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NCT02154529

Study of the Combination of KD019 and Trastuzumab in Subjects With HER2-Positive Metastatic Breast Cancer

Version 21 to 22 · Kadmon Corporation, LLC

Patch inspector

Version 21 to 22

21 operations 5 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
design_info_changeprimary_outcome_any_changesecondary_outcome_any_changewhy_stopped_change
Value signals

None recorded.

Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 19:12:57+00
Raw hash
eff1129c61422ecd4f5295f33e4e49facf0cd19738f338f888f3538c89780bea
Payload
Source URL
Primary outcomes Outcome measures that define the trial's primary evidence target. Triage: Critical 1 ops
replace /protocolSection/outcomesModule/primaryOutcomes/0/measure
Triage: Critical
Primary Outcome Change Operation 7
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
Number of Subjects Experiencing Adverse Events as a Measure of Safety and Tolerability and MTD
After
Safety: Number of Subjects Experiencing Adverse Events as a Measure of Safety and Tolerability and MTD
Design Trial model, phase, allocation, masking, arms, or interventions. Triage: High 2 ops
replace /protocolSection/designModule/designInfo/interventionModel
Triage: High
Design Change Operation 5
Matched rules
  • design_info_change Design information changes can alter allocation, masking, model, or purpose and need review.
Before
SINGLE_GROUP
After
PARALLEL
add /protocolSection/designModule/designInfo/interventionModelDescription
Triage: High
Design Change Operation 6
Matched rules
  • design_info_change Design information changes can alter allocation, masking, model, or purpose and need review.
After
Part 1 is a phase 1b ascending dose-finding study for establishing the maximum tolerated dose (MTD) of tesevatinib (with trastuzumab).
Part 2 is a phase 2a expansion study with subjects assigned to 1 of 3 parallel groups who were administered the MTD of tesevatinib (with trastuzumab).
Secondary outcomes Additional endpoints and outcome descriptions. Triage: High 11 ops
replace /protocolSection/outcomesModule/secondaryOutcomes/0/measure
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
Response Rate
After
Efficacy: Response Rate
replace /protocolSection/outcomesModule/secondaryOutcomes/1/measure
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.
Before
Pharmacokinetics
After
Efficacy: Median Progression-Free Survival
replace /protocolSection/outcomesModule/secondaryOutcomes/1/description
Triage: High
Secondary Outcome Change Operation 10
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
To evaluate the following pharmacokinetic parameters (Cmax, Tmax, and AUC[0-24hr]) for the combination of tesevatinib and trastuzumab.
Plasma concentrations of tesevatinib and serum concentrations of trastuzumab will be summarized by dose, sample collection day, and sample collection time for each drug.
After
To determine the median progression-free survival (PFS) and the percentage of subjects without disease progression after 2, 4, and 6 months of dosing.
replace /protocolSection/outcomesModule/secondaryOutcomes/2/measure
Triage: High
Secondary Outcome Change Operation 11
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Median Progression-Free Survival
After
Efficacy: Median Overall Survival
replace /protocolSection/outcomesModule/secondaryOutcomes/2/description
Triage: High
Secondary Outcome Change Operation 12
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
To determine the median progression-free survival (PFS) and the percentage of subjects without disease progression after 2, 4, and 6 months of dosing.
After
To determine the median overall survival (OS).
replace /protocolSection/outcomesModule/secondaryOutcomes/2/timeFrame
Triage: High
Secondary Outcome Change Operation 13
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
27 months
After
30 months
replace /protocolSection/outcomesModule/secondaryOutcomes/3/measure
Triage: High
Secondary Outcome Change Operation 14
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Median Overall Survival
After
Pharmacokinetics: Cmax
replace /protocolSection/outcomesModule/secondaryOutcomes/3/description
Triage: High
Secondary Outcome Change Operation 15
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
To determine the median overall survival (OS).
After
To evaluate the following pharmacokinetic parameter maximum concentration (Cmax) for the combination of tesevatinib and trastuzumab.
Plasma concentrations of tesevatinib and serum concentrations of trastuzumab will be summarized by dose, sample collection day, and sample collection time for each drug.
replace /protocolSection/outcomesModule/secondaryOutcomes/3/timeFrame
Triage: High
Secondary Outcome Change Operation 16
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
30 months
After
27 months
add /protocolSection/outcomesModule/secondaryOutcomes/4
Triage: High
Secondary Outcome Change Operation 17
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
{
  "measure": "Pharmacokinetics: Tmax",
  "timeFrame": "27 months",
  "description": "To evaluate the following PK parameter time of maximum concentration (Tmax) for the combination of tesevatinib and trastuzumab.\nPlasma concentrations of tesevatinib and serum concentrations of trastuzumab will be summarized by dose, sample collection day, and sample collection time for each drug."
}
add /protocolSection/outcomesModule/secondaryOutcomes/5
Triage: High
Secondary Outcome Change Operation 18
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
After
{
  "measure": "Pharmacokinetics: AUC(0-24)",
  "timeFrame": "27 months",
  "description": "To evaluate the following PK parameter area under concentration curve from 0 to 24 hours (AUC[0-24hr]) for the combination of tesevatinib and trastuzumab.\nPlasma concentrations of tesevatinib and serum concentrations of trastuzumab will be summarized by dose, sample collection day, and sample collection time for each drug."
}
Status and stopping reason Recruitment status, termination, suspension, withdrawal, or why-stopped text. Triage: High 1 ops
replace /protocolSection/statusModule/whyStopped
Triage: High
Status Termination Operation 2
Matched rules
  • why_stopped_change Why-stopped changes explain discontinuation and need review.
Before
Sponsor closed the study in order to review data from other ongoing tesevatinib oncology studies, and to determine feasibility of continuing this study
After
Sponsor closed the study due to lack of response.
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 6 ops
replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized
Uncategorized Operation 1
Before
2021-04
After
2021-05
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 3
Before
2021-04-01
After
2021-05-07
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 4
Before
2021-04-06
After
2021-05-12
replace /protocolSection/outcomesModule/otherOutcomes/0/description
Triage: Uncategorized
Uncategorized Operation 19
Before
To evaluate changes in neurologic symptoms in subjects with leptomeningeal metastases.
This outcome measure is specific to subjects with leptomeningeal metastases (Phase 2a, Group 3).
After
Efficacy: To evaluate changes in neurologic symptoms in subjects with leptomeningeal metastases.
This outcome measure is specific to subjects with leptomeningeal metastases (Phase 2a, Group 3).
remove /protocolSection/outcomesModule/otherOutcomes/1
Triage: Uncategorized
Uncategorized Operation 20
Before
{
  "measure": "Clearance of Cerebrospinal Fluid Cytology",
  "timeFrame": "12 months",
  "description": "To evaluate clearance of cerebrospinal fluid (CSF) cytology in subjects with leptomeningeal metastases.\nThis outcome measure is specific to subjects with leptomeningeal metastases (Phase 2a, Group 3)."
}
add /annotationSection
Triage: Uncategorized
Uncategorized Operation 21
After
{
  "annotationModule": {
    "unpostedAnnotation": {
      "unpostedEvents": [
        {
          "date": "2022-01-04",
          "type": "RELEASE"
        },
        {
          "date": "2022-02-01",
          "type": "RESET"
        }
      ],
      "unpostedResponsibleParty": "Kadmon Corporation, LLC"
    }
  }
}
Raw JSON Patch
[
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/statusVerifiedDate",
    "value": "2021-05"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/whyStopped",
    "value": "Sponsor closed the study due to lack of response."
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdateSubmitDate",
    "value": "2021-05-07"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
    "value": "2021-05-12"
  },
  {
    "op": "replace",
    "path": "/protocolSection/designModule/designInfo/interventionModel",
    "value": "PARALLEL"
  },
  {
    "op": "add",
    "path": "/protocolSection/designModule/designInfo/interventionModelDescription",
    "value": "Part 1 is a phase 1b ascending dose-finding study for establishing the maximum tolerated dose (MTD) of tesevatinib (with trastuzumab).\nPart 2 is a phase 2a expansion study with subjects assigned to 1 of 3 parallel groups who were administered the MTD of tesevatinib (with trastuzumab)."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/measure",
    "value": "Safety: Number of Subjects Experiencing Adverse Events as a Measure of Safety and Tolerability and MTD"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/0/measure",
    "value": "Efficacy: Response Rate"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/1/measure",
    "value": "Efficacy: Median Progression-Free Survival"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/1/description",
    "value": "To determine the median progression-free survival (PFS) and the percentage of subjects without disease progression after 2, 4, and 6 months of dosing."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/2/measure",
    "value": "Efficacy: Median Overall Survival"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/2/description",
    "value": "To determine the median overall survival (OS)."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/2/timeFrame",
    "value": "30 months"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/3/measure",
    "value": "Pharmacokinetics: Cmax"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/3/description",
    "value": "To evaluate the following pharmacokinetic parameter maximum concentration (Cmax) for the combination of tesevatinib and trastuzumab.\nPlasma concentrations of tesevatinib and serum concentrations of trastuzumab will be summarized by dose, sample collection day, and sample collection time for each drug."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/3/timeFrame",
    "value": "27 months"
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/4",
    "value": {
      "measure": "Pharmacokinetics: Tmax",
      "timeFrame": "27 months",
      "description": "To evaluate the following PK parameter time of maximum concentration (Tmax) for the combination of tesevatinib and trastuzumab.\nPlasma concentrations of tesevatinib and serum concentrations of trastuzumab will be summarized by dose, sample collection day, and sample collection time for each drug."
    }
  },
  {
    "op": "add",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/5",
    "value": {
      "measure": "Pharmacokinetics: AUC(0-24)",
      "timeFrame": "27 months",
      "description": "To evaluate the following PK parameter area under concentration curve from 0 to 24 hours (AUC[0-24hr]) for the combination of tesevatinib and trastuzumab.\nPlasma concentrations of tesevatinib and serum concentrations of trastuzumab will be summarized by dose, sample collection day, and sample collection time for each drug."
    }
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/otherOutcomes/0/description",
    "value": "Efficacy: To evaluate changes in neurologic symptoms in subjects with leptomeningeal metastases.\nThis outcome measure is specific to subjects with leptomeningeal metastases (Phase 2a, Group 3)."
  },
  {
    "op": "remove",
    "path": "/protocolSection/outcomesModule/otherOutcomes/1"
  },
  {
    "op": "add",
    "path": "/annotationSection",
    "value": {
      "annotationModule": {
        "unpostedAnnotation": {
          "unpostedEvents": [
            {
              "date": "2022-01-04",
              "type": "RELEASE"
            },
            {
              "date": "2022-02-01",
              "type": "RESET"
            }
          ],
          "unpostedResponsibleParty": "Kadmon Corporation, LLC"
        }
      }
    }
  }
]