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NCT00629616

Efficacy of Anastrozole and Fulvestrant in Patients With ER Positive, HER2 Negative, Operable Breast Cancer

Version 7 to 8 · UNICANCER

Patch inspector

Version 7 to 8

60 operations 8 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_type_changeprimary_outcome_any_changesecondary_outcome_any_change
Value signals
[
  {
    "path": "/protocolSection/statusModule/completionDateStruct",
    "reason": "date_unparsed_or_missing",
    "signal": "timeline_shift",
    "category": "timeline_shift",
    "new_type": "ESTIMATED",
    "old_type": null,
    "severity": "medium",
    "direction": "unknown",
    "new_value": "2014-09",
    "old_value": null,
    "date_struct": "completionDateStruct"
  }
]
Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 19:00:50+00
Raw hash
2149af1aecf3993652ae4353d43f1557bd4595f711fc0018f130c569e0a59cb5
Payload
Source URL
Primary outcomes Outcome measures that define the trial's primary evidence target. Triage: Critical 2 ops
replace /protocolSection/outcomesModule/primaryOutcomes/0/measure
Triage: Critical
Primary Outcome Change Operation 32
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
Clinical tumor response at 6 months as assessed by RECIST criteria
After
Clinical tumor response as assessed by RECIST criteria
add /protocolSection/outcomesModule/primaryOutcomes/0/timeFrame
Triage: Critical
Primary Outcome Change Operation 33
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
After
6 months
Design Trial model, phase, allocation, masking, arms, or interventions. Triage: High 11 ops
add /protocolSection/designModule/designInfo/interventionModel
Triage: High
Design Change Operation 21
Matched rules
  • design_info_change Design information changes can alter allocation, masking, model, or purpose and need review.
After
PARALLEL
replace /protocolSection/designModule/enrollmentInfo/type
Triage: High
Enrollment Change Operation 22
Matched rules
  • enrollment_type_change Enrollment type changes from anticipated to actual or similar are high review priority.
Before
ESTIMATED
After
ACTUAL
add /protocolSection/armsInterventionsModule/interventions/0/description
Triage: High
Arm Intervention Change Operation 23
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
After
1 mg/day for either 4 months or 6 months depending on the clinical evaluation
add /protocolSection/armsInterventionsModule/interventions/0/armGroupLabels
Triage: High
Arm Intervention Change Operation 24
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
After
[
  "Arm A"
]
add /protocolSection/armsInterventionsModule/interventions/1/description
Triage: High
Arm Intervention Change Operation 25
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
After
500mg at day 1, day 15 and day 29 500mg every 28 days for either 4 months or 6 months depending on the clinical evaluation
add /protocolSection/armsInterventionsModule/interventions/1/armGroupLabels
Triage: High
Arm Intervention Change Operation 26
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
After
[
  "Arm B"
]
remove /protocolSection/armsInterventionsModule/interventions/2
Triage: High
Arm Intervention Change Operation 27
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
Before
{
  "name": "adjuvant therapy",
  "type": "PROCEDURE"
}
remove /protocolSection/armsInterventionsModule/interventions/2
Triage: High
Arm Intervention Change Operation 28
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
Before
{
  "name": "neoadjuvant therapy",
  "type": "PROCEDURE"
}
remove /protocolSection/armsInterventionsModule/interventions/2
Triage: High
Arm Intervention Change Operation 29
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
Before
{
  "name": "therapeutic conventional surgery",
  "type": "PROCEDURE"
}
remove /protocolSection/armsInterventionsModule/interventions/2
Triage: High
Arm Intervention Change Operation 30
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
Before
{
  "name": "radiation therapy",
  "type": "RADIATION"
}
add /protocolSection/armsInterventionsModule/armGroups
Triage: High
Arm Intervention Change Operation 31
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
After
[
  {
    "type": "EXPERIMENTAL",
    "label": "Arm A",
    "description": "Anastrozole",
    "interventionNames": [
      "Drug: anastrozole"
    ]
  },
  {
    "type": "EXPERIMENTAL",
    "label": "Arm B",
    "description": "Fulvestrant",
    "interventionNames": [
      "Drug: fulvestrant"
    ]
  }
]
Secondary outcomes Additional endpoints and outcome descriptions. Triage: High 12 ops
add /protocolSection/outcomesModule/secondaryOutcomes/0/timeFrame
Triage: High
Secondary Outcome Change Operation 34
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
Post surgery
add /protocolSection/outcomesModule/secondaryOutcomes/1/timeFrame
Triage: High
Secondary Outcome Change Operation 35
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
Post surgery
replace /protocolSection/outcomesModule/secondaryOutcomes/2/measure
Triage: High
Secondary Outcome Change Operation 36
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Tumor response as assessed by mammography, ultrasonography (RECIST criteria), and MRI at baseline, after the first month of treatment, and then before surgery
After
Tumor response as assessed by mammography, ultrasonography (RECIST criteria), and MRI
add /protocolSection/outcomesModule/secondaryOutcomes/2/timeFrame
Triage: High
Secondary Outcome Change Operation 37
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
at baseline, after the first month of treatment, and then before surgery
add /protocolSection/outcomesModule/secondaryOutcomes/3/timeFrame
Triage: High
Secondary Outcome Change Operation 38
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
3 years
replace /protocolSection/outcomesModule/secondaryOutcomes/4/measure
Triage: High
Secondary Outcome Change Operation 39
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Relapse-free survival rate at 3 years
After
Relapse-free survival rate
add /protocolSection/outcomesModule/secondaryOutcomes/4/timeFrame
Triage: High
Secondary Outcome Change Operation 40
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
3 years
replace /protocolSection/outcomesModule/secondaryOutcomes/5/measure
Triage: High
Secondary Outcome Change Operation 41
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Event-free survival rate at 3 years
After
Event-free survival rate
add /protocolSection/outcomesModule/secondaryOutcomes/5/timeFrame
Triage: High
Secondary Outcome Change Operation 42
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
3 years
replace /protocolSection/outcomesModule/secondaryOutcomes/6/measure
Triage: High
Secondary Outcome Change Operation 43
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Overall survival rate at 3 years
After
Overall survival rate
add /protocolSection/outcomesModule/secondaryOutcomes/6/timeFrame
Triage: High
Secondary Outcome Change Operation 44
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/7/timeFrame
Triage: High
Secondary Outcome Change Operation 45
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
During neoadjuvant treatment
Timeline Start, primary completion, and completion date movement. Triage: Medium 1 ops
add /protocolSection/statusModule/completionDateStruct
Triage: Medium
Timeline Shift Operation 19
Matched rules
  • completion_timeline_change Completion date changes are operational timeline signals.
After
{
  "date": "2014-09",
  "type": "ESTIMATED"
}
Contacts and locations Site, contact, and location updates that are usually operational. Triage: Uncategorized 14 ops
replace /protocolSection/contactsLocationsModule/overallOfficials/0/name
Triage: Uncategorized
Uncategorized Operation 46
Before
Michelle Tubiana-Hulin, MD
After
Florence Lerebours, MD
add /protocolSection/contactsLocationsModule/overallOfficials/0/role
Triage: Uncategorized
Uncategorized Operation 47
After
PRINCIPAL_INVESTIGATOR
remove /protocolSection/contactsLocationsModule/locations/0/status
Triage: Uncategorized
Uncategorized Operation 48
Before
RECRUITING
remove /protocolSection/contactsLocationsModule/locations/0/contacts
Triage: Uncategorized
Uncategorized Operation 49
Before
[
  {
    "name": "Contact Person",
    "role": "CONTACT",
    "phone": "33-4-7327-8137"
  }
]
remove /protocolSection/contactsLocationsModule/locations/1/status
Triage: Uncategorized
Uncategorized Operation 50
Before
RECRUITING
remove /protocolSection/contactsLocationsModule/locations/1/contacts
Triage: Uncategorized
Uncategorized Operation 51
Before
[
  {
    "name": "Contact Person",
    "role": "CONTACT",
    "phone": "33-5-5505-6100"
  }
]
remove /protocolSection/contactsLocationsModule/locations/2/status
Triage: Uncategorized
Uncategorized Operation 52
Before
RECRUITING
remove /protocolSection/contactsLocationsModule/locations/2/contacts
Triage: Uncategorized
Uncategorized Operation 53
Before
[
  {
    "name": "Contact Person",
    "role": "CONTACT",
    "phone": "33-1-44-32-4645"
  }
]
remove /protocolSection/contactsLocationsModule/locations/3/status
Triage: Uncategorized
Uncategorized Operation 54
Before
RECRUITING
remove /protocolSection/contactsLocationsModule/locations/3/contacts
Triage: Uncategorized
Uncategorized Operation 55
Before
[
  {
    "name": "Contact Person",
    "role": "CONTACT",
    "phone": "33-2-9925-3280"
  }
]
remove /protocolSection/contactsLocationsModule/locations/4/status
Triage: Uncategorized
Uncategorized Operation 56
Before
RECRUITING
remove /protocolSection/contactsLocationsModule/locations/4/contacts
Triage: Uncategorized
Uncategorized Operation 57
Before
[
  {
    "name": "Contact Person",
    "role": "CONTACT",
    "email": "f.lerebours@stcloud-huguenin.org",
    "phone": "33-147-11-1515"
  }
]
remove /protocolSection/contactsLocationsModule/locations/5/status
Triage: Uncategorized
Uncategorized Operation 58
Before
RECRUITING
remove /protocolSection/contactsLocationsModule/locations/5/contacts
Triage: Uncategorized
Uncategorized Operation 59
Before
[
  {
    "name": "Contact Person",
    "role": "CONTACT",
    "phone": "33-1-4211-4995"
  }
]
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 3 ops
replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized
Uncategorized Operation 15
Before
2009-07
After
2012-07
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 17
Before
2010-03-19
After
2012-07-20
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 18
Before
2010-03-22
After
2012-07-23
Sponsor and administrative fields Sponsor, collaborator, oversight, or registry maintenance changes. Triage: Uncategorized 16 ops
replace /protocolSection/identificationModule/orgStudyIdInfo/id
Triage: Uncategorized
Uncategorized Operation 1
Before
CDR0000585501
After
CARMINA02
replace /protocolSection/identificationModule/secondaryIdInfos/0/id
Triage: Uncategorized
Uncategorized Operation 2
Before
FNCLCC-CARMINA-02/0609
After
CARMINA-02/0609
add /protocolSection/identificationModule/secondaryIdInfos/0/type
Triage: Uncategorized
Uncategorized Operation 3
After
OTHER
add /protocolSection/identificationModule/secondaryIdInfos/0/domain
Triage: Uncategorized
Uncategorized Operation 4
After
UNICANCER
replace /protocolSection/identificationModule/secondaryIdInfos/1/id
Triage: Uncategorized
Uncategorized Operation 5
Before
EU-20805
After
2006-006409-10
add /protocolSection/identificationModule/secondaryIdInfos/1/type
Triage: Uncategorized
Uncategorized Operation 6
After
EUDRACT_NUMBER
replace /protocolSection/identificationModule/secondaryIdInfos/2/id
Triage: Uncategorized
Uncategorized Operation 7
Before
FNCLCC-NIMFEA
After
NIMFEA
add /protocolSection/identificationModule/secondaryIdInfos/2/type
Triage: Uncategorized
Uncategorized Operation 8
After
OTHER
add /protocolSection/identificationModule/secondaryIdInfos/2/domain
Triage: Uncategorized
Uncategorized Operation 9
After
UNICANCER
remove /protocolSection/identificationModule/secondaryIdInfos/3
Triage: Uncategorized
Uncategorized Operation 10
Before
{
  "id": "ZENECA-FNCLCC-CARMINA-02-0609"
}
replace /protocolSection/identificationModule/organization/fullName
Triage: Uncategorized
Uncategorized Operation 11
Before
National Cancer Institute (NCI)
After
UNICANCER
replace /protocolSection/identificationModule/organization/class
Triage: Uncategorized
Uncategorized Operation 12
Before
NIH
After
OTHER
replace /protocolSection/identificationModule/briefTitle
Triage: Uncategorized
Uncategorized Operation 13
Before
Anastrozole or Fulvestrant in Treating Postmenopausal Women With Stage II or Stage III Breast Cancer That Can Be Removed By Surgery
After
Efficacy of Anastrozole and Fulvestrant in Patients With ER Positive, HER2 Negative, Operable Breast Cancer
add /protocolSection/identificationModule/acronym
Triage: Uncategorized
Uncategorized Operation 14
After
NIMFEA
add /protocolSection/sponsorCollaboratorsModule/responsibleParty
Triage: Uncategorized
Uncategorized Operation 20
After
{
  "type": "SPONSOR"
}
add /protocolSection/oversightModule
Triage: Uncategorized
Uncategorized Operation 60
After
{
  "oversightHasDmc": true
}
Status and stopping reason Recruitment status, termination, suspension, withdrawal, or why-stopped text. Triage: Uncategorized 1 ops
replace /protocolSection/statusModule/overallStatus
Triage: Uncategorized
Uncategorized Operation 16
Before
RECRUITING
After
ACTIVE_NOT_RECRUITING
Raw JSON Patch
[
  {
    "op": "replace",
    "path": "/protocolSection/identificationModule/orgStudyIdInfo/id",
    "value": "CARMINA02"
  },
  {
    "op": "replace",
    "path": "/protocolSection/identificationModule/secondaryIdInfos/0/id",
    "value": "CARMINA-02/0609"
  },
  {
    "op": "add",
    "path": "/protocolSection/identificationModule/secondaryIdInfos/0/type",
    "value": "OTHER"
  },
  {
    "op": "add",
    "path": "/protocolSection/identificationModule/secondaryIdInfos/0/domain",
    "value": "UNICANCER"
  },
  {
    "op": "replace",
    "path": "/protocolSection/identificationModule/secondaryIdInfos/1/id",
    "value": "2006-006409-10"
  },
  {
    "op": "add",
    "path": "/protocolSection/identificationModule/secondaryIdInfos/1/type",
    "value": "EUDRACT_NUMBER"
  },
  {
    "op": "replace",
    "path": "/protocolSection/identificationModule/secondaryIdInfos/2/id",
    "value": "NIMFEA"
  },
  {
    "op": "add",
    "path": "/protocolSection/identificationModule/secondaryIdInfos/2/type",
    "value": "OTHER"
  },
  {
    "op": "add",
    "path": "/protocolSection/identificationModule/secondaryIdInfos/2/domain",
    "value": "UNICANCER"
  },
  {
    "op": "remove",
    "path": "/protocolSection/identificationModule/secondaryIdInfos/3"
  },
  {
    "op": "replace",
    "path": "/protocolSection/identificationModule/organization/fullName",
    "value": "UNICANCER"
  },
  {
    "op": "replace",
    "path": "/protocolSection/identificationModule/organization/class",
    "value": "OTHER"
  },
  {
    "op": "replace",
    "path": "/protocolSection/identificationModule/briefTitle",
    "value": "Efficacy of Anastrozole and Fulvestrant in Patients With ER Positive, HER2 Negative, Operable Breast Cancer"
  },
  {
    "op": "add",
    "path": "/protocolSection/identificationModule/acronym",
    "value": "NIMFEA"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/statusVerifiedDate",
    "value": "2012-07"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/overallStatus",
    "value": "ACTIVE_NOT_RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdateSubmitDate",
    "value": "2012-07-20"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
    "value": "2012-07-23"
  },
  {
    "op": "add",
    "path": "/protocolSection/statusModule/completionDateStruct",
    "value": {
      "date": "2014-09",
      "type": "ESTIMATED"
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/sponsorCollaboratorsModule/responsibleParty",
    "value": {
      "type": "SPONSOR"
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/designModule/designInfo/interventionModel",
    "value": "PARALLEL"
  },
  {
    "op": "replace",
    "path": "/protocolSection/designModule/enrollmentInfo/type",
    "value": "ACTUAL"
  },
  {
    "op": "add",
    "path": "/protocolSection/armsInterventionsModule/interventions/0/description",
    "value": "1 mg/day for either 4 months or 6 months depending on the clinical evaluation"
  },
  {
    "op": "add",
    "path": "/protocolSection/armsInterventionsModule/interventions/0/armGroupLabels",
    "value": [
      "Arm A"
    ]
  },
  {
    "op": "add",
    "path": "/protocolSection/armsInterventionsModule/interventions/1/description",
    "value": "500mg at day 1, day 15 and day 29 500mg every 28 days for either 4 months or 6 months depending on the clinical evaluation"
  },
  {
    "op": "add",
    "path": "/protocolSection/armsInterventionsModule/interventions/1/armGroupLabels",
    "value": [
      "Arm B"
    ]
  },
  {
    "op": "remove",
    "path": "/protocolSection/armsInterventionsModule/interventions/2"
  },
  {
    "op": "remove",
    "path": "/protocolSection/armsInterventionsModule/interventions/2"
  },
  {
    "op": "remove",
    "path": "/protocolSection/armsInterventionsModule/interventions/2"
  },
  {
    "op": "remove",
    "path": "/protocolSection/armsInterventionsModule/interventions/2"
  },
  {
    "op": "add",
    "path": "/protocolSection/armsInterventionsModule/armGroups",
    "value": [
      {
        "type": "EXPERIMENTAL",
        "label": "Arm A",
        "description": "Anastrozole",
        "interventionNames": [
          "Drug: anastrozole"
        ]
      },
      {
        "type": "EXPERIMENTAL",
        "label": "Arm B",
        "description": "Fulvestrant",
        "interventionNames": [
          "Drug: fulvestrant"
        ]
      }
    ]
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/measure",
    "value": "Clinical tumor response as assessed by RECIST criteria"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/timeFrame",
    "value": "6 months"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/0/timeFrame",
    "value": "Post surgery"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/1/timeFrame",
    "value": "Post surgery"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/2/measure",
    "value": "Tumor response as assessed by mammography, ultrasonography (RECIST criteria), and MRI"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/2/timeFrame",
    "value": "at baseline, after the first month of treatment, and then before surgery"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/3/timeFrame",
    "value": "3 years"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/4/measure",
    "value": "Relapse-free survival rate"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/4/timeFrame",
    "value": "3 years"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/5/measure",
    "value": "Event-free survival rate"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/5/timeFrame",
    "value": "3 years"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/6/measure",
    "value": "Overall survival rate"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/6/timeFrame",
    "value": "3 years"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/7/timeFrame",
    "value": "During neoadjuvant treatment"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/overallOfficials/0/name",
    "value": "Florence Lerebours, MD"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/overallOfficials/0/role",
    "value": "PRINCIPAL_INVESTIGATOR"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/0/status"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/0/contacts"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/1/status"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/1/contacts"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/2/status"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/2/contacts"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/3/status"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/3/contacts"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/4/status"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/4/contacts"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/5/status"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/5/contacts"
  },
  {
    "op": "add",
    "path": "/protocolSection/oversightModule",
    "value": {
      "oversightHasDmc": true
    }
  }
]