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NCT02576431

A Study to Test the Effect of the Drug Larotrectinib in Adults and Children With NTRK-fusion Positive Solid Tumors

Version 49 to 50 · Bayer

Patch inspector

Version 49 to 50

21 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
eligibility_criteria_change
Value signals

None recorded.

Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 19:12:25+00
Raw hash
30ee8bbef0c9211f097b777383834a9ba4dcb446a805ef221b8b529d8e76ed69
Payload
Source URL
Eligibility Criteria and population definition changes. Triage: High 1 ops
replace /protocolSection/eligibilityModule/eligibilityCriteria
Triage: High
Eligibility Change Operation 4
Matched rules
  • eligibility_criteria_change Eligibility criteria changes can alter the studied population.
Before
<p>Inclusion Criteria:</p><ul><li>Locally advanced or metastatic non-secretory breast cancer, lung cancer, melanoma, and colorectal cancer with unknown human neurotrophic tyrosine receptor kinase 1 (NTRK1), NTRK2, or NTRK3 fusion status.</li><li>Subjects must have received prior standard therapy appropriate for their tumor type and stage of disease, or in the opinion of the investigator, would be unlikely to tolerate or derive clinically meaningful benefit from appropriate standard of care therapy.</li><li>Subjects must have at least one measurable lesion as defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.</li></ul><p>Exclusion Criteria:</p><ul><li>Prior progression while receiving approved or investigational tyrosine kinase inhibitors targeting tropomyosin receptor kinase (TRK).
Subjects who received less than 28 days of treatment and discontinued because of intolerance or toxicity are eligible.</li><li>Symptomatic or unstable brain metastases.
(Note: Subjects with asymptomatic brain metastases are eligible to participate in the study.)
Subjects with primary central nervous system (CNS) tumors are eligible.</li><li>Pregnancy or lactation.</li><li>Active uncontrolled systemic bacterial, viral, or fungal infection Common Terminology Criteria for Adverse Events(CTCAE) grade ≥ 2; unstable cardiovascular disease, or other systemic disease that would limit compliance with study procedures.</li></ul><p>Unstable cardiovascular disease is defined as:</p><ul><li>In adults, persistently uncontrolled hypertension defined as systolic blood pressure (BP) &gt; 150 mmHg and&#x2F;or diastolic BP &gt; 100 mmHg despite antihypertensive therapy.</li><li>Myocardial infarction within 3 months of screening.</li><li>Stroke within 3 months of screening.</li></ul>
After
<p>Inclusion Criteria:</p><ul><li>Locally advanced or metastatic non-secretory breast cancer, lung cancer, melanoma, and colorectal cancer with unknown human neurotrophic tyrosine receptor kinase 1 (NTRK1), NTRK2, or NTRK3 fusion status.</li><li>Subjects must have received prior standard therapy appropriate for their tumor type and stage of disease, or in the opinion of the investigator, would be unlikely to tolerate or derive clinically meaningful benefit from appropriate standard of care therapy.</li><li>Subjects must have at least one measurable lesion as defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.</li></ul><p>Exclusion Criteria:</p><ul><li>Prior progression while receiving approved or investigational tyrosine kinase inhibitors targeting tropomyosin receptor kinase (TRK).
Subjects who received less than 28 days of treatment and discontinued because of intolerance or toxicity are eligible.</li><li>Symptomatic or unstable brain metastases.
(Note: Subjects with asymptomatic brain metastases are eligible to participate in the study.)
Subjects with primary central nervous system (CNS) tumors are eligible.</li><li>Pregnancy or lactation.</li><li>Active uncontrolled systemic bacterial, viral, or fungal infection Common Terminology Criteria for Adverse Events(CTCAE) grade ≥ 2; unstable cardiovascular disease, or other systemic disease that would limit compliance with study procedures.</li><li><p>Unstable cardiovascular disease is defined as:</p><ul><li>In adults, persistently uncontrolled hypertension defined as systolic blood pressure (BP) &gt; 150 mmHg and&#x2F;or diastolic BP &gt; 100 mmHg despite antihypertensive therapy.</li><li>Myocardial infarction within 3 months of screening.</li><li>Stroke within 3 months of screening.</li></ul></li></ul>
Contacts and locations Site, contact, and location updates that are usually operational. Triage: Uncategorized 17 ops
replace /protocolSection/contactsLocationsModule/locations/24/status
Triage: Uncategorized
Uncategorized Operation 5
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/25/status
Triage: Uncategorized
Uncategorized Operation 6
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/27/status
Triage: Uncategorized
Uncategorized Operation 7
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/37/status
Triage: Uncategorized
Uncategorized Operation 8
Before
NOT_YET_RECRUITING
After
RECRUITING
remove /protocolSection/contactsLocationsModule/locations/62
Triage: Uncategorized
Uncategorized Operation 9
Before
{
  "zip": "33000",
  "city": "Bordeaux",
  "status": "NOT_YET_RECRUITING",
  "country": "France",
  "facility": "Hôpital Saint André - Bordeaux",
  "geoPoint": {
    "lat": 44.84124,
    "lon": -0.58046
  }
}
add /protocolSection/contactsLocationsModule/locations/64
Triage: Uncategorized
Uncategorized Operation 10
After
{
  "zip": "39373",
  "city": "Lyon",
  "status": "NOT_YET_RECRUITING",
  "country": "France",
  "facility": "Centre Léon Bérard",
  "geoPoint": {
    "lat": 45.74906,
    "lon": 4.84789
  }
}
replace /protocolSection/contactsLocationsModule/locations/70/status
Triage: Uncategorized
Uncategorized Operation 11
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/71/status
Triage: Uncategorized
Uncategorized Operation 12
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/75/status
Triage: Uncategorized
Uncategorized Operation 13
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/78/status
Triage: Uncategorized
Uncategorized Operation 14
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/92/status
Triage: Uncategorized
Uncategorized Operation 15
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/93/status
Triage: Uncategorized
Uncategorized Operation 16
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/97/facility
Triage: Uncategorized
Uncategorized Operation 17
Before
IRCCS Istituto Europeo di Oncologia (IEO)
After
IRCCS Istituto Europeo di Oncologia s.r.l. (IEO)
replace /protocolSection/contactsLocationsModule/locations/112/status
Triage: Uncategorized
Uncategorized Operation 18
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/118/status
Triage: Uncategorized
Uncategorized Operation 19
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/142/status
Triage: Uncategorized
Uncategorized Operation 20
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/147/status
Triage: Uncategorized
Uncategorized Operation 21
Before
NOT_YET_RECRUITING
After
RECRUITING
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 3 ops
replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized
Uncategorized Operation 1
Before
2021-07
After
2021-08
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 2
Before
2021-07-05
After
2021-08-05
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 3
Before
2021-07-07
After
2021-08-06
Raw JSON Patch
[
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/statusVerifiedDate",
    "value": "2021-08"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdateSubmitDate",
    "value": "2021-08-05"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
    "value": "2021-08-06"
  },
  {
    "op": "replace",
    "path": "/protocolSection/eligibilityModule/eligibilityCriteria",
    "value": "<p>Inclusion Criteria:</p><ul><li>Locally advanced or metastatic non-secretory breast cancer, lung cancer, melanoma, and colorectal cancer with unknown human neurotrophic tyrosine receptor kinase 1 (NTRK1), NTRK2, or NTRK3 fusion status.</li><li>Subjects must have received prior standard therapy appropriate for their tumor type and stage of disease, or in the opinion of the investigator, would be unlikely to tolerate or derive clinically meaningful benefit from appropriate standard of care therapy.</li><li>Subjects must have at least one measurable lesion as defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.</li></ul><p>Exclusion Criteria:</p><ul><li>Prior progression while receiving approved or investigational tyrosine kinase inhibitors targeting tropomyosin receptor kinase (TRK).\nSubjects who received less than 28 days of treatment and discontinued because of intolerance or toxicity are eligible.</li><li>Symptomatic or unstable brain metastases.\n(Note: Subjects with asymptomatic brain metastases are eligible to participate in the study.)\nSubjects with primary central nervous system (CNS) tumors are eligible.</li><li>Pregnancy or lactation.</li><li>Active uncontrolled systemic bacterial, viral, or fungal infection Common Terminology Criteria for Adverse Events(CTCAE) grade ≥ 2; unstable cardiovascular disease, or other systemic disease that would limit compliance with study procedures.</li><li><p>Unstable cardiovascular disease is defined as:</p><ul><li>In adults, persistently uncontrolled hypertension defined as systolic blood pressure (BP) &gt; 150 mmHg and&#x2F;or diastolic BP &gt; 100 mmHg despite antihypertensive therapy.</li><li>Myocardial infarction within 3 months of screening.</li><li>Stroke within 3 months of screening.</li></ul></li></ul>"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/24/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/25/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/27/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/37/status",
    "value": "RECRUITING"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/62"
  },
  {
    "op": "add",
    "path": "/protocolSection/contactsLocationsModule/locations/64",
    "value": {
      "zip": "39373",
      "city": "Lyon",
      "status": "NOT_YET_RECRUITING",
      "country": "France",
      "facility": "Centre Léon Bérard",
      "geoPoint": {
        "lat": 45.74906,
        "lon": 4.84789
      }
    }
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/70/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/71/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/75/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/78/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/92/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/93/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/97/facility",
    "value": "IRCCS Istituto Europeo di Oncologia s.r.l. (IEO)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/112/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/118/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/142/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/147/status",
    "value": "RECRUITING"
  }
]