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NCT02229084

Vaccination of High Risk Breast Cancer Patients

Version 12 to 13 · University of Arkansas

Patch inspector

Version 12 to 13

22 operations 6 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_changecontact_admin_changeprimary_outcome_any_change
Value signals
[
  {
    "path": "/protocolSection/statusModule/startDateStruct/date",
    "signal": "timeline_actual_date_correction",
    "category": "timeline_actual_date_correction",
    "new_type": "ACTUAL",
    "old_type": "ACTUAL",
    "severity": "low",
    "direction": "later",
    "new_value": "2015-01-14",
    "old_value": "2015-01",
    "delta_days": 13,
    "date_struct": "startDateStruct",
    "new_precision": "day",
    "old_precision": "month"
  }
]
Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 18:59:16+00
Raw hash
a7f7d85ac46aeaf1555c7ad4357af42ca2cccb1eb7857aad6a094ed516d4f449
Payload
Source URL
Primary outcomes Outcome measures that define the trial's primary evidence target. Triage: Critical 1 ops
replace /protocolSection/outcomesModule/primaryOutcomes/0/timeFrame
Triage: Critical
Primary Outcome Change Operation 18
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
At the time of definitive surgery (4-8 weeks after chemo); between Week 22 and Week 25
After
At the time of definitive surgery (4-8 weeks after chemo, which is between Week 22 and Week 25)
Design Trial model, phase, allocation, masking, arms, or interventions. Triage: High 8 ops
replace /protocolSection/armsInterventionsModule/armGroups/0/interventionNames/0
Triage: High
Arm Intervention Change Operation 10
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
Before
Biological: Chemovax - P10s-PADRE/ MONTANIDE™ ISA 51 VG
After
Biological: Chemovax - P10s-PADRE/ MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Docetaxel (or Paclitaxel)
replace /protocolSection/armsInterventionsModule/armGroups/1/interventionNames/0
Triage: High
Arm Intervention Change Operation 11
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
Before
Biological: Chemovax - P10s-PADRE/ MONTANIDE™ ISA 51 VG
After
Biological: Chemovax - P10s-PADRE/ MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Docetaxel (or Paclitaxel)
replace /protocolSection/armsInterventionsModule/armGroups/2/interventionNames/0
Triage: High
Arm Intervention Change Operation 12
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
Before
Biological: Chemovax - P10s-PADRE/ MONTANIDE™ ISA 51 VG
After
Biological: Chemovax - P10s-PADRE/ MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Docetaxel (or Paclitaxel)
replace /protocolSection/armsInterventionsModule/armGroups/3/interventionNames/0
Triage: High
Arm Intervention Change Operation 13
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
Before
Biological: Chemovax - P10s-PADRE/ MONTANIDE™ ISA 51 VG
After
Biological: Chemovax - P10s-PADRE/ MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Docetaxel (or Paclitaxel)
replace /protocolSection/armsInterventionsModule/armGroups/4/interventionNames/0
Triage: High
Arm Intervention Change Operation 14
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
Before
Biological: Chemovax - P10s-PADRE/ MONTANIDE™ ISA 51 VG
After
Biological: Chemovax - P10s-PADRE/ MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Docetaxel (or Paclitaxel)
replace /protocolSection/armsInterventionsModule/armGroups/5/interventionNames/0
Triage: High
Arm Intervention Change Operation 15
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
Before
Biological: Chemovax - P10s-PADRE/ MONTANIDE™ ISA 51 VG
After
Biological: Chemovax - P10s-PADRE/ MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Docetaxel (or Paclitaxel)
replace /protocolSection/armsInterventionsModule/armGroups/6/interventionNames/0
Triage: High
Arm Intervention Change Operation 16
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
Before
Biological: Chemovax - P10s-PADRE/ MONTANIDE™ ISA 51 VG
After
Biological: Chemovax - P10s-PADRE/ MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Docetaxel (or Paclitaxel)
replace /protocolSection/armsInterventionsModule/interventions/0/name
Triage: High
Arm Intervention Change Operation 17
Matched rules
  • arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure.
Before
Chemovax - P10s-PADRE/ MONTANIDE™ ISA 51 VG
After
Chemovax - P10s-PADRE/ MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Docetaxel (or Paclitaxel)
Timeline Start, primary completion, and completion date movement. Triage: Medium 1 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
2015-01
After
2015-01-14
Contacts and locations Site, contact, and location updates that are usually operational. Triage: Low 4 ops
add /protocolSection/contactsLocationsModule/locations/0/status
Triage: Uncategorized
Uncategorized Operation 19
After
ACTIVE_NOT_RECRUITING
add /protocolSection/contactsLocationsModule/locations/1/status
Triage: Uncategorized
Uncategorized Operation 20
After
RECRUITING
add /protocolSection/contactsLocationsModule/locations/1/contacts
Triage: Uncategorized
Uncategorized Operation 21
After
[
  {
    "name": "Issam Makhoul, MD",
    "role": "CONTACT",
    "email": "MakhoulIssam@uams.edu",
    "phone": "501-526-6990"
  },
  {
    "name": "Beth Scanlan, MAP",
    "role": "CONTACT",
    "email": "bscanlan@uams.edu",
    "phone": "5016868274"
  },
  {
    "name": "Issam Makhoul, MD",
    "role": "PRINCIPAL_INVESTIGATOR"
  }
]
add /protocolSection/contactsLocationsModule/centralContacts
Triage: Low
Administrative Contact Change Operation 22
Matched rules
  • contact_admin_change Central contact updates are usually administrative.
After
[
  {
    "name": "Issam Makhoul, MD",
    "role": "CONTACT",
    "email": "MakhoulIssam@uams.edu",
    "phone": "5015266990"
  },
  {
    "name": "Beth Scanlan, MAP",
    "role": "CONTACT",
    "email": "bscanlan@uams.edu",
    "phone": "5016868274"
  }
]
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 7 ops
replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized
Uncategorized Operation 1
Before
2021-03
After
2021-04
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 4
Before
2021-03-15
After
2021-04-02
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 5
Before
2021-03-18
After
2021-04-06
replace /protocolSection/descriptionModule/briefSummary
Triage: Uncategorized
Uncategorized Operation 6
Before
<p>The purpose of this study is to evaluate an investigational agent, P10s-PADRE, a peptide mimotope-based vaccine, in combination with standard neoadjuvant chemotherapy in patients with clinical stage I, II or III estrogen-receptor (ER)-positive breast cancer.</p><p>This is a single-arm, multi-site Phase I&#x2F;II study designed with the two goals being (1) to evaluate the feasibility of combining vaccination with the P10s-PADRE formulation with neoadjuvant chemotherapy and (2) to determine if the polymerase chain reaction (pCR) rate among ER-positive breast-cancer patients treated with the combination is significantly higher than the 8% rate observed among ER-positive breast-cancer subjects in a pooled analysis of seven randomized clinical trials.
P10s-PADRE vaccine with MONTANIDE™ ISA 51 VG as adjuvant will be given in combination with neoadjuvant chemotherapy in female patients with clinical stage I, II or III ER-positive breast cancer.</p>
After
The purpose of this study is to evaluate a new investigational cancer vaccine, P10s-PADRE in combination with standard neoadjuvant chemotherapy and surgery in patients with clinical stage I, II or III estrogen-receptor (ER)-positive, HER2-negative breast cancer.
add /protocolSection/descriptionModule/detailedDescription
Triage: Uncategorized
Uncategorized Operation 7
After
<p>The purpose of this study is to evaluate an investigational agent, P10s-PADRE, a peptide mimotope-based vaccine, in combination with standard neoadjuvant chemotherapy in patients with clinical stage I, II or III estrogen-receptor (ER)-positive, HER2-negative breast cancer.</p><p>This is a single-arm, multi-site Phase I&#x2F;II study designed with the two goals being (1) to evaluate the feasibility of combining vaccination with the P10s-PADRE formulation with neoadjuvant chemotherapy and (2) to determine if the polymerase chain reaction (pCR) rate among ER-positive, HER2-negativebreast-cancer patients treated with the combination is significantly higher than the 8% rate observed among ER-positive breast-cancer subjects in a pooled analysis of seven randomized clinical trials.
P10s-PADRE vaccine with MONTANIDE™ ISA 51 VG as adjuvant will be given in combination with neoadjuvant chemotherapy in female patients with clinical stage I, II or III ER-positive, HER2-negative breast cancer.</p>
add /protocolSection/conditionsModule/conditions/0
Triage: Uncategorized
Uncategorized Operation 8
After
Breast Cancer
add /protocolSection/conditionsModule/keywords
Triage: Uncategorized
Uncategorized Operation 9
After
[
  "clinical stage I, II or III",
  "ER postive",
  "HER2 negative"
]
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 2
Before
ENROLLING_BY_INVITATION
After
RECRUITING
Raw JSON Patch
[
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/statusVerifiedDate",
    "value": "2021-04"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/overallStatus",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/startDateStruct/date",
    "value": "2015-01-14"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdateSubmitDate",
    "value": "2021-04-02"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
    "value": "2021-04-06"
  },
  {
    "op": "replace",
    "path": "/protocolSection/descriptionModule/briefSummary",
    "value": "The purpose of this study is to evaluate a new investigational cancer vaccine, P10s-PADRE in combination with standard neoadjuvant chemotherapy and surgery in patients with clinical stage I, II or III estrogen-receptor (ER)-positive, HER2-negative breast cancer."
  },
  {
    "op": "add",
    "path": "/protocolSection/descriptionModule/detailedDescription",
    "value": "<p>The purpose of this study is to evaluate an investigational agent, P10s-PADRE, a peptide mimotope-based vaccine, in combination with standard neoadjuvant chemotherapy in patients with clinical stage I, II or III estrogen-receptor (ER)-positive, HER2-negative breast cancer.</p><p>This is a single-arm, multi-site Phase I&#x2F;II study designed with the two goals being (1) to evaluate the feasibility of combining vaccination with the P10s-PADRE formulation with neoadjuvant chemotherapy and (2) to determine if the polymerase chain reaction (pCR) rate among ER-positive, HER2-negativebreast-cancer patients treated with the combination is significantly higher than the 8% rate observed among ER-positive breast-cancer subjects in a pooled analysis of seven randomized clinical trials.\nP10s-PADRE vaccine with MONTANIDE™ ISA 51 VG as adjuvant will be given in combination with neoadjuvant chemotherapy in female patients with clinical stage I, II or III ER-positive, HER2-negative breast cancer.</p>"
  },
  {
    "op": "add",
    "path": "/protocolSection/conditionsModule/conditions/0",
    "value": "Breast Cancer"
  },
  {
    "op": "add",
    "path": "/protocolSection/conditionsModule/keywords",
    "value": [
      "clinical stage I, II or III",
      "ER postive",
      "HER2 negative"
    ]
  },
  {
    "op": "replace",
    "path": "/protocolSection/armsInterventionsModule/armGroups/0/interventionNames/0",
    "value": "Biological: Chemovax - P10s-PADRE&#x2F; MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Docetaxel (or Paclitaxel)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/armsInterventionsModule/armGroups/1/interventionNames/0",
    "value": "Biological: Chemovax - P10s-PADRE&#x2F; MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Docetaxel (or Paclitaxel)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/armsInterventionsModule/armGroups/2/interventionNames/0",
    "value": "Biological: Chemovax - P10s-PADRE&#x2F; MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Docetaxel (or Paclitaxel)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/armsInterventionsModule/armGroups/3/interventionNames/0",
    "value": "Biological: Chemovax - P10s-PADRE&#x2F; MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Docetaxel (or Paclitaxel)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/armsInterventionsModule/armGroups/4/interventionNames/0",
    "value": "Biological: Chemovax - P10s-PADRE&#x2F; MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Docetaxel (or Paclitaxel)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/armsInterventionsModule/armGroups/5/interventionNames/0",
    "value": "Biological: Chemovax - P10s-PADRE&#x2F; MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Docetaxel (or Paclitaxel)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/armsInterventionsModule/armGroups/6/interventionNames/0",
    "value": "Biological: Chemovax - P10s-PADRE&#x2F; MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Docetaxel (or Paclitaxel)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/armsInterventionsModule/interventions/0/name",
    "value": "Chemovax - P10s-PADRE&#x2F; MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Docetaxel (or Paclitaxel)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/timeFrame",
    "value": "At the time of definitive surgery (4-8 weeks after chemo, which is between Week 22 and Week 25)"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/0/status",
    "value": "ACTIVE_NOT_RECRUITING"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/1/status",
    "value": "RECRUITING"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/1/contacts",
    "value": [
      {
        "name": "Issam Makhoul, MD",
        "role": "CONTACT",
        "email": "MakhoulIssam@uams.edu",
        "phone": "501-526-6990"
      },
      {
        "name": "Beth Scanlan, MAP",
        "role": "CONTACT",
        "email": "bscanlan@uams.edu",
        "phone": "5016868274"
      },
      {
        "name": "Issam Makhoul, MD",
        "role": "PRINCIPAL_INVESTIGATOR"
      }
    ]
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/centralContacts",
    "value": [
      {
        "name": "Issam Makhoul, MD",
        "role": "CONTACT",
        "email": "MakhoulIssam@uams.edu",
        "phone": "5015266990"
      },
      {
        "name": "Beth Scanlan, MAP",
        "role": "CONTACT",
        "email": "bscanlan@uams.edu",
        "phone": "5016868274"
      }
    ]
  }
]