Back to trial

NCT00128856

Gemcitabine, Doxorubicin and Paclitaxel (GAT) as Neoadjuvant Treatment of Breast Cancer Patients

Version 1 to 2 · Spanish Breast Cancer Research Group

Patch inspector

Version 1 to 2

54 operations 7 path groups ctgov_internal_history
ClinicalTrials.gov
Severity is deterministic uncalibrated triage metadata, not validated review priority. Operation-level severity is inferred from deterministic path rules. Rule matches shown per operation are approximate previews (they skip the pipeline's suppression passes); the authoritative classification is the stored event record.
Plain-language summary

Manual review pending.

Rules fired
arms_or_interventions_changedesign_info_changeenrollment_count_changeprimary_outcome_any_changesecondary_outcome_any_change
Value signals
[
  {
    "path": "/protocolSection/statusModule/startDateStruct/date",
    "signal": "timeline_shift",
    "category": "timeline_shift",
    "new_type": "ACTUAL",
    "old_type": null,
    "severity": "medium",
    "direction": "later",
    "new_value": "2003-03",
    "old_value": "2002-12",
    "delta_days": 90,
    "date_struct": "startDateStruct",
    "new_precision": "month",
    "old_precision": "month"
  },
  {
    "path": "/protocolSection/statusModule/completionDateStruct/date",
    "signal": "timeline_major_slip",
    "category": "timeline_major_slip",
    "new_type": "ACTUAL",
    "old_type": null,
    "severity": "high",
    "direction": "later",
    "new_value": "2015-01",
    "old_value": "2005-08",
    "delta_days": 3440,
    "date_struct": "completionDateStruct",
    "new_precision": "month",
    "old_precision": "month"
  },
  {
    "path": "/protocolSection/statusModule/primaryCompletionDateStruct",
    "reason": "date_unparsed_or_missing",
    "signal": "timeline_shift",
    "category": "timeline_shift",
    "new_type": "ACTUAL",
    "old_type": null,
    "severity": "medium",
    "direction": "unknown",
    "new_value": "2015-01",
    "old_value": null,
    "date_struct": "primaryCompletionDateStruct"
  }
]
Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 18:57:28+00
Raw hash
1dc67e101d5037d3f9c21069b453565f955f74e88319f05131d5a59fe86fcd7c
Payload
Source URL
Primary outcomes Outcome measures that define the trial's primary evidence target. Triage: Critical 2 ops
add /protocolSection/outcomesModule/primaryOutcomes/0/description
Triage: Critical
Primary Outcome Change Operation 20
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
After
To determine the pathological response after surgery, based on the proportion of remaining tumor and post-chemotherapy changes, evaluating separately the response in the breast and in the axila lymph nodes.
add /protocolSection/outcomesModule/primaryOutcomes/0/timeFrame
Triage: Critical
Primary Outcome Change Operation 21
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
After
up to 5 months from last patient included
Design Trial model, phase, allocation, masking, arms, or interventions. Triage: High 8 ops
replace /protocolSection/designModule/designInfo/allocation
Triage: High
Design Change Operation 12
Matched rules
  • design_info_change Design information changes can alter allocation, masking, model, or purpose and need review.
Before
NON_RANDOMIZED
After
NA
replace /protocolSection/designModule/enrollmentInfo/count
Triage: High
Enrollment Change Operation 13
Matched rules
  • enrollment_count_change Enrollment count changes can signal scope or feasibility shifts.
Before
43
After
46
add /protocolSection/designModule/enrollmentInfo/type
Triage: Uncategorized
Uncategorized Operation 14
After
ACTUAL
add /protocolSection/armsInterventionsModule/interventions/0/armGroupLabels
Triage: High
Arm Intervention Change Operation 15
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
After
[
  "Gemcitabine + Adriamycine + Paclitaxel"
]
add /protocolSection/armsInterventionsModule/interventions/0/otherNames
Triage: High
Arm Intervention Change Operation 16
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
After
[
  "doxorubicin",
  "Paclitaxel"
]
remove /protocolSection/armsInterventionsModule/interventions/1
Triage: High
Arm Intervention Change Operation 17
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
Before
{
  "name": "doxorubicin",
  "type": "DRUG"
}
remove /protocolSection/armsInterventionsModule/interventions/1
Triage: High
Arm Intervention Change Operation 18
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
Before
{
  "name": "paclitaxel",
  "type": "DRUG"
}
add /protocolSection/armsInterventionsModule/armGroups
Triage: High
Arm Intervention Change Operation 19
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
After
[
  {
    "type": "EXPERIMENTAL",
    "label": "Gemcitabine + Adriamycine + Paclitaxel",
    "description": "Neoadjuvant chemotherapy consisted of adriamycine 40 mg/m2, administered on day 1 as an i.v.\ninfusion.\nPaclitaxel 150 mg/m2 was administered on day 2 as an i.v infusión followed by gemcitabine 2000 mg/m2 as an i.v.\ninfusion.\nThe three drugs were administered every two weeks for 6 cycles.",
    "interventionNames": [
      "Drug: gemcitabine"
    ]
  }
]
Secondary outcomes Additional endpoints and outcome descriptions. Triage: High 12 ops
add /protocolSection/outcomesModule/secondaryOutcomes/0/description
Triage: High
Secondary Outcome Change Operation 22
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
It is evaluated by measuring the target lesions before and after treatment.
add /protocolSection/outcomesModule/secondaryOutcomes/0/timeFrame
Triage: High
Secondary Outcome Change Operation 23
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
up to 3 months from last patient included
add /protocolSection/outcomesModule/secondaryOutcomes/1/description
Triage: High
Secondary Outcome Change Operation 24
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
Conservative surgery rate versus other sugery
add /protocolSection/outcomesModule/secondaryOutcomes/1/timeFrame
Triage: High
Secondary Outcome Change Operation 25
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
up to 5 months from last patient included
add /protocolSection/outcomesModule/secondaryOutcomes/2/description
Triage: High
Secondary Outcome Change Operation 26
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
According to the criteria CTC version 2.0
add /protocolSection/outcomesModule/secondaryOutcomes/2/timeFrame
Triage: High
Secondary Outcome Change Operation 27
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
up to 6 months from last patient included
add /protocolSection/outcomesModule/secondaryOutcomes/3/description
Triage: High
Secondary Outcome Change Operation 28
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
Time from the start of treatment to the progression of the disease (if it happens)
add /protocolSection/outcomesModule/secondaryOutcomes/3/timeFrame
Triage: High
Secondary Outcome Change Operation 29
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
5 years since surgery of last patient included
add /protocolSection/outcomesModule/secondaryOutcomes/4/description
Triage: High
Secondary Outcome Change Operation 30
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
Evaluation of changes in the tumor marker profile before and after treatment
add /protocolSection/outcomesModule/secondaryOutcomes/4/timeFrame
Triage: High
Secondary Outcome Change Operation 31
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
3 years
add /protocolSection/outcomesModule/secondaryOutcomes/5/description
Triage: High
Secondary Outcome Change Operation 32
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
Evaluation of changes in the tumor before and after treatment
add /protocolSection/outcomesModule/secondaryOutcomes/5/timeFrame
Triage: High
Secondary Outcome Change Operation 33
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
3 years
Timeline Start, primary completion, and completion date movement. Triage: Medium 5 ops
replace /protocolSection/statusModule/startDateStruct/date
Triage: Medium
Timeline Shift Operation 3
Matched rules
  • start_timeline_change Start date changes are operational timeline signals.
Before
2002-12
After
2003-03
add /protocolSection/statusModule/startDateStruct/type
Triage: Medium
Timeline Shift Operation 4
Matched rules
  • start_timeline_change Start date changes are operational timeline signals.
After
ACTUAL
replace /protocolSection/statusModule/completionDateStruct/date
Triage: Medium
Timeline Shift Operation 5
Matched rules
  • completion_timeline_change Completion date changes are operational timeline signals.
Before
2005-08
After
2015-01
add /protocolSection/statusModule/completionDateStruct/type
Triage: Medium
Timeline Shift Operation 6
Matched rules
  • completion_timeline_change Completion date changes are operational timeline signals.
After
ACTUAL
add /protocolSection/statusModule/primaryCompletionDateStruct
Triage: Medium
Timeline Shift Operation 10
Matched rules
  • primary_completion_timeline_change Primary completion date changes are operational timeline signals.
After
{
  "date": "2015-01",
  "type": "ACTUAL"
}
Contacts and locations Site, contact, and location updates that are usually operational. Triage: Uncategorized 21 ops
replace /protocolSection/contactsLocationsModule/overallOfficials/0/name
Triage: Uncategorized
Uncategorized Operation 34
Before
Antonio Antón, Md., PhD.
After
Study Director
replace /protocolSection/contactsLocationsModule/overallOfficials/0/affiliation
Triage: Uncategorized
Uncategorized Operation 35
Before
Spanish Breast Cancer Research Group (GEICAM)
After
Hospital Miguel Servet
replace /protocolSection/contactsLocationsModule/overallOfficials/0/role
Triage: Uncategorized
Uncategorized Operation 36
Before
STUDY_CHAIR
After
STUDY_DIRECTOR
replace /protocolSection/contactsLocationsModule/overallOfficials/1/name
Triage: Uncategorized
Uncategorized Operation 37
Before
Pedro Sánchez-Rovira, MD., PhD
After
Study Director
replace /protocolSection/contactsLocationsModule/overallOfficials/1/affiliation
Triage: Uncategorized
Uncategorized Operation 38
Before
Spanish Breast Cancer Research Group (GEICAM)
After
Complejo Hospitalrio de Jaén
replace /protocolSection/contactsLocationsModule/overallOfficials/1/role
Triage: Uncategorized
Uncategorized Operation 39
Before
STUDY_CHAIR
After
STUDY_DIRECTOR
replace /protocolSection/contactsLocationsModule/locations/0/facility
Triage: Uncategorized
Uncategorized Operation 40
Before
Spanish Breast Cancer Research Group
After
Hospital Universitario Germans Trias i Pujol
replace /protocolSection/contactsLocationsModule/locations/0/city
Triage: Uncategorized
Uncategorized Operation 41
Before
San Sebastián de los Reyes
After
Badalona
replace /protocolSection/contactsLocationsModule/locations/0/state
Triage: Uncategorized
Uncategorized Operation 42
Before
Madrid
After
Barcelona
replace /protocolSection/contactsLocationsModule/locations/0/zip
Triage: Uncategorized
Uncategorized Operation 43
Before
28700
After
08916
replace /protocolSection/contactsLocationsModule/locations/0/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 44
Before
40.55555
After
41.45004
replace /protocolSection/contactsLocationsModule/locations/0/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 45
Before
-3.62733
After
2.24741
add /protocolSection/contactsLocationsModule/locations/1
Triage: Uncategorized
Uncategorized Operation 46
After
{
  "zip": "39008",
  "city": "Santander",
  "state": "Cantabria",
  "country": "Spain",
  "facility": "Hospital Universitario Marqués de Valdecilla",
  "geoPoint": {
    "lat": 43.46589,
    "lon": -3.80493
  }
}
add /protocolSection/contactsLocationsModule/locations/2
Triage: Uncategorized
Uncategorized Operation 47
After
{
  "zip": "28922",
  "city": "Alcorcón",
  "state": "Madrid",
  "country": "Spain",
  "facility": "Hospital Universitario Fundación Alcorcón",
  "geoPoint": {
    "lat": 40.34582,
    "lon": -3.82487
  }
}
add /protocolSection/contactsLocationsModule/locations/3
Triage: Uncategorized
Uncategorized Operation 48
After
{
  "zip": "15006",
  "city": "A Coruña",
  "country": "Spain",
  "facility": "Complejo Hospitalario Unviesitario A Coruña",
  "geoPoint": {
    "lat": 43.37135,
    "lon": -8.396
  }
}
add /protocolSection/contactsLocationsModule/locations/4
Triage: Uncategorized
Uncategorized Operation 49
After
{
  "zip": "06080",
  "city": "Badajoz",
  "country": "Spain",
  "facility": "Hospital Infanta Cristina",
  "geoPoint": {
    "lat": 38.87789,
    "lon": -6.97061
  }
}
add /protocolSection/contactsLocationsModule/locations/5
Triage: Uncategorized
Uncategorized Operation 50
After
{
  "zip": "23007",
  "city": "Jaén",
  "country": "Spain",
  "facility": "Complejo Hospitalario de Jaén",
  "geoPoint": {
    "lat": 37.76922,
    "lon": -3.79028
  }
}
add /protocolSection/contactsLocationsModule/locations/6
Triage: Uncategorized
Uncategorized Operation 51
After
{
  "zip": "28006",
  "city": "Madrid",
  "country": "Spain",
  "facility": "Hospital Universitario La Princesa",
  "geoPoint": {
    "lat": 40.4165,
    "lon": -3.70256
  }
}
add /protocolSection/contactsLocationsModule/locations/7
Triage: Uncategorized
Uncategorized Operation 52
After
{
  "zip": "28034",
  "city": "Madrid",
  "country": "Spain",
  "facility": "Hospital Universitario Ramón y Cajal",
  "geoPoint": {
    "lat": 40.4165,
    "lon": -3.70256
  }
}
add /protocolSection/contactsLocationsModule/locations/8
Triage: Uncategorized
Uncategorized Operation 53
After
{
  "zip": "46014",
  "city": "Valencia",
  "country": "Spain",
  "facility": "Hospital General Universitario de Valencia",
  "geoPoint": {
    "lat": 39.47391,
    "lon": -0.37966
  }
}
add /protocolSection/contactsLocationsModule/locations/9
Triage: Uncategorized
Uncategorized Operation 54
After
{
  "zip": "50009",
  "city": "Zaragoza",
  "country": "Spain",
  "facility": "Hospital Universitario Miguel Servet",
  "geoPoint": {
    "lat": 41.65606,
    "lon": -0.87734
  }
}
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 4 ops
replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized
Uncategorized Operation 2
Before
2005-08
After
2018-03
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 7
Before
2005-08-29
After
2018-03-15
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 8
Before
2005-08-30
After
2018-03-19
replace /protocolSection/statusModule/lastUpdatePostDateStruct/type
Triage: Uncategorized
Uncategorized Operation 9
Before
ESTIMATED
After
ACTUAL
Sponsor and administrative fields Sponsor, collaborator, oversight, or registry maintenance changes. Triage: Uncategorized 2 ops
replace /protocolSection/identificationModule/officialTitle
Triage: Uncategorized
Uncategorized Operation 1
Before
Phase II Pharmacogenomic and Clinical Trial for the Administration of Gemcitabine-Doxorubicin-Paclitaxel (GAT) as Neoadjuvant Treatment of Patients With Stage III Breast Cancer
After
Phase II Pharmacogenomic and Clinical Trial for the Administration of Gemcitabine-doxorubicin-paclitaxel (GAT) as Neoadjuvant Treatment of Patients With Stage III Breast Cancer
add /protocolSection/sponsorCollaboratorsModule/responsibleParty
Triage: Uncategorized
Uncategorized Operation 11
After
{
  "type": "SPONSOR"
}
Raw JSON Patch
[
  {
    "op": "replace",
    "path": "/protocolSection/identificationModule/officialTitle",
    "value": "Phase II Pharmacogenomic and Clinical Trial for the Administration of Gemcitabine-doxorubicin-paclitaxel (GAT) as Neoadjuvant Treatment of Patients With Stage III Breast Cancer"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/statusVerifiedDate",
    "value": "2018-03"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/startDateStruct/date",
    "value": "2003-03"
  },
  {
    "op": "add",
    "path": "/protocolSection/statusModule/startDateStruct/type",
    "value": "ACTUAL"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/completionDateStruct/date",
    "value": "2015-01"
  },
  {
    "op": "add",
    "path": "/protocolSection/statusModule/completionDateStruct/type",
    "value": "ACTUAL"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdateSubmitDate",
    "value": "2018-03-15"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
    "value": "2018-03-19"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdatePostDateStruct/type",
    "value": "ACTUAL"
  },
  {
    "op": "add",
    "path": "/protocolSection/statusModule/primaryCompletionDateStruct",
    "value": {
      "date": "2015-01",
      "type": "ACTUAL"
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/sponsorCollaboratorsModule/responsibleParty",
    "value": {
      "type": "SPONSOR"
    }
  },
  {
    "op": "replace",
    "path": "/protocolSection/designModule/designInfo/allocation",
    "value": "NA"
  },
  {
    "op": "replace",
    "path": "/protocolSection/designModule/enrollmentInfo/count",
    "value": 46
  },
  {
    "op": "add",
    "path": "/protocolSection/designModule/enrollmentInfo/type",
    "value": "ACTUAL"
  },
  {
    "op": "add",
    "path": "/protocolSection/armsInterventionsModule/interventions/0/armGroupLabels",
    "value": [
      "Gemcitabine + Adriamycine + Paclitaxel"
    ]
  },
  {
    "op": "add",
    "path": "/protocolSection/armsInterventionsModule/interventions/0/otherNames",
    "value": [
      "doxorubicin",
      "Paclitaxel"
    ]
  },
  {
    "op": "remove",
    "path": "/protocolSection/armsInterventionsModule/interventions/1"
  },
  {
    "op": "remove",
    "path": "/protocolSection/armsInterventionsModule/interventions/1"
  },
  {
    "op": "add",
    "path": "/protocolSection/armsInterventionsModule/armGroups",
    "value": [
      {
        "type": "EXPERIMENTAL",
        "label": "Gemcitabine + Adriamycine + Paclitaxel",
        "description": "Neoadjuvant chemotherapy consisted of adriamycine 40 mg/m2, administered on day 1 as an i.v.\ninfusion.\nPaclitaxel 150 mg/m2 was administered on day 2 as an i.v infusión followed by gemcitabine 2000 mg/m2 as an i.v.\ninfusion.\nThe three drugs were administered every two weeks for 6 cycles.",
        "interventionNames": [
          "Drug: gemcitabine"
        ]
      }
    ]
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/description",
    "value": "To determine the pathological response after surgery, based on the proportion of remaining tumor and post-chemotherapy changes, evaluating separately the response in the breast and in the axila lymph nodes."
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/timeFrame",
    "value": "up to 5 months from last patient included"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/0/description",
    "value": "It is evaluated by measuring the target lesions before and after treatment."
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/0/timeFrame",
    "value": "up to 3 months from last patient included"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/1/description",
    "value": "Conservative surgery rate versus other sugery"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/1/timeFrame",
    "value": "up to 5 months from last patient included"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/2/description",
    "value": "According to the criteria CTC version 2.0"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/2/timeFrame",
    "value": "up to 6 months from last patient included"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/3/description",
    "value": "Time from the start of treatment to the progression of the disease (if it happens)"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/3/timeFrame",
    "value": "5 years since surgery of last patient included"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/4/description",
    "value": "Evaluation of changes in the tumor marker profile before and after treatment"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/4/timeFrame",
    "value": "3 years"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/5/description",
    "value": "Evaluation of changes in the tumor before and after treatment"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/5/timeFrame",
    "value": "3 years"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/overallOfficials/0/name",
    "value": "Study Director"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/overallOfficials/0/affiliation",
    "value": "Hospital Miguel Servet"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/overallOfficials/0/role",
    "value": "STUDY_DIRECTOR"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/overallOfficials/1/name",
    "value": "Study Director"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/overallOfficials/1/affiliation",
    "value": "Complejo Hospitalrio de Jaén"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/overallOfficials/1/role",
    "value": "STUDY_DIRECTOR"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/0/facility",
    "value": "Hospital Universitario Germans Trias i Pujol"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/0/city",
    "value": "Badalona"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/0/state",
    "value": "Barcelona"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/0/zip",
    "value": "08916"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/0/geoPoint/lat",
    "value": 41.45004
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/0/geoPoint/lon",
    "value": 2.24741
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/1",
    "value": {
      "zip": "39008",
      "city": "Santander",
      "state": "Cantabria",
      "country": "Spain",
      "facility": "Hospital Universitario Marqués de Valdecilla",
      "geoPoint": {
        "lat": 43.46589,
        "lon": -3.80493
      }
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/2",
    "value": {
      "zip": "28922",
      "city": "Alcorcón",
      "state": "Madrid",
      "country": "Spain",
      "facility": "Hospital Universitario Fundación Alcorcón",
      "geoPoint": {
        "lat": 40.34582,
        "lon": -3.82487
      }
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/3",
    "value": {
      "zip": "15006",
      "city": "A Coruña",
      "country": "Spain",
      "facility": "Complejo Hospitalario Unviesitario A Coruña",
      "geoPoint": {
        "lat": 43.37135,
        "lon": -8.396
      }
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/4",
    "value": {
      "zip": "06080",
      "city": "Badajoz",
      "country": "Spain",
      "facility": "Hospital Infanta Cristina",
      "geoPoint": {
        "lat": 38.87789,
        "lon": -6.97061
      }
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/5",
    "value": {
      "zip": "23007",
      "city": "Jaén",
      "country": "Spain",
      "facility": "Complejo Hospitalario de Jaén",
      "geoPoint": {
        "lat": 37.76922,
        "lon": -3.79028
      }
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/6",
    "value": {
      "zip": "28006",
      "city": "Madrid",
      "country": "Spain",
      "facility": "Hospital Universitario La Princesa",
      "geoPoint": {
        "lat": 40.4165,
        "lon": -3.70256
      }
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/7",
    "value": {
      "zip": "28034",
      "city": "Madrid",
      "country": "Spain",
      "facility": "Hospital Universitario Ramón y Cajal",
      "geoPoint": {
        "lat": 40.4165,
        "lon": -3.70256
      }
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/8",
    "value": {
      "zip": "46014",
      "city": "Valencia",
      "country": "Spain",
      "facility": "Hospital General Universitario de Valencia",
      "geoPoint": {
        "lat": 39.47391,
        "lon": -0.37966
      }
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/9",
    "value": {
      "zip": "50009",
      "city": "Zaragoza",
      "country": "Spain",
      "facility": "Hospital Universitario Miguel Servet",
      "geoPoint": {
        "lat": 41.65606,
        "lon": -0.87734
      }
    }
  }
]