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NCT00099437

Comparison of Fulvestrant (FASLODEX™) 250 mg and 500 mg in Postmenopausal Women With Oestrogen Receptor Positive Advanced Breast Cancer Progressing or Relapsing After Previous Endocrine Therapy.

Version 22 to 23 · AstraZeneca

Patch inspector

Version 22 to 23

188 operations 9 path groups ctgov_internal_history
ClinicalTrials.gov
Severity is deterministic uncalibrated triage metadata, not validated review priority. Operation-level severity is inferred from deterministic path rules. Rule matches shown per operation are approximate previews (they skip the pipeline's suppression passes); the authoritative classification is the stored event record.
Plain-language summary

Manual review pending.

Rules fired
adverse_event_group_changeserious_adverse_event_additionserious_adverse_event_modification
Value signals
[
  {
    "path": "/protocolSection/statusModule/completionDateStruct/date",
    "signal": "timeline_major_slip",
    "category": "timeline_major_slip",
    "new_type": "ESTIMATED",
    "old_type": "ESTIMATED",
    "severity": "high",
    "direction": "later",
    "new_value": "2015-01",
    "old_value": "2013-09",
    "delta_days": 487,
    "date_struct": "completionDateStruct",
    "new_precision": "month",
    "old_precision": "month"
  },
  {
    "paths": [
      "/protocolSection/outcomesModule/primaryOutcomes/0/timeFrame",
      "/protocolSection/outcomesModule/secondaryOutcomes/4/description",
      "/protocolSection/outcomesModule/secondaryOutcomes/5/description",
      "/protocolSection/outcomesModule/secondaryOutcomes/5/measure",
      "/protocolSection/outcomesModule/secondaryOutcomes/6"
    ],
    "signal": "results_reconciliation_outcome_suppression",
    "category": "results_reconciliation",
    "severity": "low"
  }
]
Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 19:00:02+00
Raw hash
3acc98e2d127f63efaf7cce50f8f324649047e0341d30655bb7776609b827585
Payload
Source URL
Primary outcomes Outcome measures that define the trial's primary evidence target. Triage: Critical 1 ops
replace /protocolSection/outcomesModule/primaryOutcomes/0/timeFrame
Triage: Critical
Primary Outcome Change Operation 5
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
RECIST tumour assessments carried out every 12 weeks (+/- 2 weeks) from randomisation for study duration (48 months)
After
RECIST(Response Evaluation Criteria in Solid Tumors ) tumour assessments carried out every 12 weeks (+/- 2 weeks) from randomisation for study duration (48 months)
Adverse events and safety Posted serious or other adverse event data. Triage: High 15 ops
replace /resultsSection/adverseEventsModule/description
Triage: Uncategorized
Uncategorized Operation 174
Before
1 participant was randomised to fulvestrant 500 mg but did not receive any treatment
After
1 participant was randomised to fulvestrant 500 mg but did not receive any treatment.
AEs have been collected up to primary data cut off.
SAEs have been collected up to follow-up phase data cut-off.
replace /resultsSection/adverseEventsModule/eventGroups/0/seriousNumAffected
Triage: High
Adverse Event Group Change Operation 175
Matched rules
  • adverse_event_group_change Changes to adverse event group-level denominators or affected counts are high review priority.
Before
25
After
27
replace /resultsSection/adverseEventsModule/eventGroups/1/seriousNumAffected
Triage: High
Adverse Event Group Change Operation 176
Matched rules
  • adverse_event_group_change Changes to adverse event group-level denominators or affected counts are high review priority.
Before
29
After
35
replace /resultsSection/adverseEventsModule/seriousEvents/0/stats/1/numAffected
Triage: High
Serious Adverse Event Modification Operation 177
Matched rules
  • serious_adverse_event_modification Modification of reported serious adverse event data after results posting is high review priority.
Before
1
After
3
replace /resultsSection/adverseEventsModule/seriousEvents/5/stats/0/numAffected
Triage: High
Serious Adverse Event Modification Operation 178
Matched rules
  • serious_adverse_event_modification Modification of reported serious adverse event data after results posting is high review priority.
Before
1
After
2
replace /resultsSection/adverseEventsModule/seriousEvents/20/stats/1/numAffected
Triage: High
Serious Adverse Event Modification Operation 179
Matched rules
  • serious_adverse_event_modification Modification of reported serious adverse event data after results posting is high review priority.
Before
1
After
2
replace /resultsSection/adverseEventsModule/seriousEvents/26/stats/0/numAffected
Triage: High
Serious Adverse Event Modification Operation 180
Matched rules
  • serious_adverse_event_modification Modification of reported serious adverse event data after results posting is high review priority.
Before
1
After
2
replace /resultsSection/adverseEventsModule/seriousEvents/31/stats/1/numAffected
Triage: High
Serious Adverse Event Modification Operation 181
Matched rules
  • serious_adverse_event_modification Modification of reported serious adverse event data after results posting is high review priority.
Before
1
After
2
add /resultsSection/adverseEventsModule/seriousEvents/61
Triage: High
Serious Adverse Event Addition Operation 182
Matched rules
  • serious_adverse_event_addition Addition of reported serious adverse event data after results posting is high review priority.
After
{
  "term": "ATRIAL FIBRILLATION",
  "stats": [
    {
      "groupId": "EG000",
      "numAtRisk": 374,
      "numAffected": 0
    },
    {
      "groupId": "EG001",
      "numAtRisk": 361,
      "numAffected": 1
    }
  ],
  "organSystem": "Cardiac disorders",
  "assessmentType": "SYSTEMATIC_ASSESSMENT",
  "sourceVocabulary": "MedDRA 11.1"
}
add /resultsSection/adverseEventsModule/seriousEvents/62
Triage: High
Serious Adverse Event Addition Operation 183
Matched rules
  • serious_adverse_event_addition Addition of reported serious adverse event data after results posting is high review priority.
After
{
  "term": "ASTHENIA",
  "stats": [
    {
      "groupId": "EG000",
      "numAtRisk": 374,
      "numAffected": 0
    },
    {
      "groupId": "EG001",
      "numAtRisk": 361,
      "numAffected": 1
    }
  ],
  "organSystem": "General disorders",
  "assessmentType": "SYSTEMATIC_ASSESSMENT",
  "sourceVocabulary": "MedDRA 11.1"
}
add /resultsSection/adverseEventsModule/seriousEvents/63
Triage: High
Serious Adverse Event Addition Operation 184
Matched rules
  • serious_adverse_event_addition Addition of reported serious adverse event data after results posting is high review priority.
After
{
  "term": "INFECTIOUS PERITONITIS",
  "stats": [
    {
      "groupId": "EG000",
      "numAtRisk": 374,
      "numAffected": 0
    },
    {
      "groupId": "EG001",
      "numAtRisk": 361,
      "numAffected": 1
    }
  ],
  "organSystem": "Infections and infestations",
  "assessmentType": "SYSTEMATIC_ASSESSMENT",
  "sourceVocabulary": "MedDRA 11.1"
}
add /resultsSection/adverseEventsModule/seriousEvents/64
Triage: High
Serious Adverse Event Addition Operation 185
Matched rules
  • serious_adverse_event_addition Addition of reported serious adverse event data after results posting is high review priority.
After
{
  "term": "FALL",
  "stats": [
    {
      "groupId": "EG000",
      "numAtRisk": 374,
      "numAffected": 1
    },
    {
      "groupId": "EG001",
      "numAtRisk": 361,
      "numAffected": 0
    }
  ],
  "organSystem": "Injury, poisoning and procedural complications",
  "assessmentType": "SYSTEMATIC_ASSESSMENT",
  "sourceVocabulary": "MedDRA 11.1"
}
add /resultsSection/adverseEventsModule/seriousEvents/65
Triage: High
Serious Adverse Event Addition Operation 186
Matched rules
  • serious_adverse_event_addition Addition of reported serious adverse event data after results posting is high review priority.
After
{
  "term": "BONE PAIN",
  "stats": [
    {
      "groupId": "EG000",
      "numAtRisk": 374,
      "numAffected": 0
    },
    {
      "groupId": "EG001",
      "numAtRisk": 361,
      "numAffected": 1
    }
  ],
  "organSystem": "Musculoskeletal and connective tissue disorders",
  "assessmentType": "SYSTEMATIC_ASSESSMENT",
  "sourceVocabulary": "MedDRA 11.1"
}
add /resultsSection/adverseEventsModule/seriousEvents/66
Triage: High
Serious Adverse Event Addition Operation 187
Matched rules
  • serious_adverse_event_addition Addition of reported serious adverse event data after results posting is high review priority.
After
{
  "term": "HAEMOTHORAX",
  "stats": [
    {
      "groupId": "EG000",
      "numAtRisk": 374,
      "numAffected": 0
    },
    {
      "groupId": "EG001",
      "numAtRisk": 361,
      "numAffected": 1
    }
  ],
  "organSystem": "Respiratory, thoracic and mediastinal disorders",
  "assessmentType": "SYSTEMATIC_ASSESSMENT",
  "sourceVocabulary": "MedDRA 11.1"
}
add /resultsSection/adverseEventsModule/timeFrame
Triage: Uncategorized
Uncategorized Operation 188
After
SAE- From baseline up to October 31st 2011; AE- From baseline up to 28th February 2009
Secondary outcomes Additional endpoints and outcome descriptions. Triage: High 4 ops
replace /protocolSection/outcomesModule/secondaryOutcomes/4/description
Triage: High
Secondary Outcome Change Operation 6
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Median time (in months) from randomisation until death (from any cause)
After
Median time (in months) from randomisation until death (from any cause) (analysis at 50% deaths )
replace /protocolSection/outcomesModule/secondaryOutcomes/5/measure
Triage: High
Secondary Outcome Change Operation 7
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Time to Deterioration in Trial Outcome Index (TOI)
After
Change From Randomisation in Trial Outcome Index (TOI) Over the Course of the Study
replace /protocolSection/outcomesModule/secondaryOutcomes/5/description
Triage: High
Secondary Outcome Change Operation 8
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Median time (in months) from randomisation until deterioration in TOI (defined as the first visit response of 'worsened') using the Kaplan-Meier method.
Trial Outcome Index (TOI) is derived from the FACT-B questionnaire.
Data were collected from a subgroup of patients.
After
Mean (and standard deviation) change from randomisation until treatment discontinuation in TOI (defined as the first visit response of 'worsened' which is a decrease in TOI from baseline of 5 points or more) using the Kaplan-Meier method.
If a subject has not shown a reduction of 5 points or more at the time of analysis then the observation will be right censored using the last QOL assessment date.
Trial Outcome Index (TOI) is derived from the FACT-B questionnaire (Cella et al, 1993) by adding together the scores from the following 3 subscales; Physical well-being (PWB), Functional well-being (FWB) and Breast cancer subscale (BCS).
The TOI score range is 0-92 with the higher scores representing the more favourable outcomes.
Data were collected from a subgroup of patients.
add /protocolSection/outcomesModule/secondaryOutcomes/6
Triage: High
Secondary Outcome Change Operation 9
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
{
  "measure": "Overall Survival (OS) - Follow-up",
  "timeFrame": "Median time (in months) from randomisation until death (from any cause),up to 80 months",
  "description": "Overall Survival is equivalent to time to death.\nFor this endpoint, all deaths occurring during the study as a whole until the data cut-off for the survival extension (31st October 2011) are presented (analysis at 75% deaths)"
}
Timeline Start, primary completion, and completion date movement. Triage: Medium 1 ops
replace /protocolSection/statusModule/completionDateStruct/date
Triage: Medium
Timeline Shift Operation 2
Matched rules
  • completion_timeline_change Completion date changes are operational timeline signals.
Before
2013-09
After
2015-01
Contacts and locations Site, contact, and location updates that are usually operational. Triage: Uncategorized 110 ops
remove /protocolSection/contactsLocationsModule/locations/0
Triage: Uncategorized
Uncategorized Operation 12
Before
{
  "city": "Casa Grande",
  "state": "Arizona",
  "country": "United States",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 32.8795,
    "lon": -111.75735
  }
}
remove /protocolSection/contactsLocationsModule/locations/0
Triage: Uncategorized
Uncategorized Operation 13
Before
{
  "city": "Fountain Valley",
  "state": "California",
  "country": "United States",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 33.70918,
    "lon": -117.95367
  }
}
remove /protocolSection/contactsLocationsModule/locations/2
Triage: Uncategorized
Uncategorized Operation 14
Before
{
  "city": "Fort Lauderdale",
  "state": "Florida",
  "country": "United States",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 26.12231,
    "lon": -80.14338
  }
}
add /protocolSection/contactsLocationsModule/locations/8
Triage: Uncategorized
Uncategorized Operation 15
After
{
  "city": "Greenville",
  "state": "North Carolina",
  "country": "United States",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 35.61266,
    "lon": -77.36635
  }
}
remove /protocolSection/contactsLocationsModule/locations/11/state
Triage: Uncategorized
Uncategorized Operation 16
Before
Belgium
replace /protocolSection/contactsLocationsModule/locations/12/city
Triage: Uncategorized
Uncategorized Operation 17
Before
Brussels (anderlecht)
After
Brussels (Anderlecht)
remove /protocolSection/contactsLocationsModule/locations/12/state
Triage: Uncategorized
Uncategorized Operation 18
Before
Belgium
replace /protocolSection/contactsLocationsModule/locations/13/city
Triage: Uncategorized
Uncategorized Operation 19
Before
Brussels (jette)
After
Brussels (Jette)
remove /protocolSection/contactsLocationsModule/locations/13/state
Triage: Uncategorized
Uncategorized Operation 20
Before
Belgium
remove /protocolSection/contactsLocationsModule/locations/14/state
Triage: Uncategorized
Uncategorized Operation 21
Before
Belgium
remove /protocolSection/contactsLocationsModule/locations/15/state
Triage: Uncategorized
Uncategorized Operation 22
Before
Belgium
remove /protocolSection/contactsLocationsModule/locations/16/state
Triage: Uncategorized
Uncategorized Operation 23
Before
Belgium
remove /protocolSection/contactsLocationsModule/locations/17/state
Triage: Uncategorized
Uncategorized Operation 24
Before
Belgium
remove /protocolSection/contactsLocationsModule/locations/18/state
Triage: Uncategorized
Uncategorized Operation 25
Before
Belgium
remove /protocolSection/contactsLocationsModule/locations/19/state
Triage: Uncategorized
Uncategorized Operation 26
Before
Paraná
replace /protocolSection/contactsLocationsModule/locations/20/city
Triage: Uncategorized
Uncategorized Operation 27
Before
Recife
After
Porto Alegre
remove /protocolSection/contactsLocationsModule/locations/20/state
Triage: Uncategorized
Uncategorized Operation 28
Before
Pernambuco
replace /protocolSection/contactsLocationsModule/locations/20/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 29
Before
-8.05389
After
-30.03283
replace /protocolSection/contactsLocationsModule/locations/20/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 30
Before
-34.88111
After
-51.23019
replace /protocolSection/contactsLocationsModule/locations/21/city
Triage: Uncategorized
Uncategorized Operation 31
Before
Porto Alegre
After
Recife
remove /protocolSection/contactsLocationsModule/locations/21/state
Triage: Uncategorized
Uncategorized Operation 32
Before
Rio Grande do Sul
replace /protocolSection/contactsLocationsModule/locations/21/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 33
Before
-30.03283
After
-8.05389
replace /protocolSection/contactsLocationsModule/locations/21/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 34
Before
-51.23019
After
-34.88111
replace /protocolSection/contactsLocationsModule/locations/22/city
Triage: Uncategorized
Uncategorized Operation 35
Before
Barretos
After
São Paulo
remove /protocolSection/contactsLocationsModule/locations/22/state
Triage: Uncategorized
Uncategorized Operation 36
Before
S?o Paulo
replace /protocolSection/contactsLocationsModule/locations/22/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 37
Before
-20.55722
After
-23.5475
replace /protocolSection/contactsLocationsModule/locations/22/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 38
Before
-48.56778
After
-46.63611
replace /protocolSection/contactsLocationsModule/locations/23/city
Triage: Uncategorized
Uncategorized Operation 39
Before
São Paulo
After
Santiago
remove /protocolSection/contactsLocationsModule/locations/23/state
Triage: Uncategorized
Uncategorized Operation 40
Before
São Paulo
replace /protocolSection/contactsLocationsModule/locations/23/country
Triage: Uncategorized
Uncategorized Operation 41
Before
Brazil
After
Chile
replace /protocolSection/contactsLocationsModule/locations/23/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 42
Before
-23.5475
After
-33.45694
replace /protocolSection/contactsLocationsModule/locations/23/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 43
Before
-46.63611
After
-70.64827
replace /protocolSection/contactsLocationsModule/locations/24/city
Triage: Uncategorized
Uncategorized Operation 44
Before
Salvador
After
Bogotá
replace /protocolSection/contactsLocationsModule/locations/24/country
Triage: Uncategorized
Uncategorized Operation 45
Before
Brazil
After
Colombia
replace /protocolSection/contactsLocationsModule/locations/24/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 46
Before
-12.97563
After
4.60971
replace /protocolSection/contactsLocationsModule/locations/24/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 47
Before
-38.49096
After
-74.08175
replace /protocolSection/contactsLocationsModule/locations/25/city
Triage: Uncategorized
Uncategorized Operation 48
Before
Antofagasta
After
Cali
replace /protocolSection/contactsLocationsModule/locations/25/country
Triage: Uncategorized
Uncategorized Operation 49
Before
Chile
After
Colombia
replace /protocolSection/contactsLocationsModule/locations/25/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 50
Before
-23.65094
After
3.43054
replace /protocolSection/contactsLocationsModule/locations/25/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 51
Before
-70.39752
After
-76.5199
remove /protocolSection/contactsLocationsModule/locations/26
Triage: Uncategorized
Uncategorized Operation 52
Before
{
  "city": "Bogota",
  "state": "Cundinamarca",
  "country": "Colombia",
  "facility": "Research Site"
}
remove /protocolSection/contactsLocationsModule/locations/26
Triage: Uncategorized
Uncategorized Operation 53
Before
{
  "city": "Cali",
  "state": "Valle del Cauca Department",
  "country": "Colombia",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 3.43054,
    "lon": -76.5199
  }
}
remove /protocolSection/contactsLocationsModule/locations/26
Triage: Uncategorized
Uncategorized Operation 54
Before
{
  "city": "V Uvalu 84",
  "state": "Praha 5",
  "country": "Czechia",
  "facility": "Research Site"
}
replace /protocolSection/contactsLocationsModule/locations/31/city
Triage: Uncategorized
Uncategorized Operation 55
Before
Nyíregyháza
After
V Uvalu 84
replace /protocolSection/contactsLocationsModule/locations/31/country
Triage: Uncategorized
Uncategorized Operation 56
Before
Hungary
After
Czechia
remove /protocolSection/contactsLocationsModule/locations/31/geoPoint
Triage: Uncategorized
Uncategorized Operation 57
Before
{
  "lat": 47.95539,
  "lon": 21.71671
}
remove /protocolSection/contactsLocationsModule/locations/32
Triage: Uncategorized
Uncategorized Operation 58
Before
{
  "city": "Székesfehérvár",
  "country": "Hungary",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 47.18995,
    "lon": 18.41034
  }
}
remove /protocolSection/contactsLocationsModule/locations/33/state
Triage: Uncategorized
Uncategorized Operation 59
Before
Andh Prad
replace /protocolSection/contactsLocationsModule/locations/34/city
Triage: Uncategorized
Uncategorized Operation 60
Before
Kolkata
After
Jaipur
remove /protocolSection/contactsLocationsModule/locations/34/state
Triage: Uncategorized
Uncategorized Operation 61
Before
Kolkata
replace /protocolSection/contactsLocationsModule/locations/34/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 62
Before
22.56263
After
26.91962
replace /protocolSection/contactsLocationsModule/locations/34/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 63
Before
88.36304
After
75.78781
replace /protocolSection/contactsLocationsModule/locations/35/city
Triage: Uncategorized
Uncategorized Operation 64
Before
Bhopal
After
Kolkata
remove /protocolSection/contactsLocationsModule/locations/35/state
Triage: Uncategorized
Uncategorized Operation 65
Before
Madh Prad
replace /protocolSection/contactsLocationsModule/locations/35/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 66
Before
23.25469
After
22.56263
replace /protocolSection/contactsLocationsModule/locations/35/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 67
Before
77.40289
After
88.36304
replace /protocolSection/contactsLocationsModule/locations/36/city
Triage: Uncategorized
Uncategorized Operation 68
Before
Mumbai
After
Marg Jaipur
remove /protocolSection/contactsLocationsModule/locations/36/state
Triage: Uncategorized
Uncategorized Operation 69
Before
Maharashtra
remove /protocolSection/contactsLocationsModule/locations/36/geoPoint
Triage: Uncategorized
Uncategorized Operation 70
Before
{
  "lat": 19.07283,
  "lon": 72.88261
}
remove /protocolSection/contactsLocationsModule/locations/37/state
Triage: Uncategorized
Uncategorized Operation 71
Before
Maharashtra
remove /protocolSection/contactsLocationsModule/locations/38
Triage: Uncategorized
Uncategorized Operation 72
Before
{
  "city": "Ansārinagar",
  "state": "New Dehli",
  "country": "India",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 28.5666,
    "lon": 77.21422
  }
}
remove /protocolSection/contactsLocationsModule/locations/38
Triage: Uncategorized
Uncategorized Operation 73
Before
{
  "city": "Jaipur",
  "state": "Rajasthan",
  "country": "India",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 26.91962,
    "lon": 75.78781
  }
}
remove /protocolSection/contactsLocationsModule/locations/38
Triage: Uncategorized
Uncategorized Operation 74
Before
{
  "city": "Marg Jaipur",
  "state": "Rajasthan",
  "country": "India",
  "facility": "Research Site"
}
remove /protocolSection/contactsLocationsModule/locations/38
Triage: Uncategorized
Uncategorized Operation 75
Before
{
  "city": "Vellore",
  "state": "Tamil Nadu",
  "country": "India",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 12.9184,
    "lon": 79.13255
  }
}
remove /protocolSection/contactsLocationsModule/locations/38
Triage: Uncategorized
Uncategorized Operation 76
Before
{
  "city": "Karnataka",
  "country": "India",
  "facility": "Research Site"
}
replace /protocolSection/contactsLocationsModule/locations/39/city
Triage: Uncategorized
Uncategorized Operation 77
Before
Bergamo
After
Vellore
remove /protocolSection/contactsLocationsModule/locations/39/state
Triage: Uncategorized
Uncategorized Operation 78
Before
BG
replace /protocolSection/contactsLocationsModule/locations/39/country
Triage: Uncategorized
Uncategorized Operation 79
Before
Italy
After
India
replace /protocolSection/contactsLocationsModule/locations/39/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 80
Before
45.69601
After
12.9184
replace /protocolSection/contactsLocationsModule/locations/39/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 81
Before
9.66721
After
79.13255
replace /protocolSection/contactsLocationsModule/locations/40/city
Triage: Uncategorized
Uncategorized Operation 82
Before
Genova
After
Aviano
remove /protocolSection/contactsLocationsModule/locations/40/state
Triage: Uncategorized
Uncategorized Operation 83
Before
GE
replace /protocolSection/contactsLocationsModule/locations/40/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 84
Before
45.21604
After
46.07056
replace /protocolSection/contactsLocationsModule/locations/40/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 85
Before
11.87211
After
12.59472
replace /protocolSection/contactsLocationsModule/locations/41/city
Triage: Uncategorized
Uncategorized Operation 86
Before
Carpi
After
Bergamo
remove /protocolSection/contactsLocationsModule/locations/41/state
Triage: Uncategorized
Uncategorized Operation 87
Before
MO
replace /protocolSection/contactsLocationsModule/locations/41/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 88
Before
44.78237
After
45.69601
replace /protocolSection/contactsLocationsModule/locations/41/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 89
Before
10.8777
After
9.66721
replace /protocolSection/contactsLocationsModule/locations/42/city
Triage: Uncategorized
Uncategorized Operation 90
Before
Aviano
After
Carpi
remove /protocolSection/contactsLocationsModule/locations/42/state
Triage: Uncategorized
Uncategorized Operation 91
Before
PN
replace /protocolSection/contactsLocationsModule/locations/42/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 92
Before
46.07056
After
44.78237
replace /protocolSection/contactsLocationsModule/locations/42/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 93
Before
12.59472
After
10.8777
remove /protocolSection/contactsLocationsModule/locations/43/state
Triage: Uncategorized
Uncategorized Operation 94
Before
Prato
remove /protocolSection/contactsLocationsModule/locations/44/state
Triage: Uncategorized
Uncategorized Operation 95
Before
RE
remove /protocolSection/contactsLocationsModule/locations/45/state
Triage: Uncategorized
Uncategorized Operation 96
Before
VA
add /protocolSection/contactsLocationsModule/locations/47
Triage: Uncategorized
Uncategorized Operation 97
After
{
  "city": "Mexico City",
  "country": "Mexico",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 19.42847,
    "lon": -99.12766
  }
}
add /protocolSection/contactsLocationsModule/locations/48
Triage: Uncategorized
Uncategorized Operation 98
After
{
  "city": "México",
  "country": "Mexico",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 31.00435,
    "lon": -108.15213
  }
}
remove /protocolSection/contactsLocationsModule/locations/52
Triage: Uncategorized
Uncategorized Operation 99
Before
{
  "city": "Obninsk",
  "state": "Kaluga Oblast",
  "country": "Russia",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 55.10993,
    "lon": 36.61238
  }
}
remove /protocolSection/contactsLocationsModule/locations/52
Triage: Uncategorized
Uncategorized Operation 100
Before
{
  "city": "Yaroslavl",
  "state": "Yaroslavl Oblast",
  "country": "Russia",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 57.62987,
    "lon": 39.87368
  }
}
add /protocolSection/contactsLocationsModule/locations/57
Triage: Uncategorized
Uncategorized Operation 101
After
{
  "city": "Obninsk",
  "country": "Russia",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 55.10993,
    "lon": 36.61238
  }
}
add /protocolSection/contactsLocationsModule/locations/60
Triage: Uncategorized
Uncategorized Operation 102
After
{
  "city": "Yaroslavl",
  "country": "Russia",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 57.62987,
    "lon": 39.87368
  }
}
replace /protocolSection/contactsLocationsModule/locations/62/city
Triage: Uncategorized
Uncategorized Operation 103
Before
Bratislava
After
Madrid
replace /protocolSection/contactsLocationsModule/locations/62/country
Triage: Uncategorized
Uncategorized Operation 104
Before
Slovakia
After
Spain
replace /protocolSection/contactsLocationsModule/locations/62/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 105
Before
48.14816
After
40.4165
replace /protocolSection/contactsLocationsModule/locations/62/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 106
Before
17.10674
After
-3.70256
remove /protocolSection/contactsLocationsModule/locations/63/state
Triage: Uncategorized
Uncategorized Operation 107
Before
Andalusia
replace /protocolSection/contactsLocationsModule/locations/64/city
Triage: Uncategorized
Uncategorized Operation 108
Before
Seville
After
Oviedo
remove /protocolSection/contactsLocationsModule/locations/64/state
Triage: Uncategorized
Uncategorized Operation 109
Before
Andalusia
replace /protocolSection/contactsLocationsModule/locations/64/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 110
Before
37.38283
After
43.36029
replace /protocolSection/contactsLocationsModule/locations/64/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 111
Before
-5.97317
After
-5.84476
remove /protocolSection/contactsLocationsModule/locations/65/state
Triage: Uncategorized
Uncategorized Operation 112
Before
Castille and León
replace /protocolSection/contactsLocationsModule/locations/65/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 113
Before
40.96882
After
40.42972
replace /protocolSection/contactsLocationsModule/locations/65/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 114
Before
-5.66388
After
-3.67975
replace /protocolSection/contactsLocationsModule/locations/66/city
Triage: Uncategorized
Uncategorized Operation 115
Before
A Coru?a
After
Seville
remove /protocolSection/contactsLocationsModule/locations/66/state
Triage: Uncategorized
Uncategorized Operation 116
Before
Galicia
add /protocolSection/contactsLocationsModule/locations/66/geoPoint
Triage: Uncategorized
Uncategorized Operation 117
After
{
  "lat": 37.38283,
  "lon": -5.97317
}
remove /protocolSection/contactsLocationsModule/locations/67
Triage: Uncategorized
Uncategorized Operation 118
Before
{
  "city": "Madrid",
  "state": "Madrid",
  "country": "Spain",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 40.4165,
    "lon": -3.70256
  }
}
remove /protocolSection/contactsLocationsModule/locations/67
Triage: Uncategorized
Uncategorized Operation 119
Before
{
  "city": "Oviedo",
  "state": "Principality of Asturias",
  "country": "Spain",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 43.36029,
    "lon": -5.84476
  }
}
remove /protocolSection/contactsLocationsModule/locations/73
Triage: Uncategorized
Uncategorized Operation 120
Before
{
  "city": "Ternopil",
  "country": "Ukraine",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 49.55404,
    "lon": 25.59067
  }
}
add /protocolSection/contactsLocationsModule/locations/74
Triage: Uncategorized
Uncategorized Operation 121
After
{
  "city": "Caracas",
  "country": "Venezuela",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 10.48801,
    "lon": -66.87919
  }
}
Eligibility Criteria and population definition changes. Triage: Uncategorized 2 ops
remove /protocolSection/eligibilityModule/stdAges/0
Triage: Uncategorized
Uncategorized Operation 10
Before
CHILD
add /protocolSection/eligibilityModule/minimumAge
Triage: Uncategorized
Uncategorized Operation 11
After
45 Years
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 26 ops
replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized
Uncategorized Operation 1
Before
2012-08
After
2014-08
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 3
Before
2012-08-14
After
2014-08-29
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 4
Before
2012-08-20
After
2014-09-01
replace /resultsSection/participantFlowModule/periods/0/milestones/1/achievements/0/comment
Triage: Uncategorized
Uncategorized Operation 123
Before
ongoing study treatment at data cut-off
After
ongoing study treatment at survival follow-up data cut-off
replace /resultsSection/participantFlowModule/periods/0/milestones/1/achievements/0/numSubjects
Triage: Uncategorized
Uncategorized Operation 124
Before
31
After
8
replace /resultsSection/participantFlowModule/periods/0/milestones/1/achievements/1/comment
Triage: Uncategorized
Uncategorized Operation 125
Before
ongoing study treatment at data cut-off
After
ongoing study treatment at survival follow-up data cut-off
replace /resultsSection/participantFlowModule/periods/0/milestones/1/achievements/1/numSubjects
Triage: Uncategorized
Uncategorized Operation 126
Before
41
After
13
replace /resultsSection/participantFlowModule/periods/0/milestones/2/achievements/0/numSubjects
Triage: Uncategorized
Uncategorized Operation 127
Before
343
After
366
replace /resultsSection/participantFlowModule/periods/0/milestones/2/achievements/1/numSubjects
Triage: Uncategorized
Uncategorized Operation 128
Before
321
After
349
replace /resultsSection/participantFlowModule/periods/0/dropWithdraws/0/type
Triage: Uncategorized
Uncategorized Operation 129
Before
Protocol Violation
After
Lost to Follow-up
replace /resultsSection/participantFlowModule/periods/0/dropWithdraws/0/reasons/0/numSubjects
Triage: Uncategorized
Uncategorized Operation 130
Before
4
After
30
replace /resultsSection/participantFlowModule/periods/0/dropWithdraws/0/reasons/1/numSubjects
Triage: Uncategorized
Uncategorized Operation 131
Before
4
After
33
replace /resultsSection/participantFlowModule/periods/0/dropWithdraws/1/type
Triage: Uncategorized
Uncategorized Operation 132
Before
Adverse Event
After
Death
replace /resultsSection/participantFlowModule/periods/0/dropWithdraws/1/reasons/0/numSubjects
Triage: Uncategorized
Uncategorized Operation 133
Before
6
After
293
replace /resultsSection/participantFlowModule/periods/0/dropWithdraws/1/reasons/1/numSubjects
Triage: Uncategorized
Uncategorized Operation 134
Before
8
After
261
replace /resultsSection/participantFlowModule/periods/0/dropWithdraws/2/type
Triage: Uncategorized
Uncategorized Operation 135
Before
Lack of Efficacy
After
Withdrawal by Subject
replace /resultsSection/participantFlowModule/periods/0/dropWithdraws/2/reasons/0/numSubjects
Triage: Uncategorized
Uncategorized Operation 136
Before
278
After
6
replace /resultsSection/participantFlowModule/periods/0/dropWithdraws/2/reasons/1/numSubjects
Triage: Uncategorized
Uncategorized Operation 137
Before
258
After
10
replace /resultsSection/participantFlowModule/periods/0/dropWithdraws/3/type
Triage: Uncategorized
Uncategorized Operation 138
Before
Withdrawal by Subject
After
Ongoing in FU but not on treatment
replace /resultsSection/participantFlowModule/periods/0/dropWithdraws/3/reasons/0/numSubjects
Triage: Uncategorized
Uncategorized Operation 139
Before
16
After
37
replace /resultsSection/participantFlowModule/periods/0/dropWithdraws/3/reasons/1/numSubjects
Triage: Uncategorized
Uncategorized Operation 140
Before
18
After
45
remove /resultsSection/participantFlowModule/periods/0/dropWithdraws/4
Triage: Uncategorized
Uncategorized Operation 141
Before
{
  "type": "Lost to Follow-up",
  "reasons": [
    {
      "groupId": "FG000",
      "numSubjects": "1"
    },
    {
      "groupId": "FG001",
      "numSubjects": "3"
    }
  ]
}
remove /resultsSection/participantFlowModule/periods/0/dropWithdraws/4
Triage: Uncategorized
Uncategorized Operation 142
Before
{
  "type": "Death",
  "reasons": [
    {
      "groupId": "FG000",
      "numSubjects": "13"
    },
    {
      "groupId": "FG001",
      "numSubjects": "8"
    }
  ]
}
remove /resultsSection/participantFlowModule/periods/0/dropWithdraws/4
Triage: Uncategorized
Uncategorized Operation 143
Before
{
  "type": "protocol non-compliance",
  "reasons": [
    {
      "groupId": "FG000",
      "numSubjects": "2"
    },
    {
      "groupId": "FG001",
      "numSubjects": "2"
    }
  ]
}
remove /resultsSection/participantFlowModule/periods/0/dropWithdraws/4
Triage: Uncategorized
Uncategorized Operation 144
Before
{
  "type": "Other reasons eg. radiation treatment",
  "reasons": [
    {
      "groupId": "FG000",
      "numSubjects": "23"
    },
    {
      "groupId": "FG001",
      "numSubjects": "20"
    }
  ]
}
replace /resultsSection/baselineCharacteristicsModule/measures/0/title
Triage: Uncategorized
Uncategorized Operation 145
Before
Age Continuous
After
Age, Continuous
Results outcome measures Posted result outcome measures and result-level endpoint data. Triage: Uncategorized 28 ops
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/0/timeFrame
Triage: Uncategorized
Uncategorized Operation 146
Before
RECIST tumour assessments carried out every 12 weeks (+/- 2 weeks) from randomisation for study duration (48 months)
After
RECIST(Response Evaluation Criteria in Solid Tumors ) tumour assessments carried out every 12 weeks (+/- 2 weeks) from randomisation for study duration (48 months)
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/0/classes/0/categories/0/measurements/0/upperLimit
Triage: Uncategorized
Uncategorized Operation 147
Before
44.6
After
NA
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/0/classes/0/categories/0/measurements/0/comment
Triage: Uncategorized
Uncategorized Operation 148
After
Not Applicable - not all participants had an event at time of analysis, max time censored
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/0/classes/0/categories/0/measurements/1/upperLimit
Triage: Uncategorized
Uncategorized Operation 149
Before
44.5
After
NA
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/0/classes/0/categories/0/measurements/1/comment
Triage: Uncategorized
Uncategorized Operation 150
After
Not Applicable - not all participants had an event at time of analysis, max time censored
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/3/classes/0/categories/0/measurements/0/upperLimit
Triage: Uncategorized
Uncategorized Operation 151
Before
44.6
After
NA
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/3/classes/0/categories/0/measurements/0/comment
Triage: Uncategorized
Uncategorized Operation 152
After
Not Applicable - not all participants had an event at time of analysis, max time censored
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/3/classes/0/categories/0/measurements/1/upperLimit
Triage: Uncategorized
Uncategorized Operation 153
Before
44.5
After
NA
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/3/classes/0/categories/0/measurements/1/comment
Triage: Uncategorized
Uncategorized Operation 154
After
Not Applicable - not all participants had an event at time of analysis, max time censored
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/4/classes/0/categories/0/measurements/0/upperLimit
Triage: Uncategorized
Uncategorized Operation 155
Before
44.6
After
NA
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/4/classes/0/categories/0/measurements/0/comment
Triage: Uncategorized
Uncategorized Operation 156
After
Not Applicable - not all participants had an event at time of analysis, max time censored
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/4/classes/0/categories/0/measurements/1/upperLimit
Triage: Uncategorized
Uncategorized Operation 157
Before
44.5
After
NA
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/4/classes/0/categories/0/measurements/1/comment
Triage: Uncategorized
Uncategorized Operation 158
After
Not Applicable - not all participants had an event at time of analysis, max time censored
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/5/description
Triage: Uncategorized
Uncategorized Operation 159
Before
Median time (in months) from randomisation until death (from any cause)
After
Median time (in months) from randomisation until death (from any cause) (analysis at 50% deaths )
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/5/classes/0/categories/0/measurements/0/upperLimit
Triage: Uncategorized
Uncategorized Operation 160
Before
44.6
After
NA
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/5/classes/0/categories/0/measurements/0/comment
Triage: Uncategorized
Uncategorized Operation 161
After
Not Applicable - not all participants had an event at time of analysis, max time censored
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/5/classes/0/categories/0/measurements/1/upperLimit
Triage: Uncategorized
Uncategorized Operation 162
Before
46.3
After
NA
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/5/classes/0/categories/0/measurements/1/comment
Triage: Uncategorized
Uncategorized Operation 163
After
Not Applicable - not all participants had an event at time of analysis, max time censored
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/title
Triage: Uncategorized
Uncategorized Operation 164
Before
Time to Deterioration in Trial Outcome Index (TOI)
After
Change From Randomisation in Trial Outcome Index (TOI) Over the Course of the Study
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/description
Triage: Uncategorized
Uncategorized Operation 165
Before
Median time (in months) from randomisation until deterioration in TOI (defined as the first visit response of 'worsened') using the Kaplan-Meier method.
Trial Outcome Index (TOI) is derived from the FACT-B questionnaire.
Data were collected from a subgroup of patients.
After
Mean (and standard deviation) change from randomisation until treatment discontinuation in TOI (defined as the first visit response of 'worsened' which is a decrease in TOI from baseline of 5 points or more) using the Kaplan-Meier method.
If a subject has not shown a reduction of 5 points or more at the time of analysis then the observation will be right censored using the last QOL assessment date.
Trial Outcome Index (TOI) is derived from the FACT-B questionnaire (Cella et al, 1993) by adding together the scores from the following 3 subscales; Physical well-being (PWB), Functional well-being (FWB) and Breast cancer subscale (BCS).
The TOI score range is 0-92 with the higher scores representing the more favourable outcomes.
Data were collected from a subgroup of patients.
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/reportingStatus
Triage: Uncategorized
Uncategorized Operation 166
Before
NOT_POSTED
After
POSTED
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/paramType
Triage: Uncategorized
Uncategorized Operation 167
After
MEAN
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/dispersionType
Triage: Uncategorized
Uncategorized Operation 168
After
Standard Deviation
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/unitOfMeasure
Triage: Uncategorized
Uncategorized Operation 169
After
Scores on a scale
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/groups
Triage: Uncategorized
Uncategorized Operation 170
After
[
  {
    "id": "OG000",
    "title": "Fulvestrant 250 mg",
    "description": "Fulvestrant 250 mg Intramuscular Injection every 28 days"
  },
  {
    "id": "OG001",
    "title": "Fulvestrant 500 mg",
    "description": "Fulvestrant 500 mg Intramuscular Injection every 28 days plus 500 mg on day 14"
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/denoms
Triage: Uncategorized
Uncategorized Operation 171
After
[
  {
    "units": "Participants",
    "counts": [
      {
        "value": "35",
        "groupId": "OG000"
      },
      {
        "value": "34",
        "groupId": "OG001"
      }
    ]
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/classes
Triage: Uncategorized
Uncategorized Operation 172
After
[
  {
    "categories": [
      {
        "measurements": [
          {
            "value": "-5.9",
            "spread": "9.89",
            "groupId": "OG000"
          },
          {
            "value": "-7.5",
            "spread": "13.72",
            "groupId": "OG001"
          }
        ]
      }
    ]
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/7
Triage: Uncategorized
Uncategorized Operation 173
After
{
  "type": "SECONDARY",
  "title": "Overall Survival (OS) - Follow-up",
  "denoms": [
    {
      "units": "Participants",
      "counts": [
        {
          "value": "374",
          "groupId": "OG000"
        },
        {
          "value": "362",
          "groupId": "OG001"
        }
      ]
    }
  ],
  "groups": [
    {
      "id": "OG000",
      "title": "Fulvestrant 250 mg",
      "description": "Fulvestrant 250 mg Intramuscular Injection every 28 days"
    },
    {
      "id": "OG001",
      "title": "Fulvestrant 500 mg",
      "description": "Fulvestrant 500 mg Intramuscular Injection every 28 days plus 500 mg on day 14"
    }
  ],
  "classes": [
    {
      "categories": [
        {
          "measurements": [
            {
              "value": "22.3",
              "comment": "Not Applicable - not all participants had an event at time of analysis, max time censored",
              "groupId": "OG000",
              "lowerLimit": "0.2",
              "upperLimit": "NA"
            },
            {
              "value": "26.4",
              "comment": "Not Applicable - not all participants had an event at time of analysis, max time censored",
              "groupId": "OG001",
              "lowerLimit": "0.1",
              "upperLimit": "NA"
            }
          ]
        }
      ]
    }
  ],
  "paramType": "MEDIAN",
  "timeFrame": "Median time (in months) from randomisation until death (from any cause),up to 80 months",
  "description": "Overall Survival is equivalent to time to death.\nFor this endpoint, all deaths occurring during the study as a whole until the data cut-off for the survival extension (31st October 2011) are presented (analysis at 75% deaths)",
  "unitOfMeasure": "months",
  "dispersionType": "Full Range",
  "reportingStatus": "POSTED",
  "populationDescription": "All randomised patients"
}
Sponsor and administrative fields Sponsor, collaborator, oversight, or registry maintenance changes. Triage: Uncategorized 1 ops
add /protocolSection/referencesModule/seeAlsoLinks
Triage: Uncategorized
Uncategorized Operation 122
After
[
  {
    "url": "http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_MED_6111&studyid=589&filename=CSP-D6997C00002.PDF",
    "label": "CSP-D6997C00002.PDF"
  },
  {
    "url": "http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_MED_6111&studyid=589&filename=CSR-D6997C00002.pdf",
    "label": "D6997C00002 Study Report Synopsis"
  }
]
Raw JSON Patch
[
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/statusVerifiedDate",
    "value": "2014-08"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/completionDateStruct/date",
    "value": "2015-01"
  },
  {
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    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/3/classes/0/categories/0/measurements/0/upperLimit",
    "value": "NA"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/3/classes/0/categories/0/measurements/0/comment",
    "value": "Not Applicable - not all participants had an event at time of analysis, max time censored"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/3/classes/0/categories/0/measurements/1/upperLimit",
    "value": "NA"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/3/classes/0/categories/0/measurements/1/comment",
    "value": "Not Applicable - not all participants had an event at time of analysis, max time censored"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/4/classes/0/categories/0/measurements/0/upperLimit",
    "value": "NA"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/4/classes/0/categories/0/measurements/0/comment",
    "value": "Not Applicable - not all participants had an event at time of analysis, max time censored"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/4/classes/0/categories/0/measurements/1/upperLimit",
    "value": "NA"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/4/classes/0/categories/0/measurements/1/comment",
    "value": "Not Applicable - not all participants had an event at time of analysis, max time censored"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/5/description",
    "value": "Median time (in months) from randomisation until death (from any cause) (analysis at 50% deaths )"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/5/classes/0/categories/0/measurements/0/upperLimit",
    "value": "NA"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/5/classes/0/categories/0/measurements/0/comment",
    "value": "Not Applicable - not all participants had an event at time of analysis, max time censored"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/5/classes/0/categories/0/measurements/1/upperLimit",
    "value": "NA"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/5/classes/0/categories/0/measurements/1/comment",
    "value": "Not Applicable - not all participants had an event at time of analysis, max time censored"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/title",
    "value": "Change From Randomisation in Trial Outcome Index (TOI) Over the Course of the Study"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/description",
    "value": "Mean (and standard deviation) change from randomisation until treatment discontinuation in TOI (defined as the first visit response of 'worsened' which is a decrease in TOI from baseline of 5 points or more) using the Kaplan-Meier method.\nIf a subject has not shown a reduction of 5 points or more at the time of analysis then the observation will be right censored using the last QOL assessment date.\nTrial Outcome Index (TOI) is derived from the FACT-B questionnaire (Cella et al, 1993) by adding together the scores from the following 3 subscales; Physical well-being (PWB), Functional well-being (FWB) and Breast cancer subscale (BCS).\nThe TOI score range is 0-92 with the higher scores representing the more favourable outcomes.\nData were collected from a subgroup of patients."
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/reportingStatus",
    "value": "POSTED"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/paramType",
    "value": "MEAN"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/dispersionType",
    "value": "Standard Deviation"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/unitOfMeasure",
    "value": "Scores on a scale"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/groups",
    "value": [
      {
        "id": "OG000",
        "title": "Fulvestrant 250 mg",
        "description": "Fulvestrant 250 mg Intramuscular Injection every 28 days"
      },
      {
        "id": "OG001",
        "title": "Fulvestrant 500 mg",
        "description": "Fulvestrant 500 mg Intramuscular Injection every 28 days plus 500 mg on day 14"
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/denoms",
    "value": [
      {
        "units": "Participants",
        "counts": [
          {
            "value": "35",
            "groupId": "OG000"
          },
          {
            "value": "34",
            "groupId": "OG001"
          }
        ]
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/classes",
    "value": [
      {
        "categories": [
          {
            "measurements": [
              {
                "value": "-5.9",
                "spread": "9.89",
                "groupId": "OG000"
              },
              {
                "value": "-7.5",
                "spread": "13.72",
                "groupId": "OG001"
              }
            ]
          }
        ]
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/7",
    "value": {
      "type": "SECONDARY",
      "title": "Overall Survival (OS) - Follow-up",
      "denoms": [
        {
          "units": "Participants",
          "counts": [
            {
              "value": "374",
              "groupId": "OG000"
            },
            {
              "value": "362",
              "groupId": "OG001"
            }
          ]
        }
      ],
      "groups": [
        {
          "id": "OG000",
          "title": "Fulvestrant 250 mg",
          "description": "Fulvestrant 250 mg Intramuscular Injection every 28 days"
        },
        {
          "id": "OG001",
          "title": "Fulvestrant 500 mg",
          "description": "Fulvestrant 500 mg Intramuscular Injection every 28 days plus 500 mg on day 14"
        }
      ],
      "classes": [
        {
          "categories": [
            {
              "measurements": [
                {
                  "value": "22.3",
                  "comment": "Not Applicable - not all participants had an event at time of analysis, max time censored",
                  "groupId": "OG000",
                  "lowerLimit": "0.2",
                  "upperLimit": "NA"
                },
                {
                  "value": "26.4",
                  "comment": "Not Applicable - not all participants had an event at time of analysis, max time censored",
                  "groupId": "OG001",
                  "lowerLimit": "0.1",
                  "upperLimit": "NA"
                }
              ]
            }
          ]
        }
      ],
      "paramType": "MEDIAN",
      "timeFrame": "Median time (in months) from randomisation until death (from any cause),up to 80 months",
      "description": "Overall Survival is equivalent to time to death.\nFor this endpoint, all deaths occurring during the study as a whole until the data cut-off for the survival extension (31st October 2011) are presented (analysis at 75% deaths)",
      "unitOfMeasure": "months",
      "dispersionType": "Full Range",
      "reportingStatus": "POSTED",
      "populationDescription": "All randomised patients"
    }
  },
  {
    "op": "replace",
    "path": "/resultsSection/adverseEventsModule/description",
    "value": "1 participant was randomised to fulvestrant 500 mg but did not receive any treatment.\nAEs have been collected up to primary data cut off.\nSAEs have been collected up to follow-up phase data cut-off."
  },
  {
    "op": "replace",
    "path": "/resultsSection/adverseEventsModule/eventGroups/0/seriousNumAffected",
    "value": 27
  },
  {
    "op": "replace",
    "path": "/resultsSection/adverseEventsModule/eventGroups/1/seriousNumAffected",
    "value": 35
  },
  {
    "op": "replace",
    "path": "/resultsSection/adverseEventsModule/seriousEvents/0/stats/1/numAffected",
    "value": 3
  },
  {
    "op": "replace",
    "path": "/resultsSection/adverseEventsModule/seriousEvents/5/stats/0/numAffected",
    "value": 2
  },
  {
    "op": "replace",
    "path": "/resultsSection/adverseEventsModule/seriousEvents/20/stats/1/numAffected",
    "value": 2
  },
  {
    "op": "replace",
    "path": "/resultsSection/adverseEventsModule/seriousEvents/26/stats/0/numAffected",
    "value": 2
  },
  {
    "op": "replace",
    "path": "/resultsSection/adverseEventsModule/seriousEvents/31/stats/1/numAffected",
    "value": 2
  },
  {
    "op": "add",
    "path": "/resultsSection/adverseEventsModule/seriousEvents/61",
    "value": {
      "term": "ATRIAL FIBRILLATION",
      "stats": [
        {
          "groupId": "EG000",
          "numAtRisk": 374,
          "numAffected": 0
        },
        {
          "groupId": "EG001",
          "numAtRisk": 361,
          "numAffected": 1
        }
      ],
      "organSystem": "Cardiac disorders",
      "assessmentType": "SYSTEMATIC_ASSESSMENT",
      "sourceVocabulary": "MedDRA 11.1"
    }
  },
  {
    "op": "add",
    "path": "/resultsSection/adverseEventsModule/seriousEvents/62",
    "value": {
      "term": "ASTHENIA",
      "stats": [
        {
          "groupId": "EG000",
          "numAtRisk": 374,
          "numAffected": 0
        },
        {
          "groupId": "EG001",
          "numAtRisk": 361,
          "numAffected": 1
        }
      ],
      "organSystem": "General disorders",
      "assessmentType": "SYSTEMATIC_ASSESSMENT",
      "sourceVocabulary": "MedDRA 11.1"
    }
  },
  {
    "op": "add",
    "path": "/resultsSection/adverseEventsModule/seriousEvents/63",
    "value": {
      "term": "INFECTIOUS PERITONITIS",
      "stats": [
        {
          "groupId": "EG000",
          "numAtRisk": 374,
          "numAffected": 0
        },
        {
          "groupId": "EG001",
          "numAtRisk": 361,
          "numAffected": 1
        }
      ],
      "organSystem": "Infections and infestations",
      "assessmentType": "SYSTEMATIC_ASSESSMENT",
      "sourceVocabulary": "MedDRA 11.1"
    }
  },
  {
    "op": "add",
    "path": "/resultsSection/adverseEventsModule/seriousEvents/64",
    "value": {
      "term": "FALL",
      "stats": [
        {
          "groupId": "EG000",
          "numAtRisk": 374,
          "numAffected": 1
        },
        {
          "groupId": "EG001",
          "numAtRisk": 361,
          "numAffected": 0
        }
      ],
      "organSystem": "Injury, poisoning and procedural complications",
      "assessmentType": "SYSTEMATIC_ASSESSMENT",
      "sourceVocabulary": "MedDRA 11.1"
    }
  },
  {
    "op": "add",
    "path": "/resultsSection/adverseEventsModule/seriousEvents/65",
    "value": {
      "term": "BONE PAIN",
      "stats": [
        {
          "groupId": "EG000",
          "numAtRisk": 374,
          "numAffected": 0
        },
        {
          "groupId": "EG001",
          "numAtRisk": 361,
          "numAffected": 1
        }
      ],
      "organSystem": "Musculoskeletal and connective tissue disorders",
      "assessmentType": "SYSTEMATIC_ASSESSMENT",
      "sourceVocabulary": "MedDRA 11.1"
    }
  },
  {
    "op": "add",
    "path": "/resultsSection/adverseEventsModule/seriousEvents/66",
    "value": {
      "term": "HAEMOTHORAX",
      "stats": [
        {
          "groupId": "EG000",
          "numAtRisk": 374,
          "numAffected": 0
        },
        {
          "groupId": "EG001",
          "numAtRisk": 361,
          "numAffected": 1
        }
      ],
      "organSystem": "Respiratory, thoracic and mediastinal disorders",
      "assessmentType": "SYSTEMATIC_ASSESSMENT",
      "sourceVocabulary": "MedDRA 11.1"
    }
  },
  {
    "op": "add",
    "path": "/resultsSection/adverseEventsModule/timeFrame",
    "value": "SAE- From baseline up to October 31st 2011; AE- From baseline up to 28th February 2009"
  }
]