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NCT00490139

ALTTO (Adjuvant Lapatinib And/Or Trastuzumab Treatment Optimisation) Study; BIG 2-06/N063D

Version 82 to 83 · Novartis Pharmaceuticals

Patch inspector

Version 82 to 83

66 operations 3 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_change
Value signals

None recorded.

Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 19:01:34+00
Raw hash
7dbc71d3c11f75d46b6c624bc8b85a0d8d422738820d731ad96656d5cb204439
Payload
Source URL
Design Trial model, phase, allocation, masking, arms, or interventions. Triage: High 2 ops
add /protocolSection/armsInterventionsModule/armGroups/2
Triage: High
Arm Intervention Change Operation 3
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
After
{
  "type": "EXPERIMENTAL",
  "label": "Arm 3: Trastuzumab followed by Lapatinib",
  "interventionNames": [
    "Biological: Trastuzumab",
    "Drug: Lapatinib"
  ]
}
remove /protocolSection/armsInterventionsModule/armGroups/4
Triage: High
Arm Intervention Change Operation 4
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
Before
{
  "type": "EXPERIMENTAL",
  "label": "Arm 3: Trastuzumab followed by Lapatinib",
  "interventionNames": [
    "Biological: Trastuzumab",
    "Drug: Lapatinib"
  ]
}
Contacts and locations Site, contact, and location updates that are usually operational. Triage: Uncategorized 62 ops
add /protocolSection/contactsLocationsModule/locations/24
Triage: Uncategorized
Uncategorized Operation 5
After
{
  "zip": "94040",
  "city": "Mountain View",
  "state": "California",
  "status": "NOT_YET_RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 37.38605,
    "lon": -122.08385
  }
}
remove /protocolSection/contactsLocationsModule/locations/26
Triage: Uncategorized
Uncategorized Operation 6
Before
{
  "zip": "94040",
  "city": "Mountain View",
  "state": "California",
  "status": "NOT_YET_RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 37.38605,
    "lon": -122.08385
  }
}
add /protocolSection/contactsLocationsModule/locations/32
Triage: Uncategorized
Uncategorized Operation 7
After
{
  "zip": "94588",
  "city": "Pleasanton",
  "state": "California",
  "status": "NOT_YET_RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 37.66243,
    "lon": -121.87468
  }
}
remove /protocolSection/contactsLocationsModule/locations/34
Triage: Uncategorized
Uncategorized Operation 8
Before
{
  "zip": "94588",
  "city": "Pleasanton",
  "state": "California",
  "status": "NOT_YET_RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 37.66243,
    "lon": -121.87468
  }
}
add /protocolSection/contactsLocationsModule/locations/89
Triage: Uncategorized
Uncategorized Operation 9
After
{
  "zip": "30342",
  "city": "Atlanta",
  "state": "Georgia",
  "status": "NOT_YET_RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 33.749,
    "lon": -84.38798
  }
}
remove /protocolSection/contactsLocationsModule/locations/91
Triage: Uncategorized
Uncategorized Operation 10
Before
{
  "zip": "30342",
  "city": "Atlanta",
  "state": "Georgia",
  "status": "NOT_YET_RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 33.749,
    "lon": -84.38798
  }
}
add /protocolSection/contactsLocationsModule/locations/102
Triage: Uncategorized
Uncategorized Operation 11
After
{
  "zip": "31405",
  "city": "Savannah",
  "state": "Georgia",
  "status": "RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 32.08354,
    "lon": -81.09983
  }
}
remove /protocolSection/contactsLocationsModule/locations/104
Triage: Uncategorized
Uncategorized Operation 12
Before
{
  "zip": "31405",
  "city": "Savannah",
  "state": "Georgia",
  "status": "RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 32.08354,
    "lon": -81.09983
  }
}
add /protocolSection/contactsLocationsModule/locations/177
Triage: Uncategorized
Uncategorized Operation 13
After
{
  "zip": "52402",
  "city": "Cedar Rapids",
  "state": "Iowa",
  "status": "NOT_YET_RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 42.00833,
    "lon": -91.64407
  }
}
remove /protocolSection/contactsLocationsModule/locations/179
Triage: Uncategorized
Uncategorized Operation 14
Before
{
  "zip": "52402",
  "city": "Cedar Rapids",
  "state": "Iowa",
  "status": "NOT_YET_RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 42.00833,
    "lon": -91.64407
  }
}
add /protocolSection/contactsLocationsModule/locations/181
Triage: Uncategorized
Uncategorized Operation 15
After
{
  "zip": "50309",
  "city": "Des Moines",
  "state": "Iowa",
  "status": "NOT_YET_RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 41.60054,
    "lon": -93.60911
  }
}
remove /protocolSection/contactsLocationsModule/locations/183
Triage: Uncategorized
Uncategorized Operation 16
Before
{
  "zip": "50309",
  "city": "Des Moines",
  "state": "Iowa",
  "status": "NOT_YET_RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 41.60054,
    "lon": -93.60911
  }
}
add /protocolSection/contactsLocationsModule/locations/216
Triage: Uncategorized
Uncategorized Operation 17
After
{
  "zip": "67214",
  "city": "Wichita",
  "state": "Kansas",
  "status": "RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 37.69224,
    "lon": -97.33754
  }
}
remove /protocolSection/contactsLocationsModule/locations/218
Triage: Uncategorized
Uncategorized Operation 18
Before
{
  "zip": "67214",
  "city": "Wichita",
  "state": "Kansas",
  "status": "RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 37.69224,
    "lon": -97.33754
  }
}
add /protocolSection/contactsLocationsModule/locations/227
Triage: Uncategorized
Uncategorized Operation 19
After
{
  "zip": "04074",
  "city": "Scarborough",
  "state": "Maine",
  "status": "RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 43.57814,
    "lon": -70.32172
  }
}
remove /protocolSection/contactsLocationsModule/locations/229
Triage: Uncategorized
Uncategorized Operation 20
Before
{
  "zip": "04074",
  "city": "Scarborough",
  "state": "Maine",
  "status": "RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 43.57814,
    "lon": -70.32172
  }
}
add /protocolSection/contactsLocationsModule/locations/288
Triage: Uncategorized
Uncategorized Operation 21
After
{
  "zip": "56303",
  "city": "Saint Cloud",
  "state": "Minnesota",
  "status": "RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 45.5608,
    "lon": -94.16249
  }
}
remove /protocolSection/contactsLocationsModule/locations/290
Triage: Uncategorized
Uncategorized Operation 22
Before
{
  "zip": "56303",
  "city": "Saint Cloud",
  "state": "Minnesota",
  "status": "RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 45.5608,
    "lon": -94.16249
  }
}
add /protocolSection/contactsLocationsModule/locations/372
Triage: Uncategorized
Uncategorized Operation 23
After
{
  "zip": "11030",
  "city": "Manhasset",
  "state": "New York",
  "status": "RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 40.79788,
    "lon": -73.69957
  }
}
remove /protocolSection/contactsLocationsModule/locations/374
Triage: Uncategorized
Uncategorized Operation 24
Before
{
  "zip": "11030",
  "city": "Manhasset",
  "state": "New York",
  "status": "RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 40.79788,
    "lon": -73.69957
  }
}
add /protocolSection/contactsLocationsModule/locations/381
Triage: Uncategorized
Uncategorized Operation 25
After
{
  "zip": "14623",
  "city": "Rochester",
  "state": "New York",
  "status": "NOT_YET_RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 43.15478,
    "lon": -77.61556
  }
}
add /protocolSection/contactsLocationsModule/locations/401
Triage: Uncategorized
Uncategorized Operation 26
After
{
  "zip": "58501",
  "city": "Bismarck",
  "state": "North Dakota",
  "status": "RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 46.80833,
    "lon": -100.78374
  }
}
remove /protocolSection/contactsLocationsModule/locations/403
Triage: Uncategorized
Uncategorized Operation 27
Before
{
  "zip": "58501",
  "city": "Bismarck",
  "state": "North Dakota",
  "status": "RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 46.80833,
    "lon": -100.78374
  }
}
replace /protocolSection/contactsLocationsModule/locations/528/status
Triage: Uncategorized
Uncategorized Operation 28
Before
NOT_YET_RECRUITING
After
RECRUITING
add /protocolSection/contactsLocationsModule/locations/566
Triage: Uncategorized
Uncategorized Operation 29
After
{
  "zip": "98122",
  "city": "Seattle",
  "state": "Washington",
  "status": "RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 47.60621,
    "lon": -122.33207
  }
}
remove /protocolSection/contactsLocationsModule/locations/568
Triage: Uncategorized
Uncategorized Operation 30
Before
{
  "zip": "98122",
  "city": "Seattle",
  "state": "Washington",
  "status": "RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 47.60621,
    "lon": -122.33207
  }
}
add /protocolSection/contactsLocationsModule/locations/572
Triage: Uncategorized
Uncategorized Operation 31
After
{
  "zip": "98405",
  "city": "Tacoma",
  "state": "Washington",
  "status": "NOT_YET_RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 47.25288,
    "lon": -122.44429
  }
}
remove /protocolSection/contactsLocationsModule/locations/574
Triage: Uncategorized
Uncategorized Operation 32
Before
{
  "zip": "98405",
  "city": "Tacoma",
  "state": "Washington",
  "status": "NOT_YET_RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 47.25288,
    "lon": -122.44429
  }
}
add /protocolSection/contactsLocationsModule/locations/595
Triage: Uncategorized
Uncategorized Operation 33
After
{
  "zip": "53233",
  "city": "Milwaukee",
  "state": "Wisconsin",
  "status": "RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 43.0389,
    "lon": -87.90647
  }
}
remove /protocolSection/contactsLocationsModule/locations/597
Triage: Uncategorized
Uncategorized Operation 34
Before
{
  "zip": "53233",
  "city": "Milwaukee",
  "state": "Wisconsin",
  "status": "RECRUITING",
  "country": "United States",
  "facility": "GSK Investigational Site",
  "geoPoint": {
    "lat": 43.0389,
    "lon": -87.90647
  }
}
replace /protocolSection/contactsLocationsModule/locations/653/status
Triage: Uncategorized
Uncategorized Operation 35
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/699/status
Triage: Uncategorized
Uncategorized Operation 36
Before
COMPLETED
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/782/status
Triage: Uncategorized
Uncategorized Operation 37
Before
RECRUITING
After
COMPLETED
replace /protocolSection/contactsLocationsModule/locations/1038/city
Triage: Uncategorized
Uncategorized Operation 38
Before
Carpi (mo)
After
Carpi (MO)
replace /protocolSection/contactsLocationsModule/locations/1040/city
Triage: Uncategorized
Uncategorized Operation 39
Before
Meldola (fc)
After
Meldola (FC)
replace /protocolSection/contactsLocationsModule/locations/1043/city
Triage: Uncategorized
Uncategorized Operation 40
Before
Aviano (pn)
After
Aviano (PN)
replace /protocolSection/contactsLocationsModule/locations/1050/city
Triage: Uncategorized
Uncategorized Operation 41
Before
Alzano Lombardo (bg)
After
Alzano Lombardo (BG)
replace /protocolSection/contactsLocationsModule/locations/1062/city
Triage: Uncategorized
Uncategorized Operation 42
Before
Rozzano (mi)
After
Rozzano (MI)
replace /protocolSection/contactsLocationsModule/locations/1064/city
Triage: Uncategorized
Uncategorized Operation 43
Before
Treviglio (bg)
After
Treviglio (BG)
replace /protocolSection/contactsLocationsModule/locations/1067/city
Triage: Uncategorized
Uncategorized Operation 44
Before
Candiolo (to)
After
Candiolo (TO)
replace /protocolSection/contactsLocationsModule/locations/1068/city
Triage: Uncategorized
Uncategorized Operation 45
Before
Monserrato (ca)
After
Monserrato (CA)
replace /protocolSection/contactsLocationsModule/locations/1073/city
Triage: Uncategorized
Uncategorized Operation 46
Before
Fermo (ap)
After
Fermo (AP)
replace /protocolSection/contactsLocationsModule/locations/1077/city
Triage: Uncategorized
Uncategorized Operation 47
Before
Lido Di Camaiore (lu)
After
Lido Di Camaiore (LU)
replace /protocolSection/contactsLocationsModule/locations/1082/city
Triage: Uncategorized
Uncategorized Operation 48
Before
Prato (po)
After
Prato (PO)
replace /protocolSection/contactsLocationsModule/locations/1086/status
Triage: Uncategorized
Uncategorized Operation 49
Before
RECRUITING
After
ACTIVE_NOT_RECRUITING
replace /protocolSection/contactsLocationsModule/locations/1087/status
Triage: Uncategorized
Uncategorized Operation 50
Before
RECRUITING
After
ACTIVE_NOT_RECRUITING
replace /protocolSection/contactsLocationsModule/locations/1088/status
Triage: Uncategorized
Uncategorized Operation 51
Before
RECRUITING
After
COMPLETED
replace /protocolSection/contactsLocationsModule/locations/1089/status
Triage: Uncategorized
Uncategorized Operation 52
Before
RECRUITING
After
ACTIVE_NOT_RECRUITING
replace /protocolSection/contactsLocationsModule/locations/1090/status
Triage: Uncategorized
Uncategorized Operation 53
Before
RECRUITING
After
ACTIVE_NOT_RECRUITING
replace /protocolSection/contactsLocationsModule/locations/1091/status
Triage: Uncategorized
Uncategorized Operation 54
Before
RECRUITING
After
ACTIVE_NOT_RECRUITING
replace /protocolSection/contactsLocationsModule/locations/1092/status
Triage: Uncategorized
Uncategorized Operation 55
Before
RECRUITING
After
ACTIVE_NOT_RECRUITING
replace /protocolSection/contactsLocationsModule/locations/1093/status
Triage: Uncategorized
Uncategorized Operation 56
Before
RECRUITING
After
ACTIVE_NOT_RECRUITING
replace /protocolSection/contactsLocationsModule/locations/1094/status
Triage: Uncategorized
Uncategorized Operation 57
Before
RECRUITING
After
ACTIVE_NOT_RECRUITING
replace /protocolSection/contactsLocationsModule/locations/1095/status
Triage: Uncategorized
Uncategorized Operation 58
Before
RECRUITING
After
ACTIVE_NOT_RECRUITING
replace /protocolSection/contactsLocationsModule/locations/1096/status
Triage: Uncategorized
Uncategorized Operation 59
Before
RECRUITING
After
ACTIVE_NOT_RECRUITING
replace /protocolSection/contactsLocationsModule/locations/1097/status
Triage: Uncategorized
Uncategorized Operation 60
Before
RECRUITING
After
ACTIVE_NOT_RECRUITING
replace /protocolSection/contactsLocationsModule/locations/1098/status
Triage: Uncategorized
Uncategorized Operation 61
Before
RECRUITING
After
ACTIVE_NOT_RECRUITING
replace /protocolSection/contactsLocationsModule/locations/1099/status
Triage: Uncategorized
Uncategorized Operation 62
Before
RECRUITING
After
ACTIVE_NOT_RECRUITING
replace /protocolSection/contactsLocationsModule/locations/1100/status
Triage: Uncategorized
Uncategorized Operation 63
Before
RECRUITING
After
COMPLETED
replace /protocolSection/contactsLocationsModule/locations/1108/city
Triage: Uncategorized
Uncategorized Operation 64
Before
México D.f.
After
México D.F.
add /protocolSection/contactsLocationsModule/locations/1124
Triage: Uncategorized
Uncategorized Operation 65
After
{
  "zip": "6162 BG",
  "city": "Sittard-geleen",
  "status": "ACTIVE_NOT_RECRUITING",
  "country": "Netherlands",
  "facility": "GSK Investigational Site"
}
remove /protocolSection/contactsLocationsModule/locations/1126
Triage: Uncategorized
Uncategorized Operation 66
Before
{
  "zip": "6162 BG",
  "city": "Sittard-geleen",
  "status": "ACTIVE_NOT_RECRUITING",
  "country": "Netherlands",
  "facility": "GSK Investigational Site"
}
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 2 ops
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 1
Before
2010-02-18
After
2010-02-25
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 2
Before
2010-02-22
After
2010-03-01
Raw JSON Patch
[
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdateSubmitDate",
    "value": "2010-02-25"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
    "value": "2010-03-01"
  },
  {
    "op": "add",
    "path": "/protocolSection/armsInterventionsModule/armGroups/2",
    "value": {
      "type": "EXPERIMENTAL",
      "label": "Arm 3: Trastuzumab followed by Lapatinib",
      "interventionNames": [
        "Biological: Trastuzumab",
        "Drug: Lapatinib"
      ]
    }
  },
  {
    "op": "remove",
    "path": "/protocolSection/armsInterventionsModule/armGroups/4"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/24",
    "value": {
      "zip": "94040",
      "city": "Mountain View",
      "state": "California",
      "status": "NOT_YET_RECRUITING",
      "country": "United States",
      "facility": "GSK Investigational Site",
      "geoPoint": {
        "lat": 37.38605,
        "lon": -122.08385
      }
    }
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/26"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/32",
    "value": {
      "zip": "94588",
      "city": "Pleasanton",
      "state": "California",
      "status": "NOT_YET_RECRUITING",
      "country": "United States",
      "facility": "GSK Investigational Site",
      "geoPoint": {
        "lat": 37.66243,
        "lon": -121.87468
      }
    }
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/34"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/89",
    "value": {
      "zip": "30342",
      "city": "Atlanta",
      "state": "Georgia",
      "status": "NOT_YET_RECRUITING",
      "country": "United States",
      "facility": "GSK Investigational Site",
      "geoPoint": {
        "lat": 33.749,
        "lon": -84.38798
      }
    }
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/91"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/102",
    "value": {
      "zip": "31405",
      "city": "Savannah",
      "state": "Georgia",
      "status": "RECRUITING",
      "country": "United States",
      "facility": "GSK Investigational Site",
      "geoPoint": {
        "lat": 32.08354,
        "lon": -81.09983
      }
    }
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/104"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/177",
    "value": {
      "zip": "52402",
      "city": "Cedar Rapids",
      "state": "Iowa",
      "status": "NOT_YET_RECRUITING",
      "country": "United States",
      "facility": "GSK Investigational Site",
      "geoPoint": {
        "lat": 42.00833,
        "lon": -91.64407
      }
    }
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/179"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/181",
    "value": {
      "zip": "50309",
      "city": "Des Moines",
      "state": "Iowa",
      "status": "NOT_YET_RECRUITING",
      "country": "United States",
      "facility": "GSK Investigational Site",
      "geoPoint": {
        "lat": 41.60054,
        "lon": -93.60911
      }
    }
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/183"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/216",
    "value": {
      "zip": "67214",
      "city": "Wichita",
      "state": "Kansas",
      "status": "RECRUITING",
      "country": "United States",
      "facility": "GSK Investigational Site",
      "geoPoint": {
        "lat": 37.69224,
        "lon": -97.33754
      }
    }
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/218"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/227",
    "value": {
      "zip": "04074",
      "city": "Scarborough",
      "state": "Maine",
      "status": "RECRUITING",
      "country": "United States",
      "facility": "GSK Investigational Site",
      "geoPoint": {
        "lat": 43.57814,
        "lon": -70.32172
      }
    }
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/229"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/288",
    "value": {
      "zip": "56303",
      "city": "Saint Cloud",
      "state": "Minnesota",
      "status": "RECRUITING",
      "country": "United States",
      "facility": "GSK Investigational Site",
      "geoPoint": {
        "lat": 45.5608,
        "lon": -94.16249
      }
    }
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/290"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/372",
    "value": {
      "zip": "11030",
      "city": "Manhasset",
      "state": "New York",
      "status": "RECRUITING",
      "country": "United States",
      "facility": "GSK Investigational Site",
      "geoPoint": {
        "lat": 40.79788,
        "lon": -73.69957
      }
    }
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/374"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/381",
    "value": {
      "zip": "14623",
      "city": "Rochester",
      "state": "New York",
      "status": "NOT_YET_RECRUITING",
      "country": "United States",
      "facility": "GSK Investigational Site",
      "geoPoint": {
        "lat": 43.15478,
        "lon": -77.61556
      }
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/401",
    "value": {
      "zip": "58501",
      "city": "Bismarck",
      "state": "North Dakota",
      "status": "RECRUITING",
      "country": "United States",
      "facility": "GSK Investigational Site",
      "geoPoint": {
        "lat": 46.80833,
        "lon": -100.78374
      }
    }
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/403"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/528/status",
    "value": "RECRUITING"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/566",
    "value": {
      "zip": "98122",
      "city": "Seattle",
      "state": "Washington",
      "status": "RECRUITING",
      "country": "United States",
      "facility": "GSK Investigational Site",
      "geoPoint": {
        "lat": 47.60621,
        "lon": -122.33207
      }
    }
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/568"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/572",
    "value": {
      "zip": "98405",
      "city": "Tacoma",
      "state": "Washington",
      "status": "NOT_YET_RECRUITING",
      "country": "United States",
      "facility": "GSK Investigational Site",
      "geoPoint": {
        "lat": 47.25288,
        "lon": -122.44429
      }
    }
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/574"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/595",
    "value": {
      "zip": "53233",
      "city": "Milwaukee",
      "state": "Wisconsin",
      "status": "RECRUITING",
      "country": "United States",
      "facility": "GSK Investigational Site",
      "geoPoint": {
        "lat": 43.0389,
        "lon": -87.90647
      }
    }
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/597"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/653/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/699/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/782/status",
    "value": "COMPLETED"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1038/city",
    "value": "Carpi (MO)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1040/city",
    "value": "Meldola (FC)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1043/city",
    "value": "Aviano (PN)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1050/city",
    "value": "Alzano Lombardo (BG)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1062/city",
    "value": "Rozzano (MI)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1064/city",
    "value": "Treviglio (BG)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1067/city",
    "value": "Candiolo (TO)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1068/city",
    "value": "Monserrato (CA)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1073/city",
    "value": "Fermo (AP)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1077/city",
    "value": "Lido Di Camaiore (LU)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1082/city",
    "value": "Prato (PO)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1086/status",
    "value": "ACTIVE_NOT_RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1087/status",
    "value": "ACTIVE_NOT_RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1088/status",
    "value": "COMPLETED"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1089/status",
    "value": "ACTIVE_NOT_RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1090/status",
    "value": "ACTIVE_NOT_RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1091/status",
    "value": "ACTIVE_NOT_RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1092/status",
    "value": "ACTIVE_NOT_RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1093/status",
    "value": "ACTIVE_NOT_RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1094/status",
    "value": "ACTIVE_NOT_RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1095/status",
    "value": "ACTIVE_NOT_RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1096/status",
    "value": "ACTIVE_NOT_RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1097/status",
    "value": "ACTIVE_NOT_RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1098/status",
    "value": "ACTIVE_NOT_RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1099/status",
    "value": "ACTIVE_NOT_RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1100/status",
    "value": "COMPLETED"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1108/city",
    "value": "México D.F."
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/1124",
    "value": {
      "zip": "6162 BG",
      "city": "Sittard-geleen",
      "status": "ACTIVE_NOT_RECRUITING",
      "country": "Netherlands",
      "facility": "GSK Investigational Site"
    }
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/1126"
  }
]