Sup1) }}\\) can be tested at the full alpha-level of \\(2.5 \\%\\) (one-sided). 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If both tests are significant at the one-sided alpha-level of \\(1.59 \\%\\) each,","text_display":" (one-sided). If both tests are significant at the one-sided alpha-level of \\(1.59 \\%\\) each,","confidence":0.8536569429708152,"confidence_rate":0.998318161919721},{"cnt":[[247,1293],[1684,1293],[1684,1341],[247,1341]],"region":{"top_left_x":246,"top_left_y":1292,"width":1438,"height":49},"line":26,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"cef2fadbe6d24549ae935e1c53126ea2","type":"text","conversion_output":true,"text":"superiority of both endpoints (4 point MACE and composite renal endpoint) has been","text_display":" superiority of both endpoints (4 point MACE and composite renal endpoint) has been","confidence":0.7121918932534754,"confidence_rate":0.9961063598258426},{"cnt":[[247,1339],[1816,1339],[1816,1387],[247,1387]],"region":{"top_left_x":246,"top_left_y":1338,"width":1571,"height":49},"line":27,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b409c6f248ba431c8ac98cf104435d89","type":"text","conversion_output":true,"text":"demonstrated. If not, superiority can only be claimed for the endpoint significant at the alpha-","text_display":" demonstrated. If not, superiority can only be claimed for the endpoint significant at the alpha","confidence":1,"confidence_rate":1},{"cnt":[[247,1384],[1766,1384],[1766,1437],[247,1437]],"region":{"top_left_x":246,"top_left_y":1384,"width":1520,"height":53},"line":28,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7c9c90ce2c5143dd8b4c85ea176aad81","type":"text","conversion_output":true,"text":"level of \\(1.06 \\%\\). If superiority of both, the 4 point MACE and the composite renal endpoint","text_display":"level of \\(1.06 \\%\\). If superiority of both, the 4 point MACE and the composite renal endpoint","confidence":0.9719046304719541,"confidence_rate":0.999717885384647},{"cnt":[[244,1435],[1789,1435],[1789,1483],[244,1483]],"region":{"top_left_x":244,"top_left_y":1434,"width":1545,"height":49},"line":29,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"a89e40b3817841379546b2706a239727","type":"text","conversion_output":true,"text":"has been demonstrated at the one-sided alpha-level of \\(1.59 \\%\\) each, then superiority of the 3 -","text_display":" has been demonstrated at the one-sided alpha-level of \\(1.59 \\%\\) each, then superiority of the 3 ","confidence":0.6968942974208403,"confidence_rate":0.996533699103892},{"cnt":[[244,1483],[1738,1483],[1738,1533],[244,1533]],"region":{"top_left_x":244,"top_left_y":1482,"width":1495,"height":51},"line":30,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"286938c25eb34ef1a89c261ede4fbdc4","type":"text","conversion_output":true,"text":"point MACE can be tested at the alpha level of \\(2.12 \\%\\). If superiority of only one of these","text_display":"point MACE can be tested at the alpha level of \\(2.12 \\%\\). If superiority of only one of these","confidence":0.9052320845222539,"confidence_rate":0.9989845575316664},{"cnt":[[247,1531],[1761,1531],[1761,1579],[247,1579]],"region":{"top_left_x":246,"top_left_y":1530,"width":1516,"height":49},"line":31,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"0066a403e040409c9674cfd2fcfd4899","type":"text","conversion_output":true,"text":"endpoints (4-point MACE or composite renal endpoint) has been demonstrated at the one-","text_display":" endpoints (4-point MACE or composite renal endpoint) has been demonstrated at the one","confidence":0.9455480575561523,"confidence_rate":0.9993849083177978},{"cnt":[[247,1581],[1793,1581],[1793,1629],[247,1629]],"region":{"top_left_x":246,"top_left_y":1580,"width":1548,"height":49},"line":32,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"48564e79e75f4c33a36df5897e93bb1d","type":"text","conversion_output":true,"text":"sided alpha-level of \\(1.06 \\%\\), then superiority of the 3 -point MACE can be tested at the alpha-","text_display":"sided alpha-level of \\(1.06 \\%\\), then superiority of the 3 -point MACE can be tested at the alpha","confidence":0.7659467733465135,"confidence_rate":0.9974637683681876},{"cnt":[[247,1626],[509,1626],[509,1670],[247,1670]],"region":{"top_left_x":246,"top_left_y":1626,"width":264,"height":44},"line":33,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"947a4e5bdc374d85a8ea2633ac496006","type":"text","conversion_output":true,"text":"level of \\(0.53 \\%\\).","text_display":"level of \\(0.53 \\%\\).","confidence":0.90478515625,"confidence_rate":0.9958396051934694},{"cnt":[[247,1718],[1729,1718],[1729,1766],[247,1766]],"region":{"top_left_x":246,"top_left_y":1717,"width":1484,"height":49},"line":34,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"4d91245567e448b3bb84cb70e96616e5","type":"text","conversion_output":true,"text":"At the interim analysis superiority of the composite renal endpoint will not be tested and","text_display":"\n\nAt the interim analysis superiority of the composite renal endpoint will not be tested and","confidence":1,"confidence_rate":1},{"cnt":[[247,1764],[1802,1764],[1802,1812],[247,1812]],"region":{"top_left_x":246,"top_left_y":1763,"width":1557,"height":49},"line":35,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"61709cc9189e4c7e8cd2fb51ed141f30","type":"text","conversion_output":true,"text":"therefore all tests on MACE can be performed in the pre-specified order at the alpha-level of","text_display":" therefore all tests on MACE can be performed in the pre-specified order at the alpha-level of","confidence":0.9970703125,"confidence_rate":0.999970061800863},{"cnt":[[247,1814],[350,1814],[350,1853],[247,1853]],"region":{"top_left_x":246,"top_left_y":1813,"width":104,"height":40},"line":36,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"085196064f384ea18fcb7ea0fbe0006e","type":"text","conversion_output":true,"text":"1.0\\%.","text_display":" 1.0\\%.","confidence":0.9565844535827637,"confidence_rate":0.9955712161541844},{"cnt":[[247,1903],[1713,1903],[1713,1951],[247,1951]],"region":{"top_left_x":246,"top_left_y":1902,"width":1468,"height":49},"line":37,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1ec087f686dd4727b573211f8cd75632","type":"text","conversion_output":true,"text":"If a step is not significant, all subsequent steps may not be interpreted in a confirmatory","text_display":"\n\nIf a step is not significant, all subsequent steps may not be interpreted in a confirmatory","confidence":0.9838943481445312,"confidence_rate":0.9998308814118876},{"cnt":[[247,1951],[939,1951],[939,1999],[247,1999]],"region":{"top_left_x":246,"top_left_y":1950,"width":693,"height":49},"line":38,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"53277dd5fad9414d8daf76b33511f5af","type":"text","conversion_output":true,"text":"sense. The sequence of tests is as follows:","text_display":" sense. The sequence of tests is as follows:","confidence":0.903901792713441,"confidence_rate":0.9978973270356982},{"cnt":[[249,2033],[381,2033],[381,2086],[249,2086]],"region":{"top_left_x":248,"top_left_y":2033,"width":134,"height":53},"line":39,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"469b0b5d2f2647109abc00a20f1f2be2","type":"text","conversion_output":true,"text":"\\(1^{\\text {st }}\\) step:","text_display":"\n\\(1^{\\text {st }}\\) step:","confidence":0.9921875,"confidence_rate":0.9996863221087591},{"cnt":[[247,2129],[1656,2129],[1656,2177],[247,2177]],"region":{"top_left_x":246,"top_left_y":2129,"width":1411,"height":49},"line":40,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b463a253f4424aaab2d65243b99ffef5","type":"text","conversion_output":true,"text":"The primary endpoint ( \\(4\\) 3-point MACE) is time to the first occurrence of any of the","text_display":"\nThe primary endpoint ( \\(4\\) 3-point MACE) is time to the first occurrence of any of the","confidence":0.9059127883731987,"confidence_rate":0.9989604119291517},{"cnt":[[247,2177],[1722,2177],[1722,2225],[247,2225]],"region":{"top_left_x":246,"top_left_y":2177,"width":1477,"height":48},"line":41,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5becaad5bae34bd2a5307ccc3e3265ad","type":"text","conversion_output":true,"text":"following adjudicated components of the composite endpoint: CV death (including fatal","text_display":" following adjudicated components of the composite endpoint: CV death (including fatal","confidence":0.99365234375,"confidence_rate":0.9999292481887752},{"cnt":[[247,2225],[1725,2225],[1725,2273],[247,2273]],"region":{"top_left_x":246,"top_left_y":2224,"width":1479,"height":49},"line":42,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"0161f7def12943cd952f4de78c85cebf","type":"text","conversion_output":true,"text":"stroke, fatal MI, and sudden death), non-fatal MI, or non-fatal stroke, hospitalisation for","text_display":" stroke, fatal MI, and sudden death), non-fatal MI, or non-fatal stroke, hospitalisation for","confidence":0.8324779570102692,"confidence_rate":0.9980919420827908},{"cnt":[[247,2275],[665,2275],[665,2323],[247,2323]],"region":{"top_left_x":246,"top_left_y":2275,"width":419,"height":49},"line":43,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"309e1fdb7cf94a7686c5da82a339154d","type":"text","conversion_output":true,"text":"unstable angina pectoris.","text_display":" unstable angina pectoris.","confidence":1,"confidence_rate":1},{"cnt":[[247,2362],[758,2362],[758,2415],[247,2415]],"region":{"top_left_x":246,"top_left_y":2362,"width":513,"height":53},"line":44,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c061f4c86e344b4394f99c839ee06097","type":"text","conversion_output":true,"text":"\\(H _{0( NI )}: HR _{\\text {linagliptin vs. placebo }} \\geq 1.3\\)","text_display":"\n\\(H _{0( NI )}: HR 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All rights reserved.","text_display":"\n© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","confidence":0.998046875,"confidence_rate":0.9999835712707866},{"cnt":[[297,2664],[1768,2664],[1768,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2663,"width":1473,"height":40},"line":49,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"c0910d8ee90a434aa574b0d7b7ca8b52","type":"text","conversion_output":true,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"\nThis document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-061","page":61,"lines":[{"cnt":[[244,119],[610,119],[610,167],[244,167]],"region":{"top_left_x":244,"top_left_y":118,"width":366,"height":49},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b56e88b18338497a886ab5533b240691","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,162],[1503,162]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":45},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"74ded53a27ac4e749563da399cd89004","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[599,164],[599,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":353,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"79564e413514407b9325cc4ae810c9c7","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[244,210],[637,210],[637,249],[244,249]],"region":{"top_left_x":244,"top_left_y":210,"width":394,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"f7ae19edc2b94c9aacc469142590b1c0","type":"page_info","conversion_output":false,"text":"Doc. No.: c02155180-06","text_display":"","confidence":0.99951171875,"confidence_rate":0.9999819112562659},{"cnt":[[868,210],[1108,210],[1108,249],[868,249]],"region":{"top_left_x":868,"top_left_y":210,"width":240,"height":39},"line":5,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6b37357faea140b196bd893882908f4b","type":"page_info","conversion_output":false,"text":"Trial Protocol","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1572,210],[1816,210],[1816,254],[1572,254]],"region":{"top_left_x":1571,"top_left_y":210,"width":246,"height":44},"line":6,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"40574dce10e04e6781dfdb44102a43ae","type":"page_info","conversion_output":false,"text":"Page 61 of 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All rights reserved.","text_display":"\n© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","confidence":0.98046875,"confidence_rate":0.9998342615903483},{"cnt":[[297,2664],[1768,2664],[1768,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2663,"width":1473,"height":40},"line":47,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"c5083c6d2fbd4f03ad095a20eb31f282","type":"text","conversion_output":true,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"\nThis document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-063","page":63,"lines":[{"cnt":[[247,119],[610,119],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":118,"width":364,"height":49},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"514471ea080047d1be41615a5b36b66a","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,162],[1503,162]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":45},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e4c406d3544949a4b260e250106b9efa","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[599,164],[599,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":353,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"4a4e4ac31c6c49bc9ff7e40027977c59","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,210],[637,210],[637,249],[247,249]],"region":{"top_left_x":246,"top_left_y":210,"width":392,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"464db066716c4e0fb15a4c52d13569b9","type":"page_info","conversion_output":false,"text":"Doc. 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insulin)","confidence":1,"confidence_rate":1},{"cnt":[[370,1010],[1108,1010],[1108,1062],[370,1062]],"region":{"top_left_x":370,"top_left_y":1009,"width":738,"height":54},"line":19,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"fa5638b3211043298f6300f8e2a221f6","type":"text","conversion_output":true,"text":"- eGFR \\(<60 mL / min / 1.73 m^{2}\\) at baseline","text_display":"\n- eGFR \\(<60 mL / min / 1.73 m^{2}\\) at baseline","confidence":0.9375302791595459,"confidence_rate":0.998907271634297},{"cnt":[[370,1060],[1775,1060],[1775,1117],[370,1117]],"region":{"top_left_x":370,"top_left_y":1059,"width":1405,"height":59},"line":20,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6eb21031f69a4122be4b981ac67701af","type":"text","conversion_output":true,"text":"- Prevalent kidney disease defined as eGFR \\(<60 mL / min / 1.73 m^{2}\\) at baseline","text_display":"\n- Prevalent kidney disease defined as eGFR \\(<60 mL / min / 1.73 m^{2}\\) at baseline","confidence":0.98681640625,"confidence_rate":0.9998603121914003},{"cnt":[[434,1115],[1272,1115],[1272,1163],[434,1163]],"region":{"top_left_x":434,"top_left_y":1114,"width":839,"height":49},"line":21,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5181f57663854cd5989c44b345519861","type":"text","conversion_output":true,"text":"and/or UACR \\(> 3 0 0 m g / g\\) creatinine at baseline","text_display":" and/or UACR \\(> 3 0 0 m g / g\\) creatinine at baseline","confidence":0.5914772118140892,"confidence_rate":0.991699212863963},{"cnt":[[247,1256],[1446,1256],[1446,1307],[247,1307]],"region":{"top_left_x":246,"top_left_y":1256,"width":1201,"height":51},"line":22,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e52114e0550f46f88ecc667cd9a5fd93","type":"text","conversion_output":true,"text":"Further details will be given in the trial statistical analysis plan (TSAP).","text_display":"\n\nFurther details will be given in the trial statistical analysis plan (TSAP).","confidence":1,"confidence_rate":1},{"cnt":[[242,1345],[724,1345],[724,1400],[242,1400]],"region":{"top_left_x":242,"top_left_y":1345,"width":483,"height":56},"line":23,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"07ba928bc0e34cf8b89c56dff1f92074","type":"section_header","conversion_output":false,"children_ids":["d33a0553ce3246b6bea56e043291e8dc"],"text":"","text_display":""},{"cnt":[[247,1348],[720,1348],[720,1396],[247,1396]],"region":{"top_left_x":246,"top_left_y":1347,"width":474,"height":49},"line":24,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d33a0553ce3246b6bea56e043291e8dc","type":"text","conversion_output":true,"parent_id":"07ba928bc0e34cf8b89c56dff1f92074","text":"7.3.1 Primary analyses","text_display":"\n\n\\subsection*{7.3.1 Primary analyses}","confidence":1,"confidence_rate":1},{"cnt":[[247,1439],[1711,1439],[1711,1487],[247,1487]],"region":{"top_left_x":246,"top_left_y":1439,"width":1465,"height":49},"line":25,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c59af8b69441477297cab3ed3c36f7b2","type":"text","conversion_output":true,"text":"A classical ITT-approach on the FAS TS will be performed as described above. For the","text_display":"\n\nA classical ITT-approach on the FAS TS will be performed as described above. For the","confidence":0.99951171875,"confidence_rate":0.9999945123690109},{"cnt":[[247,1485],[1784,1485],[1784,1533],[247,1533]],"region":{"top_left_x":246,"top_left_y":1484,"width":1539,"height":49},"line":26,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"4f5137aa8567492f83649f6a847ba35c","type":"text","conversion_output":true,"text":"primary analysis a Cox proportional hazards regression model of time to the first event with","text_display":" primary analysis a Cox proportional hazards regression model of time to the first event with","confidence":1,"confidence_rate":1},{"cnt":[[247,1535],[1713,1535],[1713,1583],[247,1583]],"region":{"top_left_x":246,"top_left_y":1535,"width":1468,"height":49},"line":27,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c6af8965262a48809e5a63a1b6096f4d","type":"text","conversion_output":true,"text":"randomized treatment and geographical region as factors will be applied. Kaplan-Meier","text_display":" randomized treatment and geographical region as factors will be applied. Kaplan-Meier","confidence":1,"confidence_rate":1},{"cnt":[[247,1581],[1805,1581],[1805,1629],[247,1629]],"region":{"top_left_x":246,"top_left_y":1580,"width":1559,"height":49},"line":28,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"808a18d5a3314baab5a8304002838454","type":"text","conversion_output":true,"text":"estimates by treatment group will be displayed. The confirmatory test approach is outlined in","text_display":" estimates by treatment group will be displayed. The confirmatory test approach is outlined in","confidence":1,"confidence_rate":1},{"cnt":[[247,1631],[450,1631],[450,1674],[247,1674]],"region":{"top_left_x":246,"top_left_y":1631,"width":205,"height":44},"line":29,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"95c31cc600194db8a311e10c6d3cd0b8","type":"text","conversion_output":true,"text":"Section 7.2.","text_display":" Section 7.2.","confidence":1,"confidence_rate":1},{"cnt":[[244,1718],[1741,1718],[1741,1766],[244,1766]],"region":{"top_left_x":244,"top_left_y":1717,"width":1497,"height":49},"line":30,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c8f7b5218aad484793e351cec57ab03e","type":"text","conversion_output":true,"text":"No centre effect will be included into the Cox models, as the centre size is expected to be","text_display":"\n\nNo centre effect will be included into the Cox models, as the centre size is expected to be","confidence":1,"confidence_rate":1},{"cnt":[[247,1768],[1711,1768],[1711,1812],[247,1812]],"region":{"top_left_x":246,"top_left_y":1768,"width":1465,"height":44},"line":31,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7e370335349743e9b9681780708f05b1","type":"text","conversion_output":true,"text":"small. 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In addition, crude rates will","text_display":" secondary endpoints will be analysed as time to first occurrence. In addition, crude rates will","confidence":1,"confidence_rate":1},{"cnt":[[244,1055],[1807,1055],[1807,1108],[244,1108]],"region":{"top_left_x":244,"top_left_y":1055,"width":1563,"height":53},"line":9,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"25f9484f94324c48be0a18f7da6f9ec7","type":"text","conversion_output":true,"text":"be displayed. Chi-Square tests will be applied for efficacy data; these tests will be interpreted","text_display":" be displayed. Chi-Square tests will be applied for efficacy data; these tests will be interpreted","confidence":1,"confidence_rate":1},{"cnt":[[247,1106],[1716,1106],[1716,1154],[247,1154]],"region":{"top_left_x":246,"top_left_y":1105,"width":1470,"height":49},"line":10,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e9faf8245faa4a5db4fc4e24ece88f47","type":"text","conversion_output":true,"text":"in an exploratory sense, two-sided p-values without alpha-adjustment will be presented.","text_display":" in an exploratory sense, two-sided p-values without alpha-adjustment will be presented.","confidence":0.99951171875,"confidence_rate":0.9999946913130248},{"cnt":[[247,1154],[1784,1154],[1784,1202],[247,1202]],"region":{"top_left_x":246,"top_left_y":1153,"width":1539,"height":49},"line":11,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"a7350f0a8242419585f513d839f97561","type":"text","conversion_output":true,"text":"Wilson confidence intervals will be reported for the proportion of patients with primary and","text_display":" Wilson confidence intervals will be reported for the proportion of patients with primary and","confidence":1,"confidence_rate":1},{"cnt":[[247,1202],[1579,1202],[1579,1250],[247,1250]],"region":{"top_left_x":246,"top_left_y":1201,"width":1333,"height":49},"line":12,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3222ced02125456580834577271abdf6","type":"text","conversion_output":true,"text":"key secondary endpoints; in addition logistic regression models will be applied.","text_display":" key secondary endpoints; in addition logistic regression models will be applied.","confidence":1,"confidence_rate":1},{"cnt":[[242,1288],[683,1288],[683,1345],[242,1345]],"region":{"top_left_x":242,"top_left_y":1288,"width":442,"height":58},"line":13,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"eeeac2dc374443718b9203206631ac33","type":"section_header","conversion_output":false,"children_ids":["01100c9d3d484c0d8e5867049b66c98b"],"text":"","text_display":""},{"cnt":[[247,1293],[678,1293],[678,1341],[247,1341]],"region":{"top_left_x":246,"top_left_y":1292,"width":433,"height":49},"line":14,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"01100c9d3d484c0d8e5867049b66c98b","type":"text","conversion_output":true,"parent_id":"eeeac2dc374443718b9203206631ac33","text":"7.3.3 Safety analyses","text_display":"\n\n\\subsection*{7.3.3 Safety analyses}","confidence":1,"confidence_rate":1},{"cnt":[[247,1380],[1638,1380],[1638,1428],[247,1428]],"region":{"top_left_x":246,"top_left_y":1379,"width":1392,"height":49},"line":15,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"9779183cfd6a4aa19a8c6b12b45f42b9","type":"text","conversion_output":true,"text":"All safety data will be displayed and analysed (Treated Set, 'as randomized') using","text_display":"\n\nAll safety data will be displayed and analysed (Treated Set, 'as randomized') using","confidence":1,"confidence_rate":1},{"cnt":[[247,1430],[1622,1430],[1622,1478],[247,1478]],"region":{"top_left_x":246,"top_left_y":1430,"width":1376,"height":48},"line":16,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"19c5373324274b2e8df1e9f83d284fee","type":"text","conversion_output":true,"text":"descriptive statistical methods. No formal inferential analysis is planned for safety","text_display":" descriptive statistical methods. No formal inferential analysis is planned for safety","confidence":1,"confidence_rate":1},{"cnt":[[247,1476],[1761,1476],[1761,1524],[247,1524]],"region":{"top_left_x":246,"top_left_y":1475,"width":1516,"height":49},"line":17,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6bdec7d9f06e4aa4b54bed0612869159","type":"text","conversion_output":true,"text":"comparisons. AEs will be coded using the medical dictionary for drug regulatory activities","text_display":" comparisons. AEs will be coded using the medical dictionary for drug regulatory activities","confidence":1,"confidence_rate":1},{"cnt":[[247,1524],[1629,1524],[1629,1574],[247,1574]],"region":{"top_left_x":246,"top_left_y":1523,"width":1383,"height":51},"line":18,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d3cfa89b09f64800927ed51703f8df01","type":"text","conversion_output":true,"text":"(MedDRA) coding dictionary. All events with an onset after the first dose of study","text_display":" (MedDRA) coding dictionary. All events with an onset after the first dose of study","confidence":1,"confidence_rate":1},{"cnt":[[247,1572],[1684,1572],[1684,1620],[247,1620]],"region":{"top_left_x":246,"top_left_y":1571,"width":1438,"height":49},"line":19,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"dd4822396b964013abb85b6374162f49","type":"text","conversion_output":true,"text":"medication up to a period of seven days after the last dose of study medication will be","text_display":" medication up to a period of seven days after the last dose of study medication will be","confidence":1,"confidence_rate":1},{"cnt":[[247,1622],[1725,1622],[1725,1670],[247,1670]],"region":{"top_left_x":246,"top_left_y":1621,"width":1479,"height":49},"line":20,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"fd5bfcb34d6244fab7eaec104a5a7a30","type":"text","conversion_output":true,"text":"assigned to the treatment phase for evaluation; in addition, all AEs after the first dose of","text_display":" assigned to the treatment phase for evaluation; in addition, all AEs after the first dose of","confidence":1,"confidence_rate":1},{"cnt":[[247,1668],[1793,1668],[1793,1716],[247,1716]],"region":{"top_left_x":246,"top_left_y":1667,"width":1548,"height":49},"line":21,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"4d47ec75f57c4ff2987c7695793f4d62","type":"text","conversion_output":true,"text":"study medication will be displayed by randomized treatment group. Laboratory values taken","text_display":" study medication will be displayed by randomized treatment group. 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Laboratory values will be","confidence":1,"confidence_rate":1},{"cnt":[[247,1814],[1775,1814],[1775,1862],[247,1862]],"region":{"top_left_x":246,"top_left_y":1813,"width":1529,"height":49},"line":24,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1a418e6fbea942c69595082d848df811","type":"text","conversion_output":true,"text":"compared to their reference ranges and frequency tables will be provided for the number of","text_display":" compared to their reference ranges and frequency tables will be provided for the number of","confidence":1,"confidence_rate":1},{"cnt":[[244,1859],[1802,1859],[1802,1907],[244,1907]],"region":{"top_left_x":244,"top_left_y":1859,"width":1559,"height":49},"line":25,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"01d66e87d0314956908157664962f3fb","type":"text","conversion_output":true,"text":"patients within and outside the reference range. 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As described in Section","text_display":" make recommendations whether to continue or terminate the study. As described in Section","confidence":1,"confidence_rate":1},{"cnt":[[247,2230],[1720,2230],[1720,2278],[247,2278]],"region":{"top_left_x":246,"top_left_y":2229,"width":1475,"height":49},"line":32,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"49b3dfdd3c694e8ba01025aacf9c3578","type":"text","conversion_output":true,"text":"3.1.1 the DMC analyses and operations will be formally separated from the sponsor, the","text_display":" 3.1.1 the DMC analyses and operations will be formally separated from the sponsor, the","confidence":1,"confidence_rate":1},{"cnt":[[247,2280],[1780,2280],[1780,2328],[247,2328]],"region":{"top_left_x":246,"top_left_y":2279,"width":1534,"height":49},"line":33,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1043603f375f4ae1844b3ad6bb878350","type":"text","conversion_output":true,"text":"investigators and the Steering Committee. The details on its procedures and interactions are","text_display":" investigators and the Steering Committee. The details on its procedures and interactions are","confidence":1,"confidence_rate":1},{"cnt":[[244,2325],[870,2325],[870,2378],[244,2378]],"region":{"top_left_x":244,"top_left_y":2325,"width":627,"height":54},"line":34,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"51ef9147a9fb4cdc8eb482d920bb61e8","type":"text","conversion_output":true,"text":"provided in a separate DMC Charter.","text_display":" provided in a separate DMC Charter.","confidence":1,"confidence_rate":1},{"cnt":[[790,2581],[1300,2581],[1300,2625],[790,2625]],"region":{"top_left_x":790,"top_left_y":2581,"width":510,"height":44},"line":35,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"d90ae87a5b924f3dbb2778910426b7dd","type":"section_header","conversion_output":false,"children_ids":["3a32617c15f843aabbb6eb427ef5c6c1"],"text":"","text_display":""},{"cnt":[[795,2586],[1300,2586],[1300,2620],[795,2620]],"region":{"top_left_x":794,"top_left_y":2585,"width":506,"height":36},"line":36,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"3a32617c15f843aabbb6eb427ef5c6c1","type":"text","conversion_output":true,"parent_id":"d90ae87a5b924f3dbb2778910426b7dd","text":"Proprietary confidential information.","text_display":"\n\n\\section*{Proprietary confidential information.}","confidence":0.99951171875,"confidence_rate":0.9999883714843234},{"cnt":[[292,2622],[1798,2622],[1798,2661],[292,2661]],"region":{"top_left_x":292,"top_left_y":2622,"width":1506,"height":40},"line":37,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"0f479c35794d488e9bd2d94fda90037f","type":"text","conversion_output":true,"text":"© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","text_display":"\n© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","confidence":0.998046875,"confidence_rate":0.9999835712707866},{"cnt":[[297,2664],[1766,2664],[1766,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2663,"width":1470,"height":40},"line":38,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"96aade34a0954c588172689093be4985","type":"text","conversion_output":true,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"\nThis document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-067","page":67,"lines":[{"cnt":[[247,121],[610,121],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":121,"width":364,"height":46},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"a191494c30364cc9bc1f50200c2c458b","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,160],[1503,160]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":42},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"703df24712304132b2e23235ec7bb81e","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,167],[599,167],[599,203],[247,203]],"region":{"top_left_x":246,"top_left_y":166,"width":353,"height":38},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"4cb3196a2c6d48f1b43b7081bab6973f","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,210],[637,210],[637,249],[247,249]],"region":{"top_left_x":246,"top_left_y":210,"width":392,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c40aa9f279124d19b6bf013532b75873","type":"page_info","conversion_output":false,"text":"Doc. No.: c02155180-06","text_display":"","confidence":0.9990234375,"confidence_rate":0.9999638140011058},{"cnt":[[868,210],[1108,210],[1108,249],[868,249]],"region":{"top_left_x":868,"top_left_y":210,"width":240,"height":39},"line":5,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"77a5204b9c6348df8704ad17c2d5efc7","type":"page_info","conversion_output":false,"text":"Trial Protocol","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1574,210],[1816,210],[1816,254],[1574,254]],"region":{"top_left_x":1573,"top_left_y":210,"width":244,"height":44},"line":6,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"47a2e2e789b74181999ceabc37bccb8a","type":"page_info","conversion_output":false,"text":"Page 67 of 123","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[244,338],[1789,338],[1789,386],[244,386]],"region":{"top_left_x":244,"top_left_y":338,"width":1545,"height":49},"line":7,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"9aa4610e6da44499a2aea7ebbb77c2ca","type":"text","conversion_output":true,"text":"according to Haybittle-Peto (East version 5.4), this results in a one-sided alpha of \\(2.12 \\%\\) for","text_display":"\naccording to Haybittle-Peto (East version 5.4), this results in a one-sided alpha of \\(2.12 \\%\\) for","confidence":0.9990236759185791,"confidence_rate":0.9999904235654993},{"cnt":[[244,388],[1789,388],[1789,436],[244,436]],"region":{"top_left_x":244,"top_left_y":388,"width":1545,"height":49},"line":8,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"a8726c2be6bb40c890b7e9fa6e1f2668","type":"text","conversion_output":true,"text":"the final analysis. The first test will be on non inferiority of the primary endpoint, in case of","text_display":" the final analysis. The first test will be on non inferiority of the primary endpoint, in case of","confidence":0.9302096366882324,"confidence_rate":0.9992909837998444},{"cnt":[[247,434],[1738,434],[1738,482],[247,482]],"region":{"top_left_x":246,"top_left_y":434,"width":1493,"height":49},"line":9,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"6c8abec50c64431082108bac2d7639da","type":"text","conversion_output":true,"text":"significance followed by the superiority tests for the composite CV endpoints outlined in","text_display":" significance followed by the superiority tests for the composite CV endpoints outlined in","confidence":1,"confidence_rate":1},{"cnt":[[247,484],[1722,484],[1722,532],[247,532]],"region":{"top_left_x":246,"top_left_y":484,"width":1477,"height":49},"line":10,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"248cdd98bd07487bb5c9cf20530e45f6","type":"text","conversion_output":true,"text":"Section 7.2. No confirmatory interim analysis will be performed for the composite renal","text_display":" Section 7.2. No confirmatory interim analysis will be performed for the composite renal","confidence":0.98977469233796,"confidence_rate":0.9998882894438762},{"cnt":[[247,532],[1807,532],[1807,578],[247,578]],"region":{"top_left_x":246,"top_left_y":532,"width":1561,"height":46},"line":11,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"e96c00866f444582a7e8d434e2c7fe75","type":"text","conversion_output":true,"text":"endpoint, i.e. for the renal endpoint superiority will formally be tested only once after regular","text_display":" endpoint, i.e. for the renal endpoint superiority will formally be tested only once after regular","confidence":0.99951171875,"confidence_rate":0.999995211771286},{"cnt":[[247,580],[1665,580],[1665,628],[247,628]],"region":{"top_left_x":246,"top_left_y":580,"width":1420,"height":49},"line":12,"column":0,"font_size":37,"is_printed":true,"is_handwritten":false,"id":"04bea8cfbdb74dc99b03a032fed35ce6","type":"text","conversion_output":true,"text":"or premature study termination, respectively. In case non inferiority has not yet been","text_display":" or premature study termination, respectively. 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All rights reserved.","confidence":0.998046875,"confidence_rate":0.9999835712707866},{"cnt":[[297,2664],[1768,2664],[1768,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2663,"width":1473,"height":40},"line":48,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"a96373cda3bb4f5793f55b91c1832a66","type":"text","conversion_output":true,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"\nThis document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-069","page":69,"lines":[{"cnt":[[247,121],[610,121],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":121,"width":364,"height":46},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"376e51ada72a4751938adab32a0399e3","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,162],[1503,162]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":45},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6c3d9058583a4d1bb0dda9696c4711e1","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[599,164],[599,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":353,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5e6fa42b99284253a21e18d9853cd468","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,210],[637,210],[637,249],[247,249]],"region":{"top_left_x":246,"top_left_y":210,"width":392,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"8f43c0db6ee7471d8045f75a53c7566e","type":"page_info","conversion_output":false,"text":"Doc. No.: c02155180-06","text_display":"","confidence":0.9990234375,"confidence_rate":0.9999638140011059},{"cnt":[[868,210],[1108,210],[1108,249],[868,249]],"region":{"top_left_x":868,"top_left_y":210,"width":240,"height":39},"line":5,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b90254eb65ce4848aa9ef72e972317b0","type":"page_info","conversion_output":false,"text":"Trial Protocol","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1574,210],[1816,210],[1816,254],[1574,254]],"region":{"top_left_x":1573,"top_left_y":210,"width":244,"height":44},"line":6,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"56a9267497b2412cb52059499a28d494","type":"page_info","conversion_output":false,"text":"Page 69 of 123","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[244,338],[1784,338],[1784,388],[244,388]],"region":{"top_left_x":244,"top_left_y":338,"width":1541,"height":51},"line":7,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"bf361352c19947b1ad1975aa81378c49","type":"text","conversion_output":true,"text":"pre-specified non-inferiority (NI) margin of 1.3 for the HR; at the overall 1 -sided \\(\\alpha\\)-level of","text_display":"\npre-specified non-inferiority (NI) margin of 1.3 for the HR; at the overall 1 -sided \\(\\alpha\\)-level of","confidence":0.7199017812963575,"confidence_rate":0.9970168177289876},{"cnt":[[244,388],[1800,388],[1800,436],[244,436]],"region":{"top_left_x":244,"top_left_y":388,"width":1557,"height":49},"line":8,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7a617188571e4162aa2decdfd55cbefa","type":"text","conversion_output":true,"text":"\\(2.5 \\%\\) and with one interim analysis at \\(\\alpha=1.0 \\%\\) after \\(70 \\%\\) of the events (calculated with East,","text_display":" \\(2.5 \\%\\) and with one interim analysis at \\(\\alpha=1.0 \\%\\) after \\(70 \\%\\) of the events (calculated with East,","confidence":0.99755859375,"confidence_rate":0.9999757983983905},{"cnt":[[247,434],[1688,434],[1688,482],[247,482]],"region":{"top_left_x":246,"top_left_y":434,"width":1443,"height":49},"line":9,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"177042cbdba34a24ab78f8fea8ccf4d1","type":"text","conversion_output":true,"text":"version 5.4). Assuming a study duration of 3.8 years, recruitment within 3 years and a","text_display":" version 5.4). Assuming a study duration of 3.8 years, recruitment within 3 years and a","confidence":0.99951171875,"confidence_rate":0.9999949649559944},{"cnt":[[247,484],[1748,484],[1748,532],[247,532]],"region":{"top_left_x":246,"top_left_y":484,"width":1502,"height":49},"line":10,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"40e93e7250a244289be2bbfc3ebd38c7","type":"text","conversion_output":true,"text":"eumulative lost to follow up rate of \\(2.0 \\%\\), 4150 patients per group are required to achieve","text_display":" eumulative lost to follow up rate of \\(2.0 \\%\\), 4150 patients per group are required to achieve","confidence":0.7699876240674439,"confidence_rate":0.9974407233224281},{"cnt":[[247,532],[1757,532],[1757,578],[247,578]],"region":{"top_left_x":246,"top_left_y":532,"width":1511,"height":46},"line":11,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"9cb3d6905e82400aaf785df88b9398f4","type":"text","conversion_output":true,"text":"625 patients with a primary endpoint. The change of the primary variable from 4-point","text_display":" 625 patients with a primary endpoint. The change of the primary variable from 4-point","confidence":0.80322265625,"confidence_rate":0.9975409685748484},{"cnt":[[247,580],[1757,580],[1757,628],[247,628]],"region":{"top_left_x":246,"top_left_y":580,"width":1511,"height":49},"line":12,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"58a8b05ac49f4c1dbd4a2daa7f7602a1","type":"text","conversion_output":true,"text":"MACE to 3-point MACE does not affect the required number of patients with event;","text_display":" MACE to 3-point MACE does not affect the required number of patients with event;","confidence":1,"confidence_rate":1},{"cnt":[[247,626],[1729,626],[1729,678],[247,678]],"region":{"top_left_x":246,"top_left_y":625,"width":1484,"height":54},"line":13,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c523db2e72ee4708ac7f8c03759162e9","type":"text","conversion_output":true,"text":"the slight reduction from 625 to 611 patients is due to the elimination of the interim","text_display":" the slight reduction from 625 to 611 patients is due to the elimination of the interim","confidence":1,"confidence_rate":1},{"cnt":[[247,676],[1743,676],[1743,724],[247,724]],"region":{"top_left_x":246,"top_left_y":676,"width":1497,"height":49},"line":14,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"768c193934f04f6592530edeb86c1c68","type":"text","conversion_output":true,"text":"analysis. Since the event rate is higher than initially assumed the same power can be","text_display":" analysis. Since the event rate is higher than initially assumed the same power can be","confidence":0.9936575889587402,"confidence_rate":0.9999293068368748},{"cnt":[[247,722],[1748,722],[1748,772],[247,772]],"region":{"top_left_x":246,"top_left_y":721,"width":1502,"height":52},"line":15,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"35555b43cb894899ab61e63039e701f6","type":"text","conversion_output":true,"text":"achieved within the originally planned timelines with a sample size of approximately","text_display":" achieved within the originally planned timelines with a sample size of approximately","confidence":0.98095703125,"confidence_rate":0.9997839938793736},{"cnt":[[247,772],[496,772],[496,820],[247,820]],"region":{"top_left_x":246,"top_left_y":772,"width":250,"height":49},"line":16,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"4816b1d31df74992b0345e0d1a7fb2d3","type":"text","conversion_output":true,"text":"7000 patients.","text_display":" 7000 patients.","confidence":1,"confidence_rate":1},{"cnt":[[247,859],[1743,859],[1743,907],[247,907]],"region":{"top_left_x":246,"top_left_y":858,"width":1497,"height":49},"line":17,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3ba5679b89744ba0a86a01fb31b56ecc","type":"text","conversion_output":true,"text":"Out of these, 531 patients are expected to experience CV death, non-fatal MI or non-fatal","text_display":"\n\nOut of these, 531 patients are expected to experience CV death, non-fatal MI or non-fatal","confidence":0.941709041595459,"confidence_rate":0.9993810274656998},{"cnt":[[247,909],[368,909],[368,953],[247,953]],"region":{"top_left_x":246,"top_left_y":909,"width":122,"height":44},"line":18,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"ebfc78ceeaba4ad2a7eecb4ac382f59c","type":"text","conversion_output":true,"text":"stroke.","text_display":" stroke.","confidence":0.97802734375,"confidence_rate":0.998150242040434},{"cnt":[[247,996],[1752,996],[1752,1046],[247,1046]],"region":{"top_left_x":246,"top_left_y":995,"width":1507,"height":52},"line":19,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"959d0745ed5e41889b0906370392dea8","type":"text","conversion_output":true,"text":"If the event distribution is lower than expected, the impact on the study conduct should be","text_display":"\n\nIf the event distribution is lower than expected, the impact on the study conduct should be","confidence":1,"confidence_rate":1},{"cnt":[[247,1046],[1812,1046],[1812,1094],[247,1094]],"region":{"top_left_x":246,"top_left_y":1046,"width":1566,"height":49},"line":20,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"516113bdaf6c4a1cada27f25c86cd493","type":"text","conversion_output":true,"text":"carefully considered. The SC would further monitor the recruitment of the trial with regard to","text_display":" carefully considered. The SC would further monitor the recruitment of the trial with regard to","confidence":1,"confidence_rate":1},{"cnt":[[247,1092],[1782,1092],[1782,1140],[247,1140]],"region":{"top_left_x":246,"top_left_y":1091,"width":1536,"height":49},"line":21,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1b657f9335614126b403d2d1e11f28b7","type":"text","conversion_output":true,"text":"baseline data for CV complications and renal impairment. The intent is to obtain a balanced","text_display":" baseline data for CV complications and renal impairment. The intent is to obtain a balanced","confidence":0.9951171875,"confidence_rate":0.9999490140875682},{"cnt":[[247,1142],[1812,1142],[1812,1190],[247,1190]],"region":{"top_left_x":246,"top_left_y":1142,"width":1566,"height":49},"line":22,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b3368a08ad7341cf9b900ed4c1da6467","type":"text","conversion_output":true,"text":"mix of patients with CV complications and albuminuria AND patients with renal impairment.","text_display":" mix of patients with CV complications and albuminuria AND patients with renal impairment.","confidence":1,"confidence_rate":1},{"cnt":[[244,1190],[1387,1190],[1387,1238],[244,1238]],"region":{"top_left_x":244,"top_left_y":1190,"width":1143,"height":49},"line":23,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"08e8cd41afa04542aef6163939bf5d16","type":"text","conversion_output":true,"text":"As such the SC may recommend to cap specific patient populations.","text_display":" As such the SC may recommend to cap specific patient populations.","confidence":0.9306640625,"confidence_rate":0.9989739995281306},{"cnt":[[247,1279],[1812,1279],[1812,1327],[247,1327]],"region":{"top_left_x":246,"top_left_y":1279,"width":1566,"height":49},"line":24,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d66022a6106d4eee80a1f6d93cddbe35","type":"text","conversion_output":true,"text":"If non-inferiority has been demonstrated, then superiority with regard to the primary endpoint","text_display":"\n\nIf non-inferiority has been demonstrated, then superiority with regard to the primary endpoint","confidence":1,"confidence_rate":1},{"cnt":[[247,1327],[1775,1327],[1775,1377],[247,1377]],"region":{"top_left_x":246,"top_left_y":1327,"width":1529,"height":51},"line":25,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"0f857b783be64ab69bc2aceaa94cbfe2","type":"text","conversion_output":true,"text":"will be tested. Assuming 625611 patients with event and a hazard rate on linagliptin at any","text_display":" will be tested. Assuming 625611 patients with event and a hazard rate on linagliptin at any","confidence":0.98193359375,"confidence_rate":0.9998158594166987},{"cnt":[[244,1375],[1802,1375],[1802,1428],[244,1428]],"region":{"top_left_x":244,"top_left_y":1375,"width":1559,"height":53},"line":26,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"100e1665d70248e7aad66fe71c0058f8","type":"text","conversion_output":true,"text":"time \\(20 \\%\\) less than the risk on placebo (HR: \\(\\lambda_{\\text {linagliptin }} / \\lambda_{\\text {placebe }}=0.02848 / 0.0356=0.80\\) ), then","text_display":" time \\(20 \\%\\) less than the risk on placebo (HR: \\(\\lambda_{\\text {linagliptin }} / \\lambda_{\\text {placebe }}=0.02848 / 0.0356=0.80\\) ), then","confidence":0.9178096155611148,"confidence_rate":0.9993301830188173},{"cnt":[[247,1421],[1768,1421],[1768,1471],[247,1471]],"region":{"top_left_x":246,"top_left_y":1420,"width":1523,"height":52},"line":27,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3e99eeb337d042deaa819e0be1c067b7","type":"text","conversion_output":true,"text":"the resulting power to demonstrate superiority at the final analysis is \\(74 \\% 79 \\%\\) if the for a","text_display":" the resulting power to demonstrate superiority at the final analysis is \\(74 \\% 79 \\%\\) if the for a","confidence":0.8298592332485638,"confidence_rate":0.9981179430815972},{"cnt":[[247,1471],[1821,1471],[1821,1519],[247,1519]],"region":{"top_left_x":246,"top_left_y":1471,"width":1575,"height":49},"line":28,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"4a2a9c7c44c0446db043db3fcdf7a045","type":"text","conversion_output":true,"text":"test ean be performed at the \\(\\alpha\\)-level of \\(1.59 \\% 2 . 5 \\%\\) (cf. Section 7.2) and 69\\% if the test has to","text_display":" test ean be performed at the \\(\\alpha\\)-level of \\(1.59 \\% 2 . 5 \\%\\) (cf. Section 7.2) and 69\\% if the test has to","confidence":0.8071538463006579,"confidence_rate":0.9980364166955519},{"cnt":[[247,1517],[1789,1517],[1789,1567],[247,1567]],"region":{"top_left_x":246,"top_left_y":1516,"width":1543,"height":52},"line":29,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"aca406de499143e8a6bef24ead4999be","type":"text","conversion_output":true,"text":"be performed at the a-level of \\(1.06 \\%\\). If the risk reduction is \\(21.3 \\%\\) (HR: 0.787) and the test","text_display":" be performed at the a-level of \\(1.06 \\%\\). If the risk reduction is \\(21.3 \\%\\) (HR: 0.787) and the test","confidence":0.4527383967268786,"confidence_rate":0.9924813521702239},{"cnt":[[247,1567],[1770,1567],[1770,1615],[247,1615]],"region":{"top_left_x":246,"top_left_y":1567,"width":1525,"height":49},"line":30,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"57bfc16e302543f2aeb942c952457006","type":"text","conversion_output":true,"text":"ean be performed at the a-level of \\(1.59 \\%\\), the power to demonstrate superiority is \\(80 \\%\\); the","text_display":" ean be performed at the a-level of \\(1.59 \\%\\), the power to demonstrate superiority is \\(80 \\%\\); the","confidence":0.4977894502473357,"confidence_rate":0.9932502796488873},{"cnt":[[244,1613],[1391,1613],[1391,1665],[244,1665]],"region":{"top_left_x":244,"top_left_y":1612,"width":1148,"height":54},"line":31,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"462a02669d0149a4b6c651bdbd0fc014","type":"text","conversion_output":true,"text":"power is \\(75 \\%\\) if the test has to be performed at the a-level of \\(1.06 \\%\\).","text_display":" power is \\(75 \\%\\) if the test has to be performed at the a-level of \\(1.06 \\%\\).","confidence":0.9709733553518163,"confidence_rate":0.9996364086895732},{"cnt":[[244,1704],[1757,1704],[1757,1752],[244,1752]],"region":{"top_left_x":244,"top_left_y":1704,"width":1513,"height":49},"line":32,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"79bcc52fd12d43cebe3b627820bef2a9","type":"text","conversion_output":true,"text":"Assuming 432 patients with a composite renal endpoint, a yearly event rate of \\(2.5 \\%\\) in the","text_display":"\n\nAssuming 432 patients with a composite renal endpoint, a yearly event rate of \\(2.5 \\%\\) in the","confidence":1,"confidence_rate":1},{"cnt":[[244,1750],[1686,1750],[1686,1802],[244,1802]],"region":{"top_left_x":244,"top_left_y":1749,"width":1442,"height":54},"line":33,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"8f49bcc82d0f4b1cbb4986004b5bd5c4","type":"text","conversion_output":true,"text":"placebo group and a hazard rate HR on linagliptin of 0.75 , then the resulting power to","text_display":" placebo group and a hazard rate HR on linagliptin of 0.75 , then the resulting power to","confidence":0.99951171875,"confidence_rate":0.9999948589553403},{"cnt":[[247,1800],[1816,1800],[1816,1848],[247,1848]],"region":{"top_left_x":246,"top_left_y":1800,"width":1571,"height":49},"line":34,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"9562f68d2a4848c9b282a784ce1a422b","type":"text","conversion_output":true,"text":"demonstrate superiority at the final analysis is \\(80 \\% 8 5 \\%\\) if the test can be performed at the \\(\\alpha\\) -","text_display":" demonstrate superiority at the final analysis is \\(80 \\% 8 5 \\%\\) if the test can be performed at the \\(\\alpha\\) ","confidence":0.9107308387756348,"confidence_rate":0.9991424973861786},{"cnt":[[247,1846],[1766,1846],[1766,1894],[247,1894]],"region":{"top_left_x":246,"top_left_y":1845,"width":1520,"height":49},"line":35,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"af14534d4d2c40e996a17a412103e950","type":"text","conversion_output":true,"text":"level of \\(1.59 \\%\\) and \\(75 \\%\\) if the test has to be performed at the a-level of \\(1.06 \\% 2.5 \\%\\). If the","text_display":"level of \\(1.59 \\%\\) and \\(75 \\%\\) if the test has to be performed at the a-level of \\(1.06 \\% 2.5 \\%\\). 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monitoring}","confidence":1,"confidence_rate":1},{"cnt":[[247,617],[1784,617],[1784,665],[247,665]],"region":{"top_left_x":246,"top_left_y":616,"width":1539,"height":49},"line":13,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"721412acc36e4e00b7a75721ddb776c4","type":"text","conversion_output":true,"text":"In the event of recruiting an illiterate patient, the following process should be followed with","text_display":"\n\nIn the event of recruiting an illiterate patient, the following process should be followed with","confidence":1,"confidence_rate":1},{"cnt":[[244,667],[1039,667],[1039,715],[244,715]],"region":{"top_left_x":244,"top_left_y":667,"width":796,"height":49},"line":14,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"496a2c1567f44f5f88ae5c5a6c2dc676","type":"text","conversion_output":true,"text":"respect to HBGM and documenting the results:","text_display":" respect to HBGM and documenting the 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patient","text_display":" caregiver or relative) will attend the clinic together with the patient","confidence":1,"confidence_rate":1},{"cnt":[[244,891],[1816,891],[1816,941],[244,941]],"region":{"top_left_x":244,"top_left_y":890,"width":1573,"height":52},"line":17,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d92ada83694a4457a25e899adcf55eaa","type":"text","conversion_output":true,"text":"- the site staff should confirm that this individual will be present with the patient, whenever","text_display":"\n- the site staff should confirm that this individual will be present with the patient, whenever","confidence":1,"confidence_rate":1},{"cnt":[[306,937],[1021,937],[1021,989],[306,989]],"region":{"top_left_x":306,"top_left_y":936,"width":716,"height":54},"line":18,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b64e0f7f768642dfa7c301e63192d92d","type":"text","conversion_output":true,"text":"he/she is likely to need to perform HBGM","text_display":" he/she is likely to need to perform HBGM","confidence":0.99951171875,"confidence_rate":0.9999891467144949},{"cnt":[[242,1028],[1716,1028],[1716,1081],[242,1081]],"region":{"top_left_x":242,"top_left_y":1027,"width":1474,"height":54},"line":19,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d687cdb895cb42d38139f090d6814105","type":"text","conversion_output":true,"text":"- the site staff should then train both the patient and above-mentioned individual with","text_display":"\n- the site staff should then train both the patient and above-mentioned individual with","confidence":1,"confidence_rate":1},{"cnt":[[306,1074],[1770,1074],[1770,1126],[306,1126]],"region":{"top_left_x":306,"top_left_y":1073,"width":1465,"height":54},"line":20,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"8840ed55d47a4054a0003673e0943b8d","type":"text","conversion_output":true,"text":"respect to the correct use of the HBGM equipment during each period of the trial. This","text_display":" respect to the correct use of the HBGM equipment during each period of the trial. This","confidence":1,"confidence_rate":1},{"cnt":[[306,1124],[1697,1124],[1697,1172],[306,1172]],"region":{"top_left_x":306,"top_left_y":1123,"width":1392,"height":49},"line":21,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"90cbeb7c27f04d4d99a1a018a5f184e1","type":"text","conversion_output":true,"text":"will include the use of the glucose meter itself and the test strips, lancet device and","text_display":" will include the use of the glucose meter itself and the test strips, lancet device and","confidence":1,"confidence_rate":1},{"cnt":[[306,1172],[1798,1172],[1798,1222],[306,1222]],"region":{"top_left_x":306,"top_left_y":1171,"width":1492,"height":52},"line":22,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c2e5cfe15f9a4882aa1c4962b45c5306","type":"text","conversion_output":true,"text":"control solution(s). Furthermore, if whole blood referenced test strips are standard in the","text_display":" control solution(s). 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A training letter is available to support this","text_display":" results obtained via these two methods. A training letter is available to support this","confidence":1,"confidence_rate":1},{"cnt":[[306,1416],[441,1416],[441,1464],[306,1464]],"region":{"top_left_x":306,"top_left_y":1416,"width":135,"height":49},"line":27,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"a888f68f5eab4367b71e5fb0d1e64f58","type":"text","conversion_output":true,"text":"process","text_display":" process","confidence":1,"confidence_rate":1},{"cnt":[[242,1501],[1770,1501],[1770,1551],[242,1551]],"region":{"top_left_x":242,"top_left_y":1500,"width":1529,"height":52},"line":28,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c33832551d53469ba3fd71ada3109623","type":"text","conversion_output":true,"text":"- the site staff should also train both the patient and the above-mentioned individual with","text_display":"\n- the site staff should also train both the patient and the above-mentioned individual with","confidence":1,"confidence_rate":1},{"cnt":[[306,1549],[1786,1549],[1786,1601],[306,1601]],"region":{"top_left_x":306,"top_left_y":1548,"width":1481,"height":54},"line":29,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"60594221a2224f368e26e89026aa9a4f","type":"text","conversion_output":true,"text":"respect to the completion of the HBGM diary. As for all other patients, the results of all","text_display":" respect to the completion of the HBGM diary. 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In","text_display":" member of staff employed by the clinic but not part of the immediate trial team. 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All rights reserved.","text_display":"\n© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. 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If he/she wishes, the","text_display":" ample time to ask questions and consider his/her participation. If he/she wishes, the","confidence":1,"confidence_rate":1},{"cnt":[[306,434],[1814,434],[1814,482],[306,482]],"region":{"top_left_x":306,"top_left_y":434,"width":1508,"height":49},"line":9,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"f05ee5bd26fd44d08c6d11412fb75709","type":"text","conversion_output":true,"text":"patient can take the patient information sheet and informed consent form home for further","text_display":" patient can take the patient information sheet and informed consent form home for further","confidence":1,"confidence_rate":1},{"cnt":[[306,484],[541,484],[541,523],[306,523]],"region":{"top_left_x":306,"top_left_y":484,"width":236,"height":40},"line":10,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"318ff968bc7b4a24876077130d9c1f77","type":"text","conversion_output":true,"text":"consideration","text_display":" consideration","confidence":1,"confidence_rate":1},{"cnt":[[242,571],[1725,571],[1725,624],[242,624]],"region":{"top_left_x":242,"top_left_y":571,"width":1483,"height":53},"line":11,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"2bbe8cf32d2749deb1a66d4139d54be4","type":"text","conversion_output":true,"text":"- If patient agrees to take part in the trial, he/she would then return to the clinic for the","text_display":"\n- If patient agrees to take part in the trial, he/she would then return to the clinic for the","confidence":1,"confidence_rate":1},{"cnt":[[306,621],[1711,621],[1711,669],[306,669]],"region":{"top_left_x":306,"top_left_y":621,"width":1405,"height":49},"line":12,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"295e65d3b0d54fbf835d9926f3ea9e97","type":"text","conversion_output":true,"text":"consent process to be completed. The site designated personnel responsible for this","text_display":" consent process to be completed. The site designated personnel responsible for this","confidence":1,"confidence_rate":1},{"cnt":[[306,669],[1789,669],[1789,720],[306,720]],"region":{"top_left_x":306,"top_left_y":669,"width":1483,"height":51},"line":13,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"52ba9cf3a5e24da0b9e1459eafbbbada","type":"text","conversion_output":true,"text":"process will confirm that the patient has no further questions in the presence of the same","text_display":" process will confirm that the patient has no further questions in the presence of the same","confidence":1,"confidence_rate":1},{"cnt":[[306,717],[1812,717],[1812,765],[306,765]],"region":{"top_left_x":306,"top_left_y":717,"width":1506,"height":49},"line":14,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b21731c0e7474e7f96efdcee4f89b81c","type":"text","conversion_output":true,"text":"impartial witness (if the patient returns on another day). 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However,","text_display":"\n- The date of the patient's signature will be left blank as the patient is illiterate. However,","confidence":1,"confidence_rate":1},{"cnt":[[306,1037],[1432,1037],[1432,1090],[306,1090]],"region":{"top_left_x":306,"top_left_y":1037,"width":1127,"height":53},"line":19,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7da97a612fdf47db9d68cd6f6bfad982","type":"text","conversion_output":true,"text":"if the patient is able, he/she will date the mark/signature personally","text_display":" if the patient is able, he/she will date the mark/signature personally","confidence":1,"confidence_rate":1},{"cnt":[[242,1128],[1784,1128],[1784,1181],[242,1181]],"region":{"top_left_x":242,"top_left_y":1128,"width":1543,"height":54},"line":20,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"ee68cc122489484dbf186be5fcff193a","type":"text","conversion_output":true,"text":"- The impartial witness or the site designated personnel may write the name of the patient","text_display":"\n- The impartial witness or the site designated personnel may write the name of the patient","confidence":1,"confidence_rate":1},{"cnt":[[306,1179],[811,1179],[811,1222],[306,1222]],"region":{"top_left_x":306,"top_left_y":1178,"width":505,"height":45},"line":21,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6d48cdf2e6aa4cb3a5634eca1894c2f3","type":"text","conversion_output":true,"text":"on the informed consent form","text_display":" on the informed consent form","confidence":1,"confidence_rate":1},{"cnt":[[242,1266],[1738,1266],[1738,1318],[242,1318]],"region":{"top_left_x":242,"top_left_y":1265,"width":1497,"height":54},"line":22,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"48a9cd1a768c46a5865f12302668b16f","type":"text","conversion_output":true,"text":"- The impartial witness should enter his/her name, sign and personally date the witness","text_display":"\n- The impartial witness should enter his/her name, sign and personally date the witness","confidence":1,"confidence_rate":1},{"cnt":[[306,1316],[1802,1316],[1802,1364],[306,1364]],"region":{"top_left_x":306,"top_left_y":1315,"width":1497,"height":49},"line":23,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5cdbfeb03984404fb2e2bf2b8ec72c02","type":"text","conversion_output":true,"text":"section of the informed consent form. 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The signature then attests that the content of the patient information sheet and","confidence":1,"confidence_rate":1},{"cnt":[[306,1457],[1633,1457],[1633,1510],[306,1510]],"region":{"top_left_x":306,"top_left_y":1457,"width":1328,"height":53},"line":26,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"82ba2271604846b6b0cee4b2824cadad","type":"text","conversion_output":true,"text":"informed consent form was accurately explained to the patient, who apparently","text_display":" informed consent form was accurately explained to the patient, who apparently","confidence":1,"confidence_rate":1},{"cnt":[[306,1508],[1318,1508],[1318,1556],[306,1556]],"region":{"top_left_x":306,"top_left_y":1507,"width":1013,"height":49},"line":27,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"88159ca2ddf64b5dbbde21e67edf2028","type":"text","conversion_output":true,"text":"understood and freely gave consent to participate in the trial","text_display":" understood and freely gave consent to participate in the trial","confidence":1,"confidence_rate":1},{"cnt":[[242,1594],[1786,1594],[1786,1647],[242,1647]],"region":{"top_left_x":242,"top_left_y":1594,"width":1545,"height":54},"line":28,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"05b4de1993ce44e4b89daaa26b555eb4","type":"text","conversion_output":true,"text":"- The designated site personnel also signs and personally dates the informed consent form","text_display":"\n- The designated site personnel also signs and personally dates the informed consent 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EVENTS}","confidence":1,"confidence_rate":1},{"cnt":[[244,1775],[1674,1775],[1674,1825],[244,1825]],"region":{"top_left_x":244,"top_left_y":1774,"width":1431,"height":52},"line":31,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"4f0bcee0d37b4109a7a8ce5c8fa2e3c6","type":"text","conversion_output":true,"text":"Definitions of the adjudicated endpoint events and the principles of standardised data","text_display":"\n\nDefinitions of the adjudicated endpoint events and the principles of standardised data","confidence":1,"confidence_rate":1},{"cnt":[[244,1823],[1775,1823],[1775,1875],[244,1875]],"region":{"top_left_x":244,"top_left_y":1822,"width":1531,"height":54},"line":32,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"2eaf7e7a6685465ba3009319269705b0","type":"text","conversion_output":true,"text":"collection in the centralised CEC adjudication process are outlined in the CEC charters and","text_display":" collection in the centralised CEC adjudication process are outlined in the CEC charters and","confidence":1,"confidence_rate":1},{"cnt":[[242,1873],[569,1873],[569,1921],[242,1921]],"region":{"top_left_x":242,"top_left_y":1873,"width":327,"height":49},"line":33,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7c37dcb1c73d4d21813468bc5b2cd734","type":"text","conversion_output":true,"text":"process guidelines.","text_display":" process 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The arm with the higher","text_display":"\n\nInitially, blood pressure should be taken three times in both arms. The arm with the higher","confidence":1,"confidence_rate":1},{"cnt":[[244,2147],[1734,2147],[1734,2198],[244,2198]],"region":{"top_left_x":244,"top_left_y":2147,"width":1490,"height":51},"line":37,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"072baa88c1894445b603494a71841a79","type":"text","conversion_output":true,"text":"pressure (either systolic -if needed to decide- or diastolic) should be used for subsequent","text_display":" pressure (either systolic -if needed to decide- or diastolic) should be used for subsequent","confidence":0.9645077522145584,"confidence_rate":0.9996236394963774},{"cnt":[[242,2198],[500,2198],[500,2236],[242,2236]],"region":{"top_left_x":242,"top_left_y":2197,"width":259,"height":40},"line":38,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d90aa18346234bcc8a7977db72bc5411","type":"text","conversion_output":true,"text":"measurements.","text_display":" measurements.","confidence":1,"confidence_rate":1},{"cnt":[[244,2284],[1574,2284],[1574,2332],[244,2332]],"region":{"top_left_x":244,"top_left_y":2284,"width":1330,"height":49},"line":39,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"2a57a508f342469fb572ee50897201d5","type":"text","conversion_output":true,"text":"Blood pressure measurements can be performed with either a standard mercury","text_display":"\n\nBlood pressure measurements can be performed with either a standard mercury","confidence":1,"confidence_rate":1},{"cnt":[[244,2330],[1775,2330],[1775,2383],[244,2383]],"region":{"top_left_x":244,"top_left_y":2330,"width":1531,"height":53},"line":40,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"a36da05125dc449d964cbe9a5c38043d","type":"text","conversion_output":true,"text":"sphygmomanometer or a fully automated blood pressure device, depending on the standard","text_display":" sphygmomanometer or a fully automated blood pressure device, depending on the standard","confidence":0.99951171875,"confidence_rate":0.9999946329759618},{"cnt":[[244,2380],[1775,2380],[1775,2428],[244,2428]],"region":{"top_left_x":244,"top_left_y":2380,"width":1531,"height":49},"line":41,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"55553ac20c794d98980a94ce738a6c48","type":"text","conversion_output":true,"text":"practice at each study site - Note: BI will not provide electronic devices to sites that use the","text_display":" practice at each study site - Note: BI will not provide electronic devices to sites that use the","confidence":1,"confidence_rate":1},{"cnt":[[244,2426],[1812,2426],[1812,2479],[244,2479]],"region":{"top_left_x":244,"top_left_y":2426,"width":1568,"height":53},"line":42,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"15a521d054684272866c2ff169455f8c","type":"text","conversion_output":true,"text":"standard manual sphygmomanometers. The fully automated blood pressure devices should be","text_display":" standard manual sphygmomanometers. The fully automated blood pressure devices should be","confidence":1,"confidence_rate":1},{"cnt":[[244,2476],[1519,2476],[1519,2524],[244,2524]],"region":{"top_left_x":244,"top_left_y":2476,"width":1276,"height":49},"line":43,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1c5d59c4eff24f579398cfa28314df5c","type":"text","conversion_output":true,"text":"validated by website: dableducational.org. Other devices are not acceptable.","text_display":" validated by website: dableducational.org. Other devices are not acceptable.","confidence":1,"confidence_rate":1},{"cnt":[[790,2581],[1300,2581],[1300,2622],[790,2622]],"region":{"top_left_x":790,"top_left_y":2581,"width":510,"height":42},"line":44,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"21bc939d9c544853a05e62681e85c3c0","type":"text","conversion_output":true,"text":"Proprietary confidential information.","text_display":"\n\nProprietary confidential information.","confidence":0.99755859375,"confidence_rate":0.9999418018997234},{"cnt":[[288,2620],[1798,2620],[1798,2661],[288,2661]],"region":{"top_left_x":287,"top_left_y":2620,"width":1511,"height":42},"line":45,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"936af7d9e30244f4acbadc149cf04503","type":"text","conversion_output":true,"text":"© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","text_display":"\n© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","confidence":0.978515625,"confidence_rate":0.9998175080490214},{"cnt":[[297,2664],[1768,2664],[1768,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2663,"width":1473,"height":40},"line":46,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"07accc7b38204588a90265bd305c810a","type":"text","conversion_output":true,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"\nThis document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-081","page":81,"lines":[{"cnt":[[247,121],[610,121],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":121,"width":364,"height":46},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"8b97bbdb94a548d7891e356602b49022","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,162],[1503,162]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":45},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"35912fa68918413d986d7d7e84186cdc","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[596,164],[596,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":351,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"086ee03641cd41a5a1ca0f4a2c466371","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,210],[637,210],[637,249],[247,249]],"region":{"top_left_x":246,"top_left_y":210,"width":392,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"458ace5db56a43d8a8698427cb37e6c8","type":"page_info","conversion_output":false,"text":"Doc. No.: c02155180-06","text_display":"","confidence":0.9990234375,"confidence_rate":0.9999638140011058},{"cnt":[[868,210],[1108,210],[1108,249],[868,249]],"region":{"top_left_x":868,"top_left_y":210,"width":240,"height":39},"line":5,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c6a41d04d6cf4e5c8c02a8e2c839313f","type":"page_info","conversion_output":false,"text":"Trial Protocol","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1574,210],[1816,210],[1816,254],[1574,254]],"region":{"top_left_x":1573,"top_left_y":210,"width":244,"height":44},"line":6,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"2d443e66761e49c7b68dc3af393619a3","type":"page_info","conversion_output":false,"text":"Page 81 of 123","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,338],[1780,338],[1780,388],[247,388]],"region":{"top_left_x":246,"top_left_y":338,"width":1534,"height":51},"line":7,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"2c53e2bbc1a2406fbe07b72baecef79b","type":"text","conversion_output":true,"text":"Blood pressure measurements should be performed on the same arm and, if possible, by the","text_display":"\n\nBlood pressure measurements should be performed on the same arm and, if possible, by the","confidence":1,"confidence_rate":1},{"cnt":[[247,388],[1798,388],[1798,436],[247,436]],"region":{"top_left_x":246,"top_left_y":388,"width":1552,"height":49},"line":8,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"068f73d3a5524b1abd562eb54e405a3d","type":"text","conversion_output":true,"text":"same person. The same method must be used throughout the trial, for a given patient, i.e. if a","text_display":" same person. The same method must be used throughout the trial, for a given patient, i.e. if a","confidence":1,"confidence_rate":1},{"cnt":[[247,434],[1786,434],[1786,482],[247,482]],"region":{"top_left_x":246,"top_left_y":434,"width":1541,"height":49},"line":9,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"2dfc912957f1414dadd54dc4d216e937","type":"text","conversion_output":true,"text":"patient receives the first blood pressure measurement for example with an electronic device,","text_display":" patient receives the first blood pressure measurement for example with an electronic device,","confidence":1,"confidence_rate":1},{"cnt":[[247,484],[1761,484],[1761,532],[247,532]],"region":{"top_left_x":246,"top_left_y":484,"width":1516,"height":49},"line":10,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5219dca1027141bd8c8a291938aa1488","type":"text","conversion_output":true,"text":"the same method and a similar type of device should be used throughout the study for this","text_display":" the same method and a similar type of device should be used throughout the study for this","confidence":1,"confidence_rate":1},{"cnt":[[244,532],[1807,532],[1807,578],[244,578]],"region":{"top_left_x":244,"top_left_y":532,"width":1563,"height":46},"line":11,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3feed0d6fa1c471498de476eaf095396","type":"text","conversion_output":true,"text":"patient (without switching to manual blood pressure measurement). On the other hand, inter-","text_display":" patient (without switching to manual blood pressure measurement). On the other hand, inter","confidence":1,"confidence_rate":1},{"cnt":[[247,580],[1782,580],[1782,628],[247,628]],"region":{"top_left_x":246,"top_left_y":580,"width":1536,"height":49},"line":12,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3a84219a1d25454782abcb2bcac34377","type":"text","conversion_output":true,"text":"patients variability is acceptable, i.e. a study site is allowed to consistently use an electronic","text_display":"patients variability is acceptable, i.e. a study site is allowed to consistently use an electronic","confidence":0.958984375,"confidence_rate":0.9995934758839607},{"cnt":[[247,628],[1757,628],[1757,678],[247,678]],"region":{"top_left_x":246,"top_left_y":628,"width":1511,"height":51},"line":13,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"ff42d65eefd5485c8cf3bf0f2ac542a7","type":"text","conversion_output":true,"text":"device to measure the blood pressure in a given patient throughout the study and a manual","text_display":" device to measure the blood pressure in a given patient throughout the study and a manual","confidence":0.99951171875,"confidence_rate":0.999994804263518},{"cnt":[[247,676],[724,676],[724,724],[247,724]],"region":{"top_left_x":246,"top_left_y":676,"width":479,"height":49},"line":14,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"16caf1ae7913437bbe19291743b14f1c","type":"text","conversion_output":true,"text":"technique in another patient.","text_display":" technique in another patient.","confidence":1,"confidence_rate":1},{"cnt":[[247,763],[1814,763],[1814,813],[247,813]],"region":{"top_left_x":246,"top_left_y":762,"width":1568,"height":52},"line":15,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"fd161fbdd8d94ddab4827d34959356e5","type":"text","conversion_output":true,"text":"After patients have rested quietly, in the seated position for five minutes, three blood pressure","text_display":"\n\nAfter patients have rested quietly, in the seated position for five minutes, three blood pressure","confidence":1,"confidence_rate":1},{"cnt":[[247,813],[1784,813],[1784,861],[247,861]],"region":{"top_left_x":246,"top_left_y":813,"width":1539,"height":49},"line":16,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"f838abf197c44ef69cdc0bfdc3c15c2d","type":"text","conversion_output":true,"text":"measurements will be taken approximately two minutes apart. The seated pulse rate will be","text_display":" measurements will be taken approximately two minutes apart. The seated pulse rate will be","confidence":1,"confidence_rate":1},{"cnt":[[247,859],[1805,859],[1805,909],[247,909]],"region":{"top_left_x":246,"top_left_y":858,"width":1559,"height":52},"line":17,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1a8eed86c73246f3ae16bebef90ab0e8","type":"text","conversion_output":true,"text":"taken during the two-minute interval between the second and third blood pressure reading. If","text_display":" taken during the two-minute interval between the second and third blood pressure reading. If","confidence":1,"confidence_rate":1},{"cnt":[[247,909],[1812,909],[1812,957],[247,957]],"region":{"top_left_x":246,"top_left_y":909,"width":1566,"height":49},"line":18,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5c98b267fc6c4f96b48f4b9d079e6904","type":"text","conversion_output":true,"text":"an electronic blood pressure device is used the pulse rate at time of the second blood pressure","text_display":" an electronic blood pressure device is used the pulse rate at time of the second blood pressure","confidence":1,"confidence_rate":1},{"cnt":[[244,955],[733,955],[733,1007],[244,1007]],"region":{"top_left_x":244,"top_left_y":954,"width":490,"height":54},"line":19,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"efb2e83944b944fea9b91b1afe85f494","type":"text","conversion_output":true,"text":"reading may should be used.","text_display":" reading may should be used.","confidence":1,"confidence_rate":1},{"cnt":[[247,1046],[1732,1046],[1732,1094],[247,1094]],"region":{"top_left_x":246,"top_left_y":1046,"width":1486,"height":49},"line":20,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e5d34401365f4e17a42b8d83c20aa6f4","type":"text","conversion_output":true,"text":"Blood pressure measurements should be recorded to the nearest 0 or 5 mmHg only when","text_display":"\n\nBlood pressure measurements should be recorded to the nearest 0 or 5 mmHg only when","confidence":1,"confidence_rate":1},{"cnt":[[244,1092],[1775,1092],[1775,1142],[244,1142]],"region":{"top_left_x":244,"top_left_y":1091,"width":1531,"height":52},"line":21,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6511caeffd7e4d268c8c9cdd7c4c1c83","type":"text","conversion_output":true,"text":"measured with a manual sphygmomanometer; when digital devices are used the value from","text_display":" measured with a manual sphygmomanometer; when digital devices are used the value from","confidence":1,"confidence_rate":1},{"cnt":[[244,1142],[1677,1142],[1677,1190],[244,1190]],"region":{"top_left_x":244,"top_left_y":1142,"width":1433,"height":49},"line":22,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"ede60ad611ad412c928b0b46963de380","type":"text","conversion_output":true,"text":"the device should be rounded to the nearest 1 mmHg . For calculation of mean values,","text_display":" the device should be rounded to the nearest 1 mmHg . For calculation of mean values,","confidence":0.9990236759185791,"confidence_rate":0.9999896085540316},{"cnt":[[247,1188],[1743,1188],[1743,1238],[247,1238]],"region":{"top_left_x":246,"top_left_y":1187,"width":1497,"height":52},"line":23,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"adeb61a5baa543f5bb768c0dfefaf1ec","type":"text","conversion_output":true,"text":"decimal places should be rounded to integers (e.g. a DBP of 94.5 would be rounded to 95","text_display":" decimal places should be rounded to integers (e.g. a DBP of 94.5 would be rounded to 95","confidence":1,"confidence_rate":1},{"cnt":[[247,1238],[1706,1238],[1706,1286],[247,1286]],"region":{"top_left_x":246,"top_left_y":1238,"width":1461,"height":49},"line":24,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1d4fbc6b656b43de9dc96cb0e89fbd6c","type":"text","conversion_output":true,"text":"mmHg and a DBP of 109.4 would be rounded to 109 mmHg or 110 mmHg in case of a","text_display":" mmHg and a DBP of 109.4 would be rounded to 109 mmHg or 110 mmHg in case of a","confidence":0.99951171875,"confidence_rate":0.9999949649559944},{"cnt":[[244,1284],[1629,1284],[1629,1336],[244,1336]],"region":{"top_left_x":244,"top_left_y":1283,"width":1385,"height":54},"line":25,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"fba9f4c1d60a4fa9847b85316ccd796d","type":"text","conversion_output":true,"text":"manual sphygmomanometer). The mean value should be recorded in the eCRF.","text_display":" manual sphygmomanometer). The mean value should be recorded in the eCRF.","confidence":1,"confidence_rate":1},{"cnt":[[242,1366],[1163,1366],[1163,1421],[242,1421]],"region":{"top_left_x":242,"top_left_y":1366,"width":921,"height":55},"line":26,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"613979d8ea944164a1f076eb705816ee","type":"section_header","conversion_output":false,"children_ids":["16f2ebcf5d244f39b0ea681e0cf07a61"],"text":"","text_display":""},{"cnt":[[247,1373],[1158,1373],[1158,1419],[247,1419]],"region":{"top_left_x":246,"top_left_y":1372,"width":913,"height":47},"line":27,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"16f2ebcf5d244f39b0ea681e0cf07a61","type":"text","conversion_output":true,"parent_id":"613979d8ea944164a1f076eb705816ee","text":"10.4 SILENT MYOCARDIAL INFARCTION","text_display":"\n\n\\subsection*{10.4 SILENT MYOCARDIAL INFARCTION}","confidence":1,"confidence_rate":1},{"cnt":[[233,1594],[1674,1594],[1674,1656],[233,1656]],"region":{"top_left_x":233,"top_left_y":1594,"width":1442,"height":63},"line":28,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"9c14a679a6644b7b96097b31fbaac6db","type":"section_header","conversion_output":false,"children_ids":["2ba85b01721840adbd0b1c07681a336e"],"text":"","text_display":""},{"cnt":[[242,1599],[1668,1599],[1668,1652],[242,1652]],"region":{"top_left_x":242,"top_left_y":1599,"width":1426,"height":53},"line":29,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"2ba85b01721840adbd0b1c07681a336e","type":"text","conversion_output":true,"parent_id":"9c14a679a6644b7b96097b31fbaac6db","text":"Definition of relevant ECG abnormalities related to silent MI is the presence of:","text_display":"\n\n\\section*{Definition of relevant ECG abnormalities related to silent MI is the presence of:}","confidence":1,"confidence_rate":1},{"cnt":[[306,1693],[1709,1693],[1709,1743],[306,1743]],"region":{"top_left_x":306,"top_left_y":1692,"width":1403,"height":51},"line":30,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7ad1746001464dc1af0054b9469a928e","type":"text","conversion_output":true,"text":"- Any Q-wave in leads V2-V3 \\(\\geq 0.02\\) seconds or QS complex in leads V2 and V3","text_display":"\n- Any Q-wave in leads V2-V3 \\(\\geq 0.02\\) seconds or QS complex in leads V2 and V3","confidence":0.9990234375,"confidence_rate":0.9999880849533282},{"cnt":[[306,1745],[1816,1745],[1816,1793],[306,1793]],"region":{"top_left_x":306,"top_left_y":1745,"width":1511,"height":49},"line":31,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"28513ec1f9f14a5aab756ca9596be4c1","type":"text","conversion_output":true,"text":"- Q-wave \\(\\geq 0.03\\) seconds and \\(\\geq 0.1 mV\\) deep or QS complex in leads I, II, aVL, aVF, or","text_display":"\n- Q-wave \\(\\geq 0.03\\) seconds and \\(\\geq 0.1 mV\\) deep or QS complex in leads I, II, aVL, aVF, or","confidence":1,"confidence_rate":1},{"cnt":[[370,1793],[1821,1793],[1821,1843],[370,1843]],"region":{"top_left_x":370,"top_left_y":1793,"width":1451,"height":51},"line":32,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"04c1a995a4e947f4880da2c2cee9d732","type":"text","conversion_output":true,"text":"V4-V6 in any two leads of a contiguous lead grouping (I, aVL, V6; V4-V6; II, III, and","text_display":" V4-V6 in any two leads of a contiguous lead grouping (I, aVL, V6; V4-V6; II, III, and","confidence":1,"confidence_rate":1},{"cnt":[[370,1841],[464,1841],[464,1889],[370,1889]],"region":{"top_left_x":370,"top_left_y":1841,"width":94,"height":49},"line":33,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"405dfd6add7f4cec94e52f84dc90d08f","type":"text","conversion_output":true,"text":"aVF)","text_display":" aVF)","confidence":1,"confidence_rate":1},{"cnt":[[306,1891],[1775,1891],[1775,1939],[306,1939]],"region":{"top_left_x":306,"top_left_y":1891,"width":1469,"height":49},"line":34,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"32bf8b271b074a338bfe3ea205b77b61","type":"text","conversion_output":true,"text":"- R-wave \\(\\geq 0.04\\) seconds in V1-V2 and R/S \\(\\geq 1\\) with a concordant positive T-wave in","text_display":"\n- R-wave \\(\\geq 0.04\\) seconds in V1-V2 and R/S \\(\\geq 1\\) with a concordant positive T-wave in","confidence":0.9926862716674805,"confidence_rate":0.9999184410509075},{"cnt":[[370,1939],[955,1939],[955,1981],[370,1981]],"region":{"top_left_x":370,"top_left_y":1939,"width":585,"height":42},"line":35,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"a82ee4a8508c4908a97b0bac448d71f0","type":"text","conversion_output":true,"text":"the absence of a conduction defect","text_display":" the absence of a conduction defect","confidence":1,"confidence_rate":1},{"cnt":[[244,2006],[1697,2006],[1697,2058],[244,2058]],"region":{"top_left_x":244,"top_left_y":2005,"width":1454,"height":54},"line":36,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"fe053aec5ba54fb7b6e0d64ccae5ef34","type":"text","conversion_output":true,"text":"An MI will only be classified as silent if 1) the ECG criteria's are fulfilled, 2) the ECG","text_display":"\n\nAn MI will only be classified as silent if 1) the ECG criteria's are fulfilled, 2) the ECG","confidence":0.99755859375,"confidence_rate":0.9999742698958483},{"cnt":[[247,2056],[1793,2056],[1793,2104],[247,2104]],"region":{"top_left_x":246,"top_left_y":2055,"width":1548,"height":49},"line":37,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"38a50e16a5a44da98d26f766678eaa01","type":"text","conversion_output":true,"text":"changes were absent from baseline or previous ECGs and 3) no preceding clinical history of","text_display":" changes were absent from baseline or previous ECGs and 3) no preceding clinical history of","confidence":0.7753261108882725,"confidence_rate":0.9973249364825233},{"cnt":[[247,2104],[1697,2104],[1697,2154],[247,2154]],"region":{"top_left_x":246,"top_left_y":2103,"width":1452,"height":52},"line":38,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b5a54a43e80749e485b09417cbe5e894","type":"text","conversion_output":true,"text":"MI (including stent thrombosis and other coronary events) during study follow-up","text_display":" MI (including stent thrombosis and other coronary events) during study follow-up","confidence":1,"confidence_rate":1},{"cnt":[[247,2152],[1149,2152],[1149,2200],[247,2200]],"region":{"top_left_x":246,"top_left_y":2151,"width":904,"height":49},"line":39,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"0622b2e6f0094f3db4e5d10417101beb","type":"text","conversion_output":true,"text":"occurred and 4) investigator reporting of silent MI.","text_display":" occurred and 4) investigator reporting of silent MI.","confidence":1,"confidence_rate":1},{"cnt":[[790,2584],[1300,2584],[1300,2620],[790,2620]],"region":{"top_left_x":790,"top_left_y":2583,"width":510,"height":38},"line":40,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"564480461b1340a3ac3fba27cc79312d","type":"page_info","conversion_output":false,"text":"Proprietary confidential information.","text_display":"","confidence":0.99462890625,"confidence_rate":0.9998717803653021},{"cnt":[[292,2622],[1798,2622],[1798,2661],[292,2661]],"region":{"top_left_x":292,"top_left_y":2622,"width":1506,"height":40},"line":41,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"2826990860084e1a9e39e876b1982105","type":"page_info","conversion_output":false,"text":"© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","text_display":"","confidence":0.998046875,"confidence_rate":0.9999835712707866},{"cnt":[[297,2664],[1768,2664],[1768,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2663,"width":1473,"height":40},"line":42,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"48dc58cecdfd4f90a10d4dd6fd95e9a3","type":"page_info","conversion_output":false,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-082","page":82,"lines":[{"cnt":[[247,121],[610,121],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":121,"width":364,"height":46},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"5ce03f81a8594beca0042020c2ca72a6","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,160],[1503,160]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":42},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6907a617add84c478d8954b9c6550ce8","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[599,164],[599,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":353,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"879f2a148ea24b0ab74eca60570b3877","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[244,210],[637,210],[637,249],[244,249]],"region":{"top_left_x":244,"top_left_y":210,"width":394,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"097adac72aa54ab9a39fb3efec1f1070","type":"page_info","conversion_output":false,"text":"Doc. 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CARMELINA \\\\\n\\hline \\multicolumn{2}{|c|}{} \\\\\n\\hline To be implemented only after approval of the IRB/IEC/Competent Authorities & ![](https://cdn.mathpix.com/cropped/eb2f265e-249c-4fb0-ae0a-f82484d8e575-082.jpg?height=51\\&width=56\\&top_left_y=1023\\&top_left_x=939) \\\\\n\\hline To be implemented immediately in order to eliminate hazard IRB / IEC / Competent Authority to be notified of change with request for approval & □ \\\\\n\\hline Can be implemented without IRB/IEC/ Competent Authority approval as changes involve logistical or administrative aspects only & □ \\\\\n\\hline \\multicolumn{2}{|c|}{} \\\\\n\\hline Section to be changed & Clinical trial protocol synopsis (objectives) \\\\\n\\hline Description of change & \\begin{tabular}{l}\n....sustained loss in estimated global filtration rate (eGFR) \\(\\geq 50 \\%\\) from baseline... \\\\\nWas changed into: \\\\\n....sustained decrease in estimated global filtration rate \\(( eGFR ) \\geq 50 \\%\\) from baseline...\n\\end{tabular} \\\\\n\\hline Rationale for change & To use consistent terminology \\\\\n\\hline Section to be changed & Clinical trial protocol synopsis (criteria for efficacy) \\\\\n\\hline Description of change & Change 1: \\\\\n\\hline\n\\end{tabular}","text_display":"\n\n\\begin{tabular}{|l|l|}\n\\hline Number of CTP modification & 1 \\\\\n\\hline Date of CTP modification & 24 October 2013 \\\\\n\\hline EudraCT number & 2011-004148-23 \\\\\n\\hline BI Trial number & 1218.22 \\\\\n\\hline BI Investigational Product(s) & Linagliptin (BI 1356) \\\\\n\\hline Title of protocol & A multicenter, international, randomized, parallel group, double-blind, placebo-controlled CArdiovascular Safety \\& Renal Microvascular outcomE study with LINAgliptin, 5 mg once daily in patients with type 2 diabetes mellitus at high vascular risk. 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\\(HbA _{1 c }\\), UACR and eGFR) or ECG will be required.","confidence":0.99853515625,"confidence_rate":0.9999770952985276},{"cnt":[[939,1125],[1204,1125],[1204,1164],[939,1164]],"region":{"top_left_x":939,"top_left_y":1125,"width":266,"height":40},"line":35,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"8fe0d05d2b4c44fa977a894ca5c6cb90","type":"text","conversion_output":false,"parent_id":"5ba18770e974487bbef4af11423150f2","text":"Was changed into:","text_display":"\nWas changed into:","confidence":0.85546875,"confidence_rate":0.9929294008394668},{"cnt":[[939,1208],[1623,1208],[1623,1242],[939,1242]],"region":{"top_left_x":939,"top_left_y":1207,"width":685,"height":36},"line":36,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"6ef4dd7865be48b091c03a3578686532","type":"text","conversion_output":false,"parent_id":"5ba18770e974487bbef4af11423150f2","text":"Footnote C: Patients who discontinue study drug","text_display":"\nFootnote C: Patients who discontinue study drug","confidence":0.99755859375,"confidence_rate":0.999952993579033},{"cnt":[[939,1245],[1729,1245],[1729,1284],[939,1284]],"region":{"top_left_x":939,"top_left_y":1244,"width":791,"height":40},"line":37,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"1fef276007ed4f3c84d394c88b9eff60","type":"text","conversion_output":false,"parent_id":"5ba18770e974487bbef4af11423150f2","text":"prematurely should continue study visits until study end.","text_display":" prematurely should continue study visits until study end.","confidence":1,"confidence_rate":1},{"cnt":[[939,1286],[1725,1286],[1725,1323],[939,1323]],"region":{"top_left_x":939,"top_left_y":1286,"width":786,"height":38},"line":38,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"3bb3703ee4f845b6a29381f03defcc63","type":"text","conversion_output":false,"parent_id":"5ba18770e974487bbef4af11423150f2","text":"Study assessments may be omitted if a patient is willing","text_display":" Study assessments may be omitted if a patient is willing","confidence":1,"confidence_rate":1},{"cnt":[[939,1323],[1748,1323],[1748,1362],[939,1362]],"region":{"top_left_x":939,"top_left_y":1323,"width":809,"height":40},"line":39,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"72334856088e4f64bbf3e047bb62e815","type":"text","conversion_output":false,"parent_id":"5ba18770e974487bbef4af11423150f2","text":"to return to the pre-defined study visits, with exception of","text_display":" to return to the pre-defined study visits, with exception of","confidence":1,"confidence_rate":1},{"cnt":[[1264,1365],[1678,1365],[1678,1404],[1264,1404]],"region":{"top_left_x":1264,"top_left_y":1364,"width":415,"height":40},"line":40,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b03edd0e960246069bff5d07337967bd","type":"text","conversion_output":false,"parent_id":"5ba18770e974487bbef4af11423150f2","text":", collection of adverse 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testing of creatinine for the calculation of the eGFR.","confidence":1,"confidence_rate":1},{"cnt":[[939,1526],[1087,1526],[1087,1565],[939,1565]],"region":{"top_left_x":939,"top_left_y":1525,"width":148,"height":40},"line":43,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"fd967352f2764d2281c31f0353071d8a","type":"text","conversion_output":false,"parent_id":"5ba18770e974487bbef4af11423150f2","text":"Change 4:","text_display":"\nChange 4:","confidence":1,"confidence_rate":1},{"cnt":[[939,1567],[1628,1567],[1628,1606],[939,1606]],"region":{"top_left_x":939,"top_left_y":1567,"width":689,"height":40},"line":44,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"aa286efe74c341e7ace75f8ee7f44c2b","type":"text","conversion_output":false,"parent_id":"5ba18770e974487bbef4af11423150f2","text":"The following text under footnote G was deleted:","text_display":"\nThe following text under footnote G was deleted:","confidence":0.982421875,"confidence_rate":0.999665443619117},{"cnt":[[790,2581],[1300,2581],[1300,2620],[790,2620]],"region":{"top_left_x":790,"top_left_y":2581,"width":510,"height":40},"line":45,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"989fb781830d4b31831a51abaceafb13","type":"page_info","conversion_output":false,"text":"Proprietary confidential information.","text_display":"","confidence":0.99853515625,"confidence_rate":0.9999650978071315},{"cnt":[[292,2622],[1798,2622],[1798,2661],[292,2661]],"region":{"top_left_x":292,"top_left_y":2622,"width":1506,"height":40},"line":46,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"cca259de2c1f40b4b914fa66749d8523","type":"page_info","conversion_output":false,"text":"© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","text_display":"","confidence":0.998046875,"confidence_rate":0.9999835712707866},{"cnt":[[297,2664],[1768,2664],[1768,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2663,"width":1473,"height":40},"line":47,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"d3ec0c31eaf54a71880062727890088f","type":"page_info","conversion_output":false,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-085","page":85,"lines":[{"cnt":[[247,123],[610,123],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":123,"width":364,"height":44},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"38f7b49c08ee413b8cbb5a7df75bb79c","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,162],[1503,162]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":45},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"91604358207e4acab1ca8f5603ecfd53","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[599,164],[599,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":353,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"d3e9604f1f8743ca8e45c79b7c3e4121","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[244,210],[637,210],[637,249],[244,249]],"region":{"top_left_x":244,"top_left_y":210,"width":394,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"aec8a6de278243e4b2258d265ce37b4a","type":"page_info","conversion_output":false,"text":"Doc. 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(plus 2 week reserve) was changed into: ...(2 weeks reserve). \\\\\nChange 8: \\\\\nFootnote O: Returned study medication may be redispensed if the time window around the patient visit schedule requires this. \\\\\nWas changed into: \\\\\nFootnote O : The protocol allows a time window of \\(+/-7\\) days for visit 3 and +/- 14 days for all scheduled visits in the treatment period after visit 3. To ensure sufficient medication, visits after visit 3 should be scheduled within 182 days and visit 3 should take place no later than 91 days after visit 2 . \\\\\nChange 9: \\\\\nFootnote P was added: To allow possible retrospective pharmacogenetic analyses, all patients eligible for randomization will be asked for a blood sample with a separate informed consent. The pharmacogenetic sample should preferably be taken at visit 2, but could also be taken at any later visit, depending on availability of the respective informed consent. Pharmacogenetic sampling is voluntary and is not a prerequisite for participation in the study.\n\\end{tabular} \\\\\n\\hline\n\\end{tabular}","text_display":"\n\n\\begin{tabular}{|l|l|}\n\\hline & \\begin{tabular}{l}\nChange 5: \\\\\nFootnote K: \\\\\nAt visit 1 safety laboratory includes ALT, AST, alkaline phosphatase and creatinine to check for eligibility in addition to urine albumin, urine creatinine and \\(HbA _{1 c }\\) as specified in the flow chart. \\\\\nWas changed into: \\\\\nAt visit 1 safety laboratory includes ALT, AST, alkaline phosphatase and creatinine to check for eligibility in addition to lipase, urine albumin, urine creatinine and \\(HbA _{1 c }\\) as specified in the flow chart. \\\\\nChange 6: \\\\\nFootnote L: ...In case of an eGFR loss of \\(\\geq 50 \\%\\) since baseline (visit 2) an additional visit 4 weeks after detection should be scheduled to collect a blood sample for repeat analysis of creatinine (eGFR).... \\\\\nWas changed into: \\\\\n...In case of an eGFR decrease of \\(\\geq 40 \\%\\) since baseline (visit 2) and again in case of an eGFR decrease of \\(\\geq 50 \\%\\) since baseline (visit 2) an additional visit 4 weeks after detection should be scheduled to collect a blood sample for repeat analysis of creatinine (eGFR).... \\\\\nChange 7: \\\\\nFootnote N : ..... (plus 2 week reserve) was changed into: ...(2 weeks reserve). \\\\\nChange 8: \\\\\nFootnote O: Returned study medication may be redispensed if the time window around the patient visit schedule requires this. \\\\\nWas changed into: \\\\\nFootnote O : The protocol allows a time window of \\(+/-7\\) days for visit 3 and +/- 14 days for all scheduled visits in the treatment period after visit 3. To ensure sufficient medication, visits after visit 3 should be scheduled within 182 days and visit 3 should take place no later than 91 days after visit 2 . \\\\\nChange 9: \\\\\nFootnote P was added: To allow possible retrospective pharmacogenetic analyses, all patients eligible for randomization will be asked for a blood sample with a separate informed consent. The pharmacogenetic sample should preferably be taken at visit 2, but could also be taken at any later visit, depending on availability of the respective informed consent. Pharmacogenetic sampling is voluntary and is not a prerequisite for participation in the study.\n\\end{tabular} \\\\\n\\hline\n\\end{tabular}","confidence":0.5140750731218718,"confidence_rate":0.9993291889076305},{"cnt":[[242,331],[841,331],[841,2539],[242,2539]],"region":{"top_left_x":242,"top_left_y":331,"width":599,"height":2209},"line":8,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"68153313d9f74d068503c3a87c73e531","type":"table_column","conversion_output":false,"parent_id":"d17403494a5f4e2cbf4907ad0b57453b","text":"","text_display":""},{"cnt":[[930,331],[1759,331],[1759,2541],[930,2541]],"region":{"top_left_x":930,"top_left_y":331,"width":830,"height":2211},"line":9,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e8c087b6774f48039f594f1c5bdffe4f","type":"table_column","conversion_output":false,"parent_id":"d17403494a5f4e2cbf4907ad0b57453b","text":"","text_display":""},{"cnt":[[242,331],[1775,331],[1775,2544],[242,2544]],"region":{"top_left_x":242,"top_left_y":331,"width":1534,"height":2213},"line":10,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"57aa5e7c8dd94b25a0044352046881d3","type":"table_row","conversion_output":false,"parent_id":"d17403494a5f4e2cbf4907ad0b57453b","text":"","text_display":""},{"cnt":[[933,336],[1750,336],[1750,2539],[933,2539]],"region":{"top_left_x":932,"top_left_y":335,"width":819,"height":2205},"line":11,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"fdc7282b2df04ea1a38a68a7405e0247","type":"complex_cell","conversion_output":false,"parent_id":"d17403494a5f4e2cbf4907ad0b57453b","children_ids":["331193c39e584d5c8698076479beb5fe","be2f19f0e5ca480ca4fcca1836469ff6","79228a5f5f2448d1bba4248a08a36b38","b00fc6eaab2b43d99d952330260e4570","038d87d0cd134485b680ece34017f022","5e9ae34deaa04583bdee055d67d25639","599c4b83eb354236bf29ee7ba20fe985","2461c2e12cc84cd7a4d9bd18d1174c07","0f7642145c8e44eb9fd6211ee8f81a2c","48c9da5d66f442fb81db9762fe552f52","cfe6d3a9705a441997cdc4124d3fb7f8","7b86c5e981df4203b8fb8db1bfefb2da","a58fca94630344a0a7c7781a7d000857","42b034d41a4945078b1bff447f85c5d0","41fb1ae455f04fbabbf0ad091ef282ca","4436c9c36a4d495d94cbedcbdc636df0","a5a6b92851f740da8fb08bdb3a564db8","9f488bf43c2743f69e1db3cbe3f3a9e4","d4309e04c92e4dcb96dc42a37dd9b988","9aaf122613034ee0895023e6ad7aa8b5","8e68c66d8e264d3b81431e77c301abd0","08701435c315439d92cfa6f22e8cf927","e06dbd0633cc4279accce113efab67f7","f2b08ebb60064918811bbbc1f4e87bfc","e1080247e9c54e718b3fb4e23fe81ff9","6b20e78f38d9405988ab7f5dcd2506c1","41fa1a3ce3c44ca98be04ad43ddbbabf","17912f86815e4049a962b75035abe0b5","62704c16e16c47c88eec4c873dfa71fb","e71015506a5740d0a6c52225b3aee9af","2076b228c0b74a81aefe5184c2fe55da","f5622a4cd5864d4292818efc71d55978","a7951cf118874d06878008d827069c6a","0d8a3353f11c415db4268bf100c55fb8","20341819387b4e0999c702f6730cebd0","0434e8370cd84bc3ae0f76f7afa604bc","8d1bf9d3e9504eca9a73a95ce660886f","c4d88d31f304478182a3ce92a1d7e9f3","1ab0d94964e943dbab5e96862b473200","ea3f60e2747b4169b2372097c94da117","c0d631030c3c4a4395488866503b09f5","8e8a4c18ddbb4c858864d4e2781c5969","5eb79adf5a7441ca86a13bfc74717b56","de83bde631a04278a36fd82d1c3527cc","a7503b0ae3b3457691fad736cc6d1604","1c15adf3b1d240b8bc24944d9d8a2ddb"],"text":"\\begin{tabular}{l}\nChange 5: \\\\\nFootnote K: \\\\\nAt visit 1 safety laboratory includes ALT, AST, alkaline phosphatase and creatinine to check for eligibility in addition to urine albumin, urine creatinine and \\(HbA _{1 c }\\) as specified in the flow chart. \\\\\nWas changed into: \\\\\nAt visit 1 safety laboratory includes ALT, AST, alkaline phosphatase and creatinine to check for eligibility in addition to lipase, urine albumin, urine creatinine and \\(HbA _{1 c }\\) as specified in the flow chart. \\\\\nChange 6: \\\\\nFootnote L: ...In case of an eGFR loss of \\(\\geq 50 \\%\\) since baseline (visit 2) an additional visit 4 weeks after detection should be scheduled to collect a blood sample for repeat analysis of creatinine (eGFR).... \\\\\nWas changed into: \\\\\n...In case of an eGFR decrease of \\(\\geq 40 \\%\\) since baseline (visit 2) and again in case of an eGFR decrease of \\(\\geq 50 \\%\\) since baseline (visit 2) an additional visit 4 weeks after detection should be scheduled to collect a blood sample for repeat analysis of creatinine (eGFR).... \\\\\nChange 7: \\\\\nFootnote N : ..... (plus 2 week reserve) was changed into: ...(2 weeks reserve). \\\\\nChange 8: \\\\\nFootnote O: Returned study medication may be redispensed if the time window around the patient visit schedule requires this. \\\\\nWas changed into: \\\\\nFootnote O : The protocol allows a time window of \\(+/-7\\) days for visit 3 and +/- 14 days for all scheduled visits in the treatment period after visit 3. To ensure sufficient medication, visits after visit 3 should be scheduled within 182 days and visit 3 should take place no later than 91 days after visit 2 . \\\\\nChange 9: \\\\\nFootnote P was added: To allow possible retrospective pharmacogenetic analyses, all patients eligible for randomization will be asked for a blood sample with a separate informed consent. The pharmacogenetic sample should preferably be taken at visit 2, but could also be taken at any later visit, depending on availability of the respective informed consent. Pharmacogenetic sampling is voluntary and is not a prerequisite for participation in the study.\n\\end{tabular}","text_display":"\\begin{tabular}{l}\nChange 5: \\\\\nFootnote K: \\\\\nAt visit 1 safety laboratory includes ALT, AST, alkaline phosphatase and creatinine to check for eligibility in addition to urine albumin, urine creatinine and \\(HbA _{1 c }\\) as specified in the flow chart. \\\\\nWas changed into: \\\\\nAt visit 1 safety laboratory includes ALT, AST, alkaline phosphatase and creatinine to check for eligibility in addition to lipase, urine albumin, urine creatinine and \\(HbA _{1 c }\\) as specified in the flow chart. \\\\\nChange 6: \\\\\nFootnote L: ...In case of an eGFR loss of \\(\\geq 50 \\%\\) since baseline (visit 2) an additional visit 4 weeks after detection should be scheduled to collect a blood sample for repeat analysis of creatinine (eGFR).... \\\\\nWas changed into: \\\\\n...In case of an eGFR decrease of \\(\\geq 40 \\%\\) since baseline (visit 2) and again in case of an eGFR decrease of \\(\\geq 50 \\%\\) since baseline (visit 2) an additional visit 4 weeks after detection should be scheduled to collect a blood sample for repeat analysis of creatinine (eGFR).... \\\\\nChange 7: \\\\\nFootnote N : ..... 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The adjudication process for renal events and pancreatic events will be clarified in a separate CEC charter.\n\\end{tabular} \\\\\n\\hline Rationale for change & To add independent adjudication of pancreatic events. \\\\\n\\hline Section to be changed & 3.3.2 inclusion criteria \\\\\n\\hline Description of change & \\begin{tabular}{l}\nChange 1: \\\\\nInclusion criterion number 8: the definition of albuminuria \\(\\geq 30 mg / l\\) (milligram albumin per litre of urine) was removed. \\\\\nChange 2: \\\\\nInclusion criterion number 8: Impaired renal function (as defined by MDRD formula) with an eGFR: 15-45 \\(mL / min / 1.73 m^{2}\\) at Visit 1 (screening) with any UACR. \\\\\nWas changed into: \\\\\nImpaired renal function (as defined by MDRD formula) with an eGFR: \\(15-<45 mL / min / 1.73 m^{2}\\) at Visit 1 (screening) with any UACR. \\\\\nChange 3: \\\\\nInclusion criterion number 8: the definition of UACR \\(\\geq 200 mg / l\\) (milligram albumin per litre of urine) was removed. \\\\\nChange 4: \\\\\nInclusion criterion number 8: MRI angiography was added as clinical test and clinical tests were added to the second bullet under inclusion criterion 8b and 8c.\n\\end{tabular} \\\\\n\\hline Rationale for change & \\begin{tabular}{l}\nChange 1: \\\\\nTo reflect the definition KDIGO Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. \\\\\nChange 2: \\\\\nFor clarification. \\\\\nChange 3: \\\\\nTo reflect the definition KDIGO Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. \\\\\nChange 4: \\\\\nTo add MRI angiography as clinical test and to clarify\n\\end{tabular} \\\\\n\\hline\n\\end{tabular}","text_display":"\n\n\\begin{tabular}{|l|l|}\n\\hline Section to be changed & 3.1.1 Administrative structure of the trial \\\\\n\\hline Description of change & \\begin{tabular}{l}\nAdditionally, a separate independent, blinded, external committee will be set up for adjudication of renal events. 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All rights reserved.","text_display":"\n© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","confidence":0.99072265625,"confidence_rate":0.9999216783081981},{"cnt":[[297,2664],[1768,2664],[1768,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2663,"width":1473,"height":40},"line":49,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"014b4f07ffa7417eaa62e4a2813ec0bf","type":"text","conversion_output":true,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"\nThis document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-091","page":91,"lines":[{"cnt":[[247,123],[610,123],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":123,"width":364,"height":44},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"2264ab72b21e4e26970aaba536491d32","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,162],[1503,162]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":45},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"7148986a68af40baae91ae0131ff6c66","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[599,164],[599,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":353,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"28eb33bdd42a45f489c0fa13144b1119","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[244,210],[637,210],[637,249],[244,249]],"region":{"top_left_x":244,"top_left_y":210,"width":394,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"b502946af34147718d8556e7316c5485","type":"page_info","conversion_output":false,"text":"Doc. 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Renal events will be adjudicated by an independent adjudication committee. \\\\\nWas changed into: \\\\\nA list of terms that must be documented as AESI for each topic is provided in the ISF. Renal events and pancreatic events will be adjudicated by independent adjudication committees. \\\\\nChange 2: \\\\\nPatients showing an elevation of AST and/or ALT \\(\\geq 3\\) fold ULN combined with an elevation of total bilirubin \\(\\geq\\) 2 fold ULN measured in the same blood sample need to be followed up locally. \\\\\nWas changed into: \\\\\nPatients showing an elevation of AST and/or ALT \\(\\geq 3\\) fold ULN combined with an elevation of total bilirubin \\(\\geq\\) 2 fold ULN measured in the same blood sample need to be followed up locally according to the \"DILI checklist\" provided in ISF. \\\\\nChange 3: \\\\\nIn case of an eGFR loss of \\(\\geq 50 \\%\\) since baseline (Visit 2) an additional visit 4 weeks after detection should be scheduled (unless detected at the EOT visit at study end) to collect a blood sample for repeat analysis of creatinine for calculation of the eGFR. \\\\\nWas changed into: \\\\\nIn case of an eGFR decrease of \\(\\geq 40 \\%\\) since baseline (visit 2) and again in case of an eGFR decrease of \\(\\geq 50 \\%\\) since baseline (visit 2) an additional visit 4 weeks after detection should be scheduled (unless detected at the EOT visit at study end) to collect a blood sample for repeat analysis of creatinine for calculation of the eGFR.\n\\end{tabular} \\\\\n\\hline Rationale for change & \\begin{tabular}{l}\nChange 1: \\\\\nAdjudication of pancreatic events added. \\\\\nChange 2: \\\\\nTo provide additional guidance for follow-up of patient showing an elevation of AST and/or ALT \\(\\geq 3\\) fold ULN combined with an elevation of total bilirubin \\(\\geq 2\\) fold ULN. \\\\\nChange 3: \\\\\nTo add an additional trigger for repeat analysis of eGFR in line with the newly added tertiary endpoints.\n\\end{tabular} \\\\\n\\hline\n\\end{tabular}","text_display":"\n\n\\begin{tabular}{|l|l|}\n\\hline Section to be changed & 5.2.2.1 Definitions of adverse events \\\\\n\\hline Description of change & \\begin{tabular}{l}\nChange 1: \\\\\nA list of terms that must be documented as AESI for each topic is provided in the ISF. Renal events will be adjudicated by an independent adjudication committee. \\\\\nWas changed into: \\\\\nA list of terms that must be documented as AESI for each topic is provided in the ISF. 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(visit 2) and again in case of an eGFR decrease of \\(\\geq 50 \\%\\) since baseline (visit 2) an additional visit 4 weeks after detection should be scheduled (unless detected at the EOT visit at study end) to collect a blood sample for repeat analysis of creatinine for calculation of the eGFR.\n\\end{tabular} \\\\\n\\hline Rationale for change & \\begin{tabular}{l}\nChange 1: \\\\\nAdjudication of pancreatic events added. \\\\\nChange 2: \\\\\nTo provide additional guidance for follow-up of patient showing an elevation of AST and/or ALT \\(\\geq 3\\) fold ULN combined with an elevation of total bilirubin \\(\\geq 2\\) fold ULN. \\\\\nChange 3: \\\\\nTo add an additional trigger for repeat analysis of eGFR in line with the newly added tertiary endpoints.\n\\end{tabular} 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Renal events will be adjudicated by an independent adjudication committee. \\\\\nWas changed into: \\\\\nA list of terms that must be documented as AESI for each topic is provided in the ISF. 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Renal events will be adjudicated by an independent adjudication committee. \\\\\nWas changed into: \\\\\nA list of terms that must be documented as AESI for each topic is provided in the ISF. 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However, if the investigator becomes aware of an SAE(s) that occurred after the last per protocol visit, it should be reported by the investigator to the sponsor if considered relevant by the investigator. \\\\\nChange 2: \\\\\nIf not stipulated differently in the ISF, the investigator must report the following events, using the CRO electronic submission process immediately (within 24 hours or the next business day whichever is shorter) to the sponsor/CRO: SAEs, AESI and non-serious AEs relevant for the reported SAE or AESI. \\\\\nThe investigator must document immediately (within 24 hours or the next business day whichever is shorter).......... \\\\\nWas changed into: \\\\\nThe investigator must report the following events, immediately (within 24 hours of awareness) to the sponsor/CRO: SAEs, AESI and non-serious AEs relevant for the reported SAE or AESI. \\\\\nThe investigator must document immediately (within 24 hours of awareness).... \\\\\nChange 3: \\\\\n..... or by using the 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& \\begin{tabular}{l}\nChange 2: \\\\\nEstimated creatinine clearance \\\\\nWas changed into: \\\\\nEstimated glomerular filtration rate\n\\end{tabular} \\\\\n\\hline Rationale for change & \\begin{tabular}{l}\nChange 1: \\\\\nTo reflect the current standard AEs text and revised AESI process \\\\\nChange 2: \\\\\nFor clarification\n\\end{tabular} \\\\\n\\hline Section to be changed & 5.2.2.2 Adverse event and serious adverse event reporting \\\\\n\\hline Description of change & Section was updated \\\\\n\\hline Rationale of change & For clarification per current standard text. \\\\\n\\hline Section to be changed & 5.2.2.3 Oncological adverse events \\\\\n\\hline Description of change & Added a reference to the oncology committee assessment charter \\\\\n\\hline Rationale for change & For clarification \\\\\n\\hline Section to be changed & 5.2.3.1 \\\\\n\\hline Description of change & \\begin{tabular}{l}\nNo renal impairment with evidence of kidney damage (UACR \\(\\geq 30 mg / g\\) creatinine) \\\\\nWas changed into: \\\\\nNo renal impairment with evidence of kidney damage ( \\(eGFR \\geq 90 mL / min / 1.73 m^{2}\\) and UACR \\(\\geq 30 mg / g\\) creatinine) \\\\\nIn addition definition of prevalent kidney disease added.\n\\end{tabular} \\\\\n\\hline Rationale for change & For clarification \\\\\n\\hline Section to be changed & 6.2.2 treatment period \\& 6.2.3 end of treatment and follow-up \\\\\n\\hline Description of change & \\begin{tabular}{l}\nChange 1: \\\\\nPatient retention language revised \\\\\nChange 2: \\\\\nChange in follow-up period from 7 to 30 days\n\\end{tabular} \\\\\n\\hline Rationale for change & \\begin{tabular}{l}\nChange 1: \\\\\nTo optimize retention language \\\\\nChange 2: \\\\\nTo allow for outcome event data collection up to 30 days after EOT\n\\end{tabular} \\\\\n\\hline Section to be changed & 7.1 Statistical design - model \\\\\n\\hline Description of change & \\begin{tabular}{l}\nChange 1: \\\\\nNumber of randomized patients 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At the interim analysis MACE endpoints will be tested in a pre-specified order, at the final analysis also the composite renal endpoint will be tested for superiority \\\\\nWas changed into: \\\\\nNo confirmatory interim analysis for efficacy endpoints will be performed \\\\\nChange 2: \\\\\nThe experimentwise (multiple) level alpha is controlled with the following three step gatekeeping hierarchy within the interim and final analysis, respectively. For the final analysis, the first hypothesis (non-inferiority of the primary endpoint) will be tested at the one-sided alpha-level of \\(2.12 \\%\\). 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The required number of patients with event is not affected by the lower number of randomised patients in this event-driven study \\\\\nChange 2: \\\\\nSince the planned interim analysis for efficacy will not be performed, a slightly lower number of patients with event is required for the same power (90\\% for non-inferiority) \\\\\nChange 3: \\\\\nBased on review of recently published cardiovascular outcome trials, changing the protocol definitions of the primary and secondary endpoints, essentially substituting 4-Point MACE (Cardiovascular (CV) Death, Non-Fatal Stoke, Non-fatal Myocardial Infarction and Hospitalization for Unstable Angina) with 3-Point MACE (CV Death, Non-Fatal Stoke, Non-fatal Myocardial Infarction).\n\\end{tabular}","text_display":"\\begin{tabular}{l}\nChange 1: \\\\\nOverall MACE event rates are higher than initially expected and this allows reducing the sample size without major impact on study duration. 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In case of significance, the null hypothesis is rejected in a confirmatory sense and the next set of hypotheses (two separate hypothesis tests) will be tested: a) test of the primary endpoint for superiority and b) test of the composite renal\n\\end{tabular}","text_display":"\\begin{tabular}{l}\nRelevant changes are summarised as follows: \\\\\nChange 1: \\\\\nAn interim analysis will be performed at the one-sided alpha-level of \\(1.0 \\%\\), the final analysis at the one-sided alpha-level of 2.12\\%. At the interim analysis MACE endpoints will be tested in a pre-specified order, at the final analysis also the composite renal endpoint will be tested for superiority \\\\\nWas changed into: \\\\\nNo confirmatory interim analysis for efficacy endpoints will be performed \\\\\nChange 2: \\\\\nThe experimentwise (multiple) level alpha is controlled with the following three step gatekeeping hierarchy within the interim and final analysis, respectively. 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All rights reserved.","text_display":"\n© 2016 Boehringer Ingelheim International GmbH or one or more of its affiliated companies. All rights reserved.","confidence":0.998046875,"confidence_rate":0.9999835712707866},{"cnt":[[297,2664],[1768,2664],[1768,2702],[297,2702]],"region":{"top_left_x":296,"top_left_y":2663,"width":1473,"height":40},"line":70,"column":0,"font_size":23,"is_printed":true,"is_handwritten":false,"id":"a8a598ff2eb54ed18522bfc71afd0add","type":"page_info","conversion_output":false,"text":"This document may not - in full or in part - be passed on, reproduced, published or otherwise used without prior written permission.","text_display":"","confidence":1,"confidence_rate":1}],"page_height":2924,"page_width":2067,"languages_detected":[]},{"image_id":"eb2f265e-249c-4fb0-ae0a-f82484d8e575-115","page":115,"lines":[{"cnt":[[247,123],[610,123],[610,167],[247,167]],"region":{"top_left_x":246,"top_left_y":123,"width":364,"height":44},"line":1,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"e9ef3007538b45e1a6a88b6e4088a47e","type":"page_info","conversion_output":false,"text":"Boehringer Ingelheim","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1503,119],[1816,119],[1816,162],[1503,162]],"region":{"top_left_x":1503,"top_left_y":118,"width":314,"height":45},"line":2,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"989ca451fcf1476da7598c3447582901","type":"page_info","conversion_output":false,"text":"22 November 2016","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[247,164],[599,164],[599,203],[247,203]],"region":{"top_left_x":246,"top_left_y":164,"width":353,"height":40},"line":3,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"933229d6a132412c82ffcba46ca9c8a9","type":"page_info","conversion_output":false,"text":"BI Trial No.: 1218.22","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[244,210],[637,210],[637,249],[244,249]],"region":{"top_left_x":244,"top_left_y":210,"width":394,"height":39},"line":4,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"43b67578b2dc4cbdb1f000e41f4e9d8a","type":"page_info","conversion_output":false,"text":"Doc. No.: c02155180-06","text_display":"","confidence":0.99951171875,"confidence_rate":0.9999819112562659},{"cnt":[[868,210],[1108,210],[1108,249],[868,249]],"region":{"top_left_x":868,"top_left_y":210,"width":240,"height":39},"line":5,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"4921ec1f2e6f4cbc936a2c8b219e2102","type":"page_info","conversion_output":false,"text":"Trial Protocol","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[1553,208],[1816,208],[1816,254],[1553,254]],"region":{"top_left_x":1553,"top_left_y":207,"width":264,"height":47},"line":6,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"4263c9894f3f4a18bd65877d6ca2b0b8","type":"page_info","conversion_output":false,"text":"Page 115 of 123","text_display":"","confidence":1,"confidence_rate":1},{"cnt":[[244,334],[1775,334],[1775,2556],[244,2556]],"region":{"top_left_x":244,"top_left_y":333,"width":1531,"height":2224},"line":7,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"760039e21710476b944d6e6e78e0533b","type":"table","conversion_output":true,"children_ids":["c0c944bb90a441f48e56b5874f50f1b2","c233b56af78546ba9ce6c77bef7183b2","d62fbd8268904574816135f318cdf852","06f43d6a0e5b4e80b22002f4387b3408","f149333dfbc4430fae98d00cb8e62617","6e8bd082447042429db3d812ce858e0f","77ac8a290ecf44c7b35e44657041ec1b","bb46f0fcc2714f64ac60282229e95696","13a3ceb9eb114baba0b8a170f2de0d5b","dbb17bc687564e8da8984f61f450ceba","18dc5d21e88e481cb6f73e83ac3adf72","2c6bab37213043958105240c5a62b97e","b006e73eec2c4759b2c74d806e0071cd"],"text":"\\begin{tabular}{|l|l|}\n\\hline & \\begin{tabular}{l}\nendpoint for superiority. To adjust for multiplicity the truncated Hochberg multiple test procedure will be applied with a selected gamma of 0.5. Both one-sided hypotheses H0(Sup1) and H0(Sup2) will be tested separately. If both tests are significant at the one-sided alpha-level of 1.59\\% each, superiority of both endpoints (4-point MACE and composite renal endpoint) has been demonstrated. If not, superiority can only be claimed for the endpoint significant at the alpha-level of 1.06\\%. If superiority of both, the 4-point MACE and the composite renal endpoint has been demonstrated at the one-sided alpha-level of \\(1.59 \\%\\) each, then superiority of the 3-point MACE can be tested at the alpha-level of 2.12\\%. If superiority of only one of these endpoints (4-point MACE or composite renal endpoint) has been demonstrated at the one-sided alpha-level of 1.06\\%, then superiority of the 3-point MACE can be tested at the alpha-level of 0.53\\%. \\\\\nWas changed into: \\\\\nFor the final analysis, the first hypothesis (non-inferiority of the primary endpoint) will be tested at the one-sided alpha-level of \\(2.5 \\%\\). In case of significance, the null hypothesis is rejected in a confirmatory sense and the next set of hypotheses (two separate hypothesis tests) will be tested: a) test of the primary endpoint for superiority and b) test of the composite renal endpoint for superiority. To adjust for multiplicity a sequentially rejective multiple test procedure will be applied. Both one-sided hypotheses H0(Sup1) and H0(Sup2) will be tested separately, at the initial alpha-levels of 0.2*alpha for 3-point MACE and 0.8*alpha for the composite renal endpoint, respectively. If both null hypotheses cannot be rejected at these initial alpha-levels, the procedure stops and for none of these endpoints superiority can be declared. After having shown superiority for one of these endpoints, the used alpha can be shuffled to the other test: If H0(Sup2) is rejected at the alpha-level of 0.8*alpha, then H0(Sup1) can be tested at the full alpha-level of \\(2.5 \\%\\) (one-sided). If H0(Sup1) is rejected at the alphalevel of 0.2*alpha, then H 0 (Sup1) can be tested at the full alpha-level of \\(2.5 \\%\\) (one-sided).\n\\end{tabular} \\\\\n\\hline Rationale for change & A higher alpha-level will be assigned to the composite renal endpoint, the endpoint with the expected higher power for superiority. Nevertheless, this strategy allows testing both, 3-point MACE and the renal endpoint for superiority, independently of each other. \\\\\n\\hline Section to be changed & 7.3 planned analysis \\\\\n\\hline Description of change & \\begin{tabular}{l}\nChange 1: \\\\\nHospitalisation for unstable angina pectoris deleted from Important protocol violations.\n\\end{tabular} \\\\\n\\hline\n\\end{tabular}","text_display":"\n\n\\begin{tabular}{|l|l|}\n\\hline & \\begin{tabular}{l}\nendpoint for superiority. To adjust for multiplicity the truncated Hochberg multiple test procedure will be applied with a selected gamma of 0.5. Both one-sided hypotheses H0(Sup1) and H0(Sup2) will be tested separately. If both tests are significant at the one-sided alpha-level of 1.59\\% each, superiority of both endpoints (4-point MACE and composite renal endpoint) has been demonstrated. If not, superiority can only be claimed for the endpoint significant at the alpha-level of 1.06\\%. If superiority of both, the 4-point MACE and the composite renal endpoint has been demonstrated at the one-sided alpha-level of \\(1.59 \\%\\) each, then superiority of the 3-point MACE can be tested at the alpha-level of 2.12\\%. If superiority of only one of these endpoints (4-point MACE or composite renal endpoint) has been demonstrated at the one-sided alpha-level of 1.06\\%, then superiority of the 3-point MACE can be tested at the alpha-level of 0.53\\%. \\\\\nWas changed into: \\\\\nFor the final analysis, the first hypothesis (non-inferiority of the primary endpoint) will be tested at the one-sided alpha-level of \\(2.5 \\%\\). In case of significance, the null hypothesis is rejected in a confirmatory sense and the next set of hypotheses (two separate hypothesis tests) will be tested: a) test of the primary endpoint for superiority and b) test of the composite renal endpoint for superiority. To adjust for multiplicity a sequentially rejective multiple test procedure will be applied. Both one-sided hypotheses H0(Sup1) and H0(Sup2) will be tested separately, at the initial alpha-levels of 0.2*alpha for 3-point MACE and 0.8*alpha for the composite renal endpoint, respectively. If both null hypotheses cannot be rejected at these initial alpha-levels, the procedure stops and for none of these endpoints superiority can be declared. After having shown superiority for one of these endpoints, the used alpha can be shuffled to the other test: If H0(Sup2) is rejected at the alpha-level of 0.8*alpha, then H0(Sup1) can be tested at the full alpha-level of \\(2.5 \\%\\) (one-sided). If H0(Sup1) is rejected at the alphalevel of 0.2*alpha, then H 0 (Sup1) can be tested at the full alpha-level of \\(2.5 \\%\\) (one-sided).\n\\end{tabular} \\\\\n\\hline Rationale for change & A higher alpha-level will be assigned to the composite renal endpoint, the endpoint with the expected higher power for superiority. 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To adjust for multiplicity the truncated Hochberg multiple test procedure will be applied with a selected gamma of 0.5. Both one-sided hypotheses H0(Sup1) and H0(Sup2) will be tested separately. If both tests are significant at the one-sided alpha-level of 1.59\\% each, superiority of both endpoints (4-point MACE and composite renal endpoint) has been demonstrated. If not, superiority can only be claimed for the endpoint significant at the alpha-level of 1.06\\%. If superiority of both, the 4-point MACE and the composite renal endpoint has been demonstrated at the one-sided alpha-level of \\(1.59 \\%\\) each, then superiority of the 3-point MACE can be tested at the alpha-level of 2.12\\%. If superiority of only one of these endpoints (4-point MACE or composite renal endpoint) has been demonstrated at the one-sided alpha-level of 1.06\\%, then superiority of the 3-point MACE can be tested at the alpha-level of 0.53\\%. \\\\\nWas changed into: \\\\\nFor the final analysis, the first hypothesis (non-inferiority of the primary endpoint) will be tested at the one-sided alpha-level of \\(2.5 \\%\\). In case of significance, the null hypothesis is rejected in a confirmatory sense and the next set of hypotheses (two separate hypothesis tests) will be tested: a) test of the primary endpoint for superiority and b) test of the composite renal endpoint for superiority. To adjust for multiplicity a sequentially rejective multiple test procedure will be applied. Both one-sided hypotheses H0(Sup1) and H0(Sup2) will be tested separately, at the initial alpha-levels of 0.2*alpha for 3-point MACE and 0.8*alpha for the composite renal endpoint, respectively. If both null hypotheses cannot be rejected at these initial alpha-levels, the procedure stops and for none of these endpoints superiority can be declared. After having shown superiority for one of these endpoints, the used alpha can be shuffled to the other test: If H0(Sup2) is rejected at the alpha-level of 0.8*alpha, then H0(Sup1) can be tested at the full alpha-level of \\(2.5 \\%\\) (one-sided). If H0(Sup1) is rejected at the alphalevel of 0.2*alpha, then H 0 (Sup1) can be tested at the full alpha-level of \\(2.5 \\%\\) (one-sided).\n\\end{tabular}","text_display":"\\begin{tabular}{l}\nendpoint for superiority. To adjust for multiplicity the truncated Hochberg multiple test procedure will be applied with a selected gamma of 0.5. Both one-sided hypotheses H0(Sup1) and H0(Sup2) will be tested separately. If both tests are significant at the one-sided alpha-level of 1.59\\% each, superiority of both endpoints (4-point MACE and composite renal endpoint) has been demonstrated. If not, superiority can only be claimed for the endpoint significant at the alpha-level of 1.06\\%. If superiority of both, the 4-point MACE and the composite renal endpoint has been demonstrated at the one-sided alpha-level of \\(1.59 \\%\\) each, then superiority of the 3-point MACE can be tested at the alpha-level of 2.12\\%. If superiority of only one of these endpoints (4-point MACE or composite renal endpoint) has been demonstrated at the one-sided alpha-level of 1.06\\%, then superiority of the 3-point MACE can be tested at the alpha-level of 0.53\\%. \\\\\nWas changed into: \\\\\nFor the final analysis, the first hypothesis (non-inferiority of the primary endpoint) will be tested at the one-sided alpha-level of \\(2.5 \\%\\). 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at the alpha-level of 2.12\\%.","text_display":" MACE can be tested at the alpha-level of 2.12\\%.","confidence":0.80322265625,"confidence_rate":0.9957949560040957},{"cnt":[[939,863],[1678,863],[1678,902],[939,902]],"region":{"top_left_x":939,"top_left_y":862,"width":740,"height":40},"line":28,"column":0,"font_size":30,"is_printed":true,"is_handwritten":false,"id":"c40b8c3364b54c509f6ac0389010316b","type":"text","conversion_output":false,"parent_id":"77ac8a290ecf44c7b35e44657041ec1b","text":"If superiority of only one of these endpoints (4-point","text_display":" If superiority of only one of these endpoints 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Assuming a study duration of 3.8 years, recruitment within 3 years and a cumulative lost to follow-up rate of \\(2.0 \\%, 4150\\) patients per group are required to achieve 625 patients with a primary endpoint \\\\\nWas changed into: \\\\\nAssuming the hazard over time in patients on linagliptin is the same as in patients on placebo (hazard ratio (HR): \\(\\lambda\\) linagliptin/ \\(\\lambda\\) placebo \\(=1\\) ), 611patients with events will deliver an overall power of \\(90 \\%\\) in a test to demonstrate non-inferiority of linagliptin vs. placebo within the prespecified non-inferiority (NI) margin of 1.3 for the HR; at the overall 1 -sided \\(\\alpha\\)-level of \\(2.5 \\%\\) (calculated with East, version 5.4)\n\\end{tabular} \\\\\n\\hline Rationale for change & The change of the primary variable does not affect the required number of patients with event; the slight reduction from 625 to 611 patients is due to the elimination of the interim analysis. Since the event rate is higher than initially assumed the same power can be achieved within the originally planned timelines with a sample size of approximately 7000 patients. \\\\\n\\hline Section to be changed & 8. Informed consent, data protection, trial records \\\\\n\\hline Description of change & \\begin{tabular}{l}\nInsurance Cover: The terms and conditions of the insurance cover are made available to the investigator and the patients via documentation in the ISF (Investigator Site File). \\\\\nWas changed into: \\\\\nThe certificate of insurance cover is made available to the Investigator and the patients, and is stored in the ISF.\n\\end{tabular} \\\\\n\\hline Section to be changed & 9.2.Unpublished references \\\\\n\\hline Decsription of change & Author of IB omitted \\\\\n\\hline Rationale for change & Change in authorship \\\\\n\\hline Rationale for change & For clarification \\\\\n\\hline Section to be changed & 10.3 Blood pressure measurement procedure \\\\\n\\hline Description of change & \\begin{tabular}{l}\nChange 1: \\\\\n.....If an electronic blood pressure device is used the pulse rate at time of the second blood pressure reading may be used. \\\\\nWas changed into: \\\\\n.....If an electronic blood pressure device is used the pulse rate at time of the second blood pressure reading\n\\end{tabular} \\\\\n\\hline\n\\end{tabular}","text_display":"\n\n\\begin{tabular}{|l|l|}\n\\hline & \\begin{tabular}{l}\nnon-inferiority of linagliptin vs. placebo within the pre-specified non-inferiority (NI) margin of 1.3 for the HR; at the overall 1 -sided \\(\\alpha\\)-level of \\(2.5 \\%\\) and with one interim analysis at \\(\\alpha=1.0 \\%\\) after 70\\% of the events (calculated with East, version 5.4). Assuming a study duration of 3.8 years, recruitment within 3 years and a cumulative lost to follow-up rate of \\(2.0 \\%, 4150\\) patients per group are required to achieve 625 patients with a primary endpoint \\\\\nWas changed into: \\\\\nAssuming the hazard over time in patients on linagliptin is the same as in patients on placebo (hazard ratio (HR): \\(\\lambda\\) linagliptin/ \\(\\lambda\\) placebo \\(=1\\) ), 611patients with events will deliver an overall power of \\(90 \\%\\) in a test to demonstrate non-inferiority of linagliptin vs. placebo within the prespecified non-inferiority (NI) margin of 1.3 for the HR; at the overall 1 -sided \\(\\alpha\\)-level of \\(2.5 \\%\\) (calculated with East, version 5.4)\n\\end{tabular} \\\\\n\\hline Rationale for change & The change of the primary variable does not affect the required number of patients with event; the slight reduction from 625 to 611 patients is due to the elimination of the interim analysis. Since the event rate is higher than initially assumed the same power can be achieved within the originally planned timelines with a sample size of approximately 7000 patients. \\\\\n\\hline Section to be changed & 8. Informed consent, data protection, trial records \\\\\n\\hline Description of change & \\begin{tabular}{l}\nInsurance Cover: The terms and conditions of the insurance cover are made available to the investigator and the patients via documentation in the ISF (Investigator Site File). \\\\\nWas changed into: \\\\\nThe certificate of insurance cover is made available to the Investigator and the patients, and is stored in the ISF.\n\\end{tabular} \\\\\n\\hline Section to be changed & 9.2.Unpublished references \\\\\n\\hline Decsription of change & Author of IB omitted \\\\\n\\hline Rationale for change & Change in authorship \\\\\n\\hline Rationale for change & For clarification \\\\\n\\hline Section to be changed & 10.3 Blood pressure measurement procedure \\\\\n\\hline Description of change & \\begin{tabular}{l}\nChange 1: \\\\\n.....If an electronic blood pressure device is used the pulse rate at time of the second blood pressure reading may be used. \\\\\nWas changed into: 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