Back to trial

NCT03515798

Study of Immunotherapy in Combination With Chemotherapy in HER2-negative Inflammatory Breast Cancer

Version 6 to 7 · Institut Paoli-Calmettes

Patch inspector

Version 6 to 7

105 operations 4 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

None recorded.

Value signals
[
  {
    "paths": [
      "/protocolSection/outcomesModule/primaryOutcomes/0/description",
      "/protocolSection/outcomesModule/primaryOutcomes/0/measure",
      "/protocolSection/outcomesModule/primaryOutcomes/0/reviewUnit",
      "/protocolSection/outcomesModule/primaryOutcomes/0/timeFrame"
    ],
    "signal": "results_reconciliation_outcome_suppression",
    "category": "results_reconciliation",
    "severity": "low"
  }
]
Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 19:14:16+00
Raw hash
02bae03185f54a4d11a92fd949178eca723f68ff723c9db503bcacb005ab9a56
Payload
Source URL
Primary outcomes Outcome measures that define the trial's primary evidence target. Triage: Critical 4 ops
replace /protocolSection/outcomesModule/primaryOutcomes/0/measure
Triage: Critical
Primary Outcome Change Operation 5
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
Central Evaluation of Pathological Complete Response Rate
After
Central Evaluation of Pathological Complete Response (pCR)
replace /protocolSection/outcomesModule/primaryOutcomes/0/description
Triage: Critical
Primary Outcome Change Operation 6
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
absence of any residual invasive cancer on hematoxylin and eosin evaluation of the resected breast specimen and all sampled ipsilateral lymph nodes following completion of NAST (i.e., ypT0/is, ypN0 in the current AJCC staging system)
After
No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria).
replace /protocolSection/outcomesModule/primaryOutcomes/0/timeFrame
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
end of study
After
after mastectomy and axillary lymph node dissection, if applicable
remove /protocolSection/outcomesModule/primaryOutcomes/0/reviewUnit
Triage: Critical
Primary Outcome Change Operation 8
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
{
  "resetReasons": [
    "Required information appears to be missing."
  ]
}
Adverse events and safety Posted serious or other adverse event data. Triage: Uncategorized 1 ops
replace /resultsSection/adverseEventsModule/timeFrame
Triage: Uncategorized
Uncategorized Operation 103
Before
from the time of treatment randomization through 30 days following cessation of study treat-ment
After
through 30 days after the last dose of study treatment or before the initiation of radiotherapy, whichever comes first. All AEs that occured prior to the Safety Follow-Up Visit were recorded. Patients with an AE of Grade > 1 were followed until the resolution of the AE to Grade 0-1 or until the beginning of a new anti-cancer therapy (excluding the scheduled post-mastectomy treatments), whichever occured first.
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 9 ops
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 1
Before
2025-10-24
After
2025-11-17
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 2
Before
2025-11-10
After
2025-12-02
add /protocolSection/statusModule/resultsFirstSubmitQcDate
Triage: Uncategorized
Uncategorized Operation 3
After
2025-11-17
add /protocolSection/statusModule/resultsFirstPostDateStruct
Triage: Uncategorized
Uncategorized Operation 4
After
{
  "date": "2025-12-02",
  "type": "ACTUAL"
}
add /resultsSection/participantFlowModule/preAssignmentDetails
Triage: Uncategorized
Uncategorized Operation 9
After
<p>Primary endpoint number 1 : DLT analysis.</p><p>DLT analysis (one of the two primary endpoints) was conducted only on the 6 first patients of Arm A (Pembrolizumab Arm, 6 first patients out of the 33 included in Arm A. Zero patient out of the 19 patients included in Arm B were included in DLT analysis.)</p>
add /resultsSection/participantFlowModule/recruitmentDetails
Triage: Uncategorized
Uncategorized Operation 10
After
33 patients were assigned to Arm A. 19 patients were assigned to Arm B.
replace /resultsSection/baselineCharacteristicsModule/populationDescription
Triage: Uncategorized
Uncategorized Operation 11
Before
only pembrolizumab patients have been analyzed for DLT
After
The DLT analysis was limited to the 6 first patients of Arm A (the 6 first patients out of the 33 included in Arm A. Zero patient out of the 19 patients included in Arm B were included in DLT analysis).
replace /annotationSection/annotationModule/unpostedAnnotation/unpostedEvents/0/date
Triage: Uncategorized
Uncategorized Operation 104
Before
2025-11-07
After
2025-12-01
add /reviewUnit
Triage: Uncategorized
Uncategorized Operation 105
After
{
  "resetReasons": [
    "Issues noted on a previous submission of this record do not appear to have been addressed."
  ]
}
Results outcome measures Posted result outcome measures and result-level endpoint data. Triage: Uncategorized 91 ops
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/0/title
Triage: Uncategorized
Uncategorized Operation 12
Before
Central Evaluation of Pathological Complete Response Rate
After
Central Evaluation of Pathological Complete Response (pCR)
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/0/description
Triage: Uncategorized
Uncategorized Operation 13
Before
absence of any residual invasive cancer on hematoxylin and eosin evaluation of the resected breast specimen and all sampled ipsilateral lymph nodes following completion of NAST (i.e., ypT0&#x2F;is, ypN0 in the current AJCC staging system)
After
No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria).
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/0/reportingStatus
Triage: Uncategorized
Uncategorized Operation 14
Before
NOT_POSTED
After
POSTED
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/0/anticipatedPostingDate
Triage: Uncategorized
Uncategorized Operation 15
Before
2027-08
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/0/timeFrame
Triage: Uncategorized
Uncategorized Operation 16
Before
end of study
After
after mastectomy and axillary lymph node dissection, if applicable
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/0/denomUnitsSelected
Triage: Uncategorized
Uncategorized Operation 17
Before
Participants
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/0/reviewUnit
Triage: Uncategorized
Uncategorized Operation 18
Before
{
  "resetReasons": [
    "Required information appears to be missing."
  ]
}
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/0/populationDescription
Triage: Uncategorized
Uncategorized Operation 19
After
No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria).
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/0/groups
Triage: Uncategorized
Uncategorized Operation 20
After
[
  {
    "id": "OG000",
    "title": "Pembrolizumab",
    "description": "EC Paclitaxel + Pembrolizumab Injection"
  },
  {
    "id": "OG001",
    "title": "Standard Neoadjuvant Chemotherapy",
    "description": "EC Paclitaxel alone"
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/0/denoms
Triage: Uncategorized
Uncategorized Operation 21
After
[
  {
    "units": "Participants",
    "counts": [
      {
        "value": "0",
        "groupId": "OG000"
      },
      {
        "value": "0",
        "groupId": "OG001"
      }
    ]
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/0/measureCategoriesReviewUnit
Triage: Uncategorized
Uncategorized Operation 22
After
{
  "resetReasons": [
    "Results information appears incomplete."
  ]
}
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/1/type
Triage: Uncategorized
Uncategorized Operation 23
Before
PRIMARY
After
SECONDARY
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/1/title
Triage: Uncategorized
Uncategorized Operation 24
Before
Dose Limiting Toxicity (DLT) Rates
After
Occurrence of Serious Adverse Events and Adverse Events Starting Grade 2 or Grade 1 (run-in Period)
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/1/description
Triage: Uncategorized
Uncategorized Operation 25
Before
incidence of DLT during the 21 days following the first administration of pembrolizumab in combination with EC, will be assessed separately in the first 3 patients of each stratum (HR+ and HR-).
DLTs will be defined according to CTCAE.
After
according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) V5.0
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/1/populationDescription
Triage: Uncategorized
Uncategorized Operation 26
Before
only pembrolizumab patients have been analyzed for DLT
After
No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria).
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/1/paramType
Triage: Uncategorized
Uncategorized Operation 27
Before
NUMBER
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/1/unitOfMeasure
Triage: Uncategorized
Uncategorized Operation 28
Before
patients
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/1/denoms/0/counts/0/value
Triage: Uncategorized
Uncategorized Operation 29
Before
6
After
0
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/1/classes
Triage: Uncategorized
Uncategorized Operation 30
Before
[
  {
    "categories": [
      {
        "measurements": [
          {
            "value": "0",
            "groupId": "OG000"
          }
        ]
      }
    ]
  }
]
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/1/measureCategoriesReviewUnit/resetReasons/0
Triage: Uncategorized
Uncategorized Operation 31
Before
Required information appears to be missing.
After
Results information appears incomplete.
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/1/anticipatedPostingDate
Triage: Uncategorized
Uncategorized Operation 32
After
2027-08
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/2/title
Triage: Uncategorized
Uncategorized Operation 33
Before
Occurrence of Serious Adverse Events and Adverse Events Starting Grade 2 or Grade 1 (run-in Period)
After
Local Evaluation of Pathological Complete Response Rate
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/2/description
Triage: Uncategorized
Uncategorized Operation 34
Before
according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) V5.0
After
defined as absence of any residual invasive cancer on hematoxylin and eosin evaluation of the resected breast specimen and all sampled ipsilateral lymph nodes following completion of NAST (i.e., ypT0&#x2F;is, ypN0 in the current AJCC staging system)
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/2/reportingStatus
Triage: Uncategorized
Uncategorized Operation 35
Before
NOT_POSTED
After
POSTED
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/2/anticipatedPostingDate
Triage: Uncategorized
Uncategorized Operation 36
Before
2027-08
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/2/timeFrame
Triage: Uncategorized
Uncategorized Operation 37
Before
during 21 days following the first administration of pembrolizumab
After
Following completion of neoadjuvant systemic treatment, an average of 24 weeks
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/2/denomUnitsSelected
Triage: Uncategorized
Uncategorized Operation 38
Before
Participants
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/2/populationDescription
Triage: Uncategorized
Uncategorized Operation 39
After
No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria).
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/2/groups
Triage: Uncategorized
Uncategorized Operation 40
After
[
  {
    "id": "OG000",
    "title": "Pembrolizumab",
    "description": "EC Paclitaxel + Pembrolizumab Injection"
  },
  {
    "id": "OG001",
    "title": "Standard Neoadjuvant Chemotherapy",
    "description": "EC Paclitaxel alone"
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/2/denoms
Triage: Uncategorized
Uncategorized Operation 41
After
[
  {
    "units": "Participants",
    "counts": [
      {
        "value": "0",
        "groupId": "OG000"
      },
      {
        "value": "0",
        "groupId": "OG001"
      }
    ]
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/2/measureCategoriesReviewUnit
Triage: Uncategorized
Uncategorized Operation 42
After
{
  "resetReasons": [
    "Results information appears incomplete."
  ]
}
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/3/title
Triage: Uncategorized
Uncategorized Operation 43
Before
Local Evaluation of Pathological Complete Response Rate
After
Invasive Disease-free Survival (IDFS)
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/3/description
Triage: Uncategorized
Uncategorized Operation 44
Before
defined as absence of any residual invasive cancer on hematoxylin and eosin evaluation of the resected breast specimen and all sampled ipsilateral lymph nodes following completion of NAST (i.e., ypT0&#x2F;is, ypN0 in the current AJCC staging system)
After
time from surgery to the first documented occurrence of an event, defined as: Ipsilateral invasive breast tumor recurrence, Ipsilateral local-regional invasive breast cancer recurrence, Distant recurrence, Contralateral invasive breast cancer, Death from any cause
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/3/reportingStatus
Triage: Uncategorized
Uncategorized Operation 45
Before
NOT_POSTED
After
POSTED
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/3/timeFrame
Triage: Uncategorized
Uncategorized Operation 46
Before
Following completion of neoadjuvant systemic treatment, an average of 24 weeks
After
3 years
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/3/denomUnitsSelected
Triage: Uncategorized
Uncategorized Operation 47
Before
Participants
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/3/populationDescription
Triage: Uncategorized
Uncategorized Operation 48
After
No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria).
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/3/groups
Triage: Uncategorized
Uncategorized Operation 49
After
[
  {
    "id": "OG000",
    "title": "Pembrolizumab",
    "description": "<p>EC Paclitaxel + Pembrolizumab Injection</p><p>Pembrolizumab Injection: Patients will receive intravenously 1 dose of Pembrolizumab every 3 weeks</p><p>neoadjuvant EC-paclitaxel chemotherapy: The cytotoxic regimen is a combination of dose-dense EC, followed by weekly paclitaxel</p>"
  },
  {
    "id": "OG001",
    "title": "Standard Neoadjuvant Chemotherapy",
    "description": "<p>EC Paclitaxel alone</p><p>neoadjuvant EC-paclitaxel chemotherapy: The cytotoxic regimen is a combination of dose-dense EC, followed by weekly paclitaxel</p>"
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/3/denoms
Triage: Uncategorized
Uncategorized Operation 50
After
[
  {
    "units": "Participants",
    "counts": [
      {
        "value": "0",
        "groupId": "OG000"
      },
      {
        "value": "0",
        "groupId": "OG001"
      }
    ]
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/3/measureCategoriesReviewUnit
Triage: Uncategorized
Uncategorized Operation 51
After
{
  "resetReasons": [
    "Results information appears incomplete."
  ]
}
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/4/reportingStatus
Triage: Uncategorized
Uncategorized Operation 52
Before
NOT_POSTED
After
POSTED
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/4/timeFrame
Triage: Uncategorized
Uncategorized Operation 53
Before
3 years
After
5 years
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/4/denomUnitsSelected
Triage: Uncategorized
Uncategorized Operation 54
Before
Participants
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/4/populationDescription
Triage: Uncategorized
Uncategorized Operation 55
After
No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria).
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/4/groups
Triage: Uncategorized
Uncategorized Operation 56
After
[
  {
    "id": "OG000",
    "title": "Pembrolizumab",
    "description": "<p>EC Paclitaxel + Pembrolizumab Injection</p><p>Pembrolizumab Injection: Patients will receive intravenously 1 dose of Pembrolizumab every 3 weeks</p><p>neoadjuvant EC-paclitaxel chemotherapy: The cytotoxic regimen is a combination of dose-dense EC, followed by weekly paclitaxel</p>"
  },
  {
    "id": "OG001",
    "title": "Standard Neoadjuvant Chemotherapy",
    "description": "<p>EC Paclitaxel alone</p><p>neoadjuvant EC-paclitaxel chemotherapy: The cytotoxic regimen is a combination of dose-dense EC, followed by weekly paclitaxel</p>"
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/4/denoms
Triage: Uncategorized
Uncategorized Operation 57
After
[
  {
    "units": "Participants",
    "counts": [
      {
        "value": "0",
        "groupId": "OG000"
      },
      {
        "value": "0",
        "groupId": "OG001"
      }
    ]
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/4/measureCategoriesReviewUnit
Triage: Uncategorized
Uncategorized Operation 58
After
{
  "resetReasons": [
    "Results information appears incomplete."
  ]
}
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/5/title
Triage: Uncategorized
Uncategorized Operation 59
Before
Invasive Disease-free Survival (IDFS)
After
Event Free Survival (EFS)
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/5/description
Triage: Uncategorized
Uncategorized Operation 60
Before
time from surgery to the first documented occurrence of an event, defined as: Ipsilateral invasive breast tumor recurrence, Ipsilateral local-regional invasive breast cancer recurrence, Distant recurrence, Contralateral invasive breast cancer, Death from any cause
After
time from randomization to disease progression, disease recurrence (local, regional, distant, or contralateral [invasive or non invasive]), or death from any cause)
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/5/reportingStatus
Triage: Uncategorized
Uncategorized Operation 61
Before
NOT_POSTED
After
POSTED
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/5/timeFrame
Triage: Uncategorized
Uncategorized Operation 62
Before
5 years
After
3 years
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/5/denomUnitsSelected
Triage: Uncategorized
Uncategorized Operation 63
Before
Participants
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/5/populationDescription
Triage: Uncategorized
Uncategorized Operation 64
After
No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria).
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/5/groups
Triage: Uncategorized
Uncategorized Operation 65
After
[
  {
    "id": "OG000",
    "title": "Pembrolizumab",
    "description": "EC Paclitaxel + Pembrolizumab Injection"
  },
  {
    "id": "OG001",
    "title": "Standard Neoadjuvant Chemotherapy",
    "description": "EC Paclitaxel alone"
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/5/denoms
Triage: Uncategorized
Uncategorized Operation 66
After
[
  {
    "units": "Participants",
    "counts": [
      {
        "value": "0",
        "groupId": "OG000"
      },
      {
        "value": "0",
        "groupId": "OG001"
      }
    ]
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/5/measureCategoriesReviewUnit
Triage: Uncategorized
Uncategorized Operation 67
After
{
  "resetReasons": [
    "Results information appears incomplete."
  ]
}
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/reportingStatus
Triage: Uncategorized
Uncategorized Operation 68
Before
NOT_POSTED
After
POSTED
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/timeFrame
Triage: Uncategorized
Uncategorized Operation 69
Before
3 years
After
5 years
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/denomUnitsSelected
Triage: Uncategorized
Uncategorized Operation 70
Before
Participants
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/populationDescription
Triage: Uncategorized
Uncategorized Operation 71
After
No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria).
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/groups
Triage: Uncategorized
Uncategorized Operation 72
After
[
  {
    "id": "OG000",
    "title": "Pembrolizumab",
    "description": "EC Paclitaxel + Pembrolizumab Injection"
  },
  {
    "id": "OG001",
    "title": "Standard Neoadjuvant Chemotherapy",
    "description": "EC Paclitaxel alone"
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/denoms
Triage: Uncategorized
Uncategorized Operation 73
After
[
  {
    "units": "Participants",
    "counts": [
      {
        "value": "0",
        "groupId": "OG000"
      },
      {
        "value": "0",
        "groupId": "OG001"
      }
    ]
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/measureCategoriesReviewUnit
Triage: Uncategorized
Uncategorized Operation 74
After
{
  "resetReasons": [
    "Results information appears incomplete."
  ]
}
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/7/title
Triage: Uncategorized
Uncategorized Operation 75
Before
Event Free Survival (EFS)
After
Overall Survival (OS)
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/7/description
Triage: Uncategorized
Uncategorized Operation 76
Before
time from randomization to disease progression, disease recurrence (local, regional, distant, or contralateral [invasive or non invasive]), or death from any cause)
After
time from randomization to death from any cause
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/7/reportingStatus
Triage: Uncategorized
Uncategorized Operation 77
Before
NOT_POSTED
After
POSTED
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/7/timeFrame
Triage: Uncategorized
Uncategorized Operation 78
Before
5 years
After
3 years
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/7/denomUnitsSelected
Triage: Uncategorized
Uncategorized Operation 79
Before
Participants
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/7/populationDescription
Triage: Uncategorized
Uncategorized Operation 80
After
No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria).
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/7/groups
Triage: Uncategorized
Uncategorized Operation 81
After
[
  {
    "id": "OG000",
    "title": "Pembrolizumab",
    "description": "EC Paclitaxel + Pembrolizumab Injection"
  },
  {
    "id": "OG001",
    "title": "Standard Neoadjuvant Chemotherapy",
    "description": "EC Paclitaxel alone"
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/7/denoms
Triage: Uncategorized
Uncategorized Operation 82
After
[
  {
    "units": "Participants",
    "counts": [
      {
        "value": "0",
        "groupId": "OG000"
      },
      {
        "value": "0",
        "groupId": "OG001"
      }
    ]
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/7/measureCategoriesReviewUnit
Triage: Uncategorized
Uncategorized Operation 83
After
{
  "resetReasons": [
    "Results information appears incomplete."
  ]
}
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/8/reportingStatus
Triage: Uncategorized
Uncategorized Operation 84
Before
NOT_POSTED
After
POSTED
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/8/timeFrame
Triage: Uncategorized
Uncategorized Operation 85
Before
3 years
After
5 years
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/8/denomUnitsSelected
Triage: Uncategorized
Uncategorized Operation 86
Before
Participants
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/8/populationDescription
Triage: Uncategorized
Uncategorized Operation 87
After
No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria).
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/8/groups
Triage: Uncategorized
Uncategorized Operation 88
After
[
  {
    "id": "OG000",
    "title": "Pembrolizumab",
    "description": "EC Paclitaxel + Pembrolizumab Injection"
  },
  {
    "id": "OG001",
    "title": "Standard Neoadjuvant Chemotherapy",
    "description": "EC Paclitaxel alone"
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/8/denoms
Triage: Uncategorized
Uncategorized Operation 89
After
[
  {
    "units": "Participants",
    "counts": [
      {
        "value": "0",
        "groupId": "OG000"
      },
      {
        "value": "0",
        "groupId": "OG001"
      }
    ]
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/8/measureCategoriesReviewUnit
Triage: Uncategorized
Uncategorized Operation 90
After
{
  "resetReasons": [
    "Results information appears incomplete."
  ]
}
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/9/type
Triage: Uncategorized
Uncategorized Operation 91
Before
SECONDARY
After
OTHER_PRE_SPECIFIED
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/9/title
Triage: Uncategorized
Uncategorized Operation 92
Before
Overall Survival (OS)
After
Evaluation of PD-L1 Expression in Pre, Per and Post-treatment Tissue
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/9/description
Triage: Uncategorized
Uncategorized Operation 93
Before
time from randomization to death from any cause
After
by IHC and mass spectrometry-based proteomics; and in plasma samples using quantitative proteomics,
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/9/reportingStatus
Triage: Uncategorized
Uncategorized Operation 94
Before
NOT_POSTED
After
POSTED
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/9/timeFrame
Triage: Uncategorized
Uncategorized Operation 95
Before
5 years
After
Following completion of neoadjuvant systemic treatment, an average of 24 weeks
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/9/denomUnitsSelected
Triage: Uncategorized
Uncategorized Operation 96
Before
Participants
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/9/populationDescription
Triage: Uncategorized
Uncategorized Operation 97
After
No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria).
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/9/groups
Triage: Uncategorized
Uncategorized Operation 98
After
[
  {
    "id": "OG000",
    "title": "Pembrolizumab",
    "description": "EC Paclitaxel + Pembrolizumab Injection"
  },
  {
    "id": "OG001",
    "title": "Standard Neoadjuvant Chemotherapy",
    "description": "EC Paclitaxel alone"
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/9/denoms
Triage: Uncategorized
Uncategorized Operation 99
After
[
  {
    "units": "Participants",
    "counts": [
      {
        "value": "0",
        "groupId": "OG000"
      },
      {
        "value": "0",
        "groupId": "OG001"
      }
    ]
  }
]
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/9/measureCategoriesReviewUnit
Triage: Uncategorized
Uncategorized Operation 100
After
{
  "resetReasons": [
    "Results information appears incomplete."
  ]
}
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/10
Triage: Uncategorized
Uncategorized Operation 101
Before
{
  "type": "OTHER_PRE_SPECIFIED",
  "title": "Evaluation of PD-L1 Expression in Pre, Per and Post-treatment Tissue",
  "timeFrame": "Following completion of neoadjuvant systemic treatment, an average of 24 weeks",
  "description": "by IHC and mass spectrometry-based proteomics; and in plasma samples using quantitative proteomics,",
  "reportingStatus": "NOT_POSTED",
  "denomUnitsSelected": "Participants"
}
add /resultsSection/outcomeMeasuresModule/outcomeMeasures/13
Triage: Uncategorized
Uncategorized Operation 102
After
{
  "type": "PRIMARY",
  "title": "Dose Limiting Toxicity (DLT) Rates",
  "denoms": [
    {
      "units": "Participants",
      "counts": [
        {
          "value": "6",
          "groupId": "OG000"
        },
        {
          "value": "0",
          "groupId": "OG001"
        }
      ]
    }
  ],
  "groups": [
    {
      "id": "OG000",
      "title": "Pembrolizumab",
      "description": "<p>EC Paclitaxel + Pembrolizumab Injection</p><p>Pembrolizumab Injection: Patients will receive intravenously 1 dose of Pembrolizumab every 3 weeks</p><p>neoadjuvant EC-paclitaxel chemotherapy: The cytotoxic regimen is a combination of dose-dense EC, followed by weekly paclitaxel</p>"
    },
    {
      "id": "OG001",
      "title": "Standard Neoadjuvant Chemotherapy",
      "description": "<p>EC Paclitaxel alone</p><p>neoadjuvant EC-paclitaxel chemotherapy: The cytotoxic regimen is a combination of dose-dense EC, followed by weekly paclitaxel</p>"
    }
  ],
  "classes": [
    {
      "categories": [
        {
          "measurements": [
            {
              "value": "0",
              "groupId": "OG000"
            }
          ]
        }
      ]
    }
  ],
  "paramType": "NUMBER",
  "timeFrame": "during 21 days following the first administration of pembrolizumab",
  "description": "incidence of DLT during the 21 days following the first administration of pembrolizumab in combination with EC, will be assessed separately in the first 3 patients of each stratum (HR+ and HR-).\nDLTs will be defined according to CTCAE.",
  "unitOfMeasure": "patients",
  "reportingStatus": "POSTED",
  "populationDescription": "only pembrolizumab patients have been analyzed for DLT",
  "measureCategoriesReviewUnit": {
    "resetReasons": [
      "Required information appears to be missing."
    ]
  }
}
Raw JSON Patch
[
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdateSubmitDate",
    "value": "2025-11-17"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
    "value": "2025-12-02"
  },
  {
    "op": "add",
    "path": "/protocolSection/statusModule/resultsFirstSubmitQcDate",
    "value": "2025-11-17"
  },
  {
    "op": "add",
    "path": "/protocolSection/statusModule/resultsFirstPostDateStruct",
    "value": {
      "date": "2025-12-02",
      "type": "ACTUAL"
    }
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/measure",
    "value": "Central Evaluation of Pathological Complete Response (pCR)"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/description",
    "value": "No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria)."
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/timeFrame",
    "value": "after mastectomy and axillary lymph node dissection, if applicable"
  },
  {
    "op": "remove",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/0/reviewUnit"
  },
  {
    "op": "add",
    "path": "/resultsSection/participantFlowModule/preAssignmentDetails",
    "value": "<p>Primary endpoint number 1 : DLT analysis.</p><p>DLT analysis (one of the two primary endpoints) was conducted only on the 6 first patients of Arm A (Pembrolizumab Arm, 6 first patients out of the 33 included in Arm A. Zero patient out of the 19 patients included in Arm B were included in DLT analysis.)</p>"
  },
  {
    "op": "add",
    "path": "/resultsSection/participantFlowModule/recruitmentDetails",
    "value": "33 patients were assigned to Arm A. 19 patients were assigned to Arm B."
  },
  {
    "op": "replace",
    "path": "/resultsSection/baselineCharacteristicsModule/populationDescription",
    "value": "The DLT analysis was limited to the 6 first patients of Arm A (the 6 first patients out of the 33 included in Arm A. Zero patient out of the 19 patients included in Arm B were included in DLT analysis)."
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/0/title",
    "value": "Central Evaluation of Pathological Complete Response (pCR)"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/0/description",
    "value": "No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria)."
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/0/reportingStatus",
    "value": "POSTED"
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/0/anticipatedPostingDate"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/0/timeFrame",
    "value": "after mastectomy and axillary lymph node dissection, if applicable"
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/0/denomUnitsSelected"
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/0/reviewUnit"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/0/populationDescription",
    "value": "No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria)."
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/0/groups",
    "value": [
      {
        "id": "OG000",
        "title": "Pembrolizumab",
        "description": "EC Paclitaxel + Pembrolizumab Injection"
      },
      {
        "id": "OG001",
        "title": "Standard Neoadjuvant Chemotherapy",
        "description": "EC Paclitaxel alone"
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/0/denoms",
    "value": [
      {
        "units": "Participants",
        "counts": [
          {
            "value": "0",
            "groupId": "OG000"
          },
          {
            "value": "0",
            "groupId": "OG001"
          }
        ]
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/0/measureCategoriesReviewUnit",
    "value": {
      "resetReasons": [
        "Results information appears incomplete."
      ]
    }
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/1/type",
    "value": "SECONDARY"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/1/title",
    "value": "Occurrence of Serious Adverse Events and Adverse Events Starting Grade 2 or Grade 1 (run-in Period)"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/1/description",
    "value": "according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) V5.0"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/1/populationDescription",
    "value": "No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria)."
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/1/paramType"
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/1/unitOfMeasure"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/1/denoms/0/counts/0/value",
    "value": "0"
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/1/classes"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/1/measureCategoriesReviewUnit/resetReasons/0",
    "value": "Results information appears incomplete."
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/1/anticipatedPostingDate",
    "value": "2027-08"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/2/title",
    "value": "Local Evaluation of Pathological Complete Response Rate"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/2/description",
    "value": "defined as absence of any residual invasive cancer on hematoxylin and eosin evaluation of the resected breast specimen and all sampled ipsilateral lymph nodes following completion of NAST (i.e., ypT0&#x2F;is, ypN0 in the current AJCC staging system)"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/2/reportingStatus",
    "value": "POSTED"
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/2/anticipatedPostingDate"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/2/timeFrame",
    "value": "Following completion of neoadjuvant systemic treatment, an average of 24 weeks"
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/2/denomUnitsSelected"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/2/populationDescription",
    "value": "No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria)."
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/2/groups",
    "value": [
      {
        "id": "OG000",
        "title": "Pembrolizumab",
        "description": "EC Paclitaxel + Pembrolizumab Injection"
      },
      {
        "id": "OG001",
        "title": "Standard Neoadjuvant Chemotherapy",
        "description": "EC Paclitaxel alone"
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/2/denoms",
    "value": [
      {
        "units": "Participants",
        "counts": [
          {
            "value": "0",
            "groupId": "OG000"
          },
          {
            "value": "0",
            "groupId": "OG001"
          }
        ]
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/2/measureCategoriesReviewUnit",
    "value": {
      "resetReasons": [
        "Results information appears incomplete."
      ]
    }
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/3/title",
    "value": "Invasive Disease-free Survival (IDFS)"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/3/description",
    "value": "time from surgery to the first documented occurrence of an event, defined as: Ipsilateral invasive breast tumor recurrence, Ipsilateral local-regional invasive breast cancer recurrence, Distant recurrence, Contralateral invasive breast cancer, Death from any cause"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/3/reportingStatus",
    "value": "POSTED"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/3/timeFrame",
    "value": "3 years"
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/3/denomUnitsSelected"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/3/populationDescription",
    "value": "No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria)."
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/3/groups",
    "value": [
      {
        "id": "OG000",
        "title": "Pembrolizumab",
        "description": "<p>EC Paclitaxel + Pembrolizumab Injection</p><p>Pembrolizumab Injection: Patients will receive intravenously 1 dose of Pembrolizumab every 3 weeks</p><p>neoadjuvant EC-paclitaxel chemotherapy: The cytotoxic regimen is a combination of dose-dense EC, followed by weekly paclitaxel</p>"
      },
      {
        "id": "OG001",
        "title": "Standard Neoadjuvant Chemotherapy",
        "description": "<p>EC Paclitaxel alone</p><p>neoadjuvant EC-paclitaxel chemotherapy: The cytotoxic regimen is a combination of dose-dense EC, followed by weekly paclitaxel</p>"
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/3/denoms",
    "value": [
      {
        "units": "Participants",
        "counts": [
          {
            "value": "0",
            "groupId": "OG000"
          },
          {
            "value": "0",
            "groupId": "OG001"
          }
        ]
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/3/measureCategoriesReviewUnit",
    "value": {
      "resetReasons": [
        "Results information appears incomplete."
      ]
    }
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/4/reportingStatus",
    "value": "POSTED"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/4/timeFrame",
    "value": "5 years"
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/4/denomUnitsSelected"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/4/populationDescription",
    "value": "No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria)."
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/4/groups",
    "value": [
      {
        "id": "OG000",
        "title": "Pembrolizumab",
        "description": "<p>EC Paclitaxel + Pembrolizumab Injection</p><p>Pembrolizumab Injection: Patients will receive intravenously 1 dose of Pembrolizumab every 3 weeks</p><p>neoadjuvant EC-paclitaxel chemotherapy: The cytotoxic regimen is a combination of dose-dense EC, followed by weekly paclitaxel</p>"
      },
      {
        "id": "OG001",
        "title": "Standard Neoadjuvant Chemotherapy",
        "description": "<p>EC Paclitaxel alone</p><p>neoadjuvant EC-paclitaxel chemotherapy: The cytotoxic regimen is a combination of dose-dense EC, followed by weekly paclitaxel</p>"
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/4/denoms",
    "value": [
      {
        "units": "Participants",
        "counts": [
          {
            "value": "0",
            "groupId": "OG000"
          },
          {
            "value": "0",
            "groupId": "OG001"
          }
        ]
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/4/measureCategoriesReviewUnit",
    "value": {
      "resetReasons": [
        "Results information appears incomplete."
      ]
    }
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/5/title",
    "value": "Event Free Survival (EFS)"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/5/description",
    "value": "time from randomization to disease progression, disease recurrence (local, regional, distant, or contralateral [invasive or non invasive]), or death from any cause)"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/5/reportingStatus",
    "value": "POSTED"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/5/timeFrame",
    "value": "3 years"
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/5/denomUnitsSelected"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/5/populationDescription",
    "value": "No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria)."
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/5/groups",
    "value": [
      {
        "id": "OG000",
        "title": "Pembrolizumab",
        "description": "EC Paclitaxel + Pembrolizumab Injection"
      },
      {
        "id": "OG001",
        "title": "Standard Neoadjuvant Chemotherapy",
        "description": "EC Paclitaxel alone"
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/5/denoms",
    "value": [
      {
        "units": "Participants",
        "counts": [
          {
            "value": "0",
            "groupId": "OG000"
          },
          {
            "value": "0",
            "groupId": "OG001"
          }
        ]
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/5/measureCategoriesReviewUnit",
    "value": {
      "resetReasons": [
        "Results information appears incomplete."
      ]
    }
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/reportingStatus",
    "value": "POSTED"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/timeFrame",
    "value": "5 years"
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/denomUnitsSelected"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/populationDescription",
    "value": "No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria)."
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/groups",
    "value": [
      {
        "id": "OG000",
        "title": "Pembrolizumab",
        "description": "EC Paclitaxel + Pembrolizumab Injection"
      },
      {
        "id": "OG001",
        "title": "Standard Neoadjuvant Chemotherapy",
        "description": "EC Paclitaxel alone"
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/denoms",
    "value": [
      {
        "units": "Participants",
        "counts": [
          {
            "value": "0",
            "groupId": "OG000"
          },
          {
            "value": "0",
            "groupId": "OG001"
          }
        ]
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/measureCategoriesReviewUnit",
    "value": {
      "resetReasons": [
        "Results information appears incomplete."
      ]
    }
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/7/title",
    "value": "Overall Survival (OS)"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/7/description",
    "value": "time from randomization to death from any cause"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/7/reportingStatus",
    "value": "POSTED"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/7/timeFrame",
    "value": "3 years"
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/7/denomUnitsSelected"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/7/populationDescription",
    "value": "No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria)."
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/7/groups",
    "value": [
      {
        "id": "OG000",
        "title": "Pembrolizumab",
        "description": "EC Paclitaxel + Pembrolizumab Injection"
      },
      {
        "id": "OG001",
        "title": "Standard Neoadjuvant Chemotherapy",
        "description": "EC Paclitaxel alone"
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/7/denoms",
    "value": [
      {
        "units": "Participants",
        "counts": [
          {
            "value": "0",
            "groupId": "OG000"
          },
          {
            "value": "0",
            "groupId": "OG001"
          }
        ]
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/7/measureCategoriesReviewUnit",
    "value": {
      "resetReasons": [
        "Results information appears incomplete."
      ]
    }
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/8/reportingStatus",
    "value": "POSTED"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/8/timeFrame",
    "value": "5 years"
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/8/denomUnitsSelected"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/8/populationDescription",
    "value": "No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria)."
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/8/groups",
    "value": [
      {
        "id": "OG000",
        "title": "Pembrolizumab",
        "description": "EC Paclitaxel + Pembrolizumab Injection"
      },
      {
        "id": "OG001",
        "title": "Standard Neoadjuvant Chemotherapy",
        "description": "EC Paclitaxel alone"
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/8/denoms",
    "value": [
      {
        "units": "Participants",
        "counts": [
          {
            "value": "0",
            "groupId": "OG000"
          },
          {
            "value": "0",
            "groupId": "OG001"
          }
        ]
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/8/measureCategoriesReviewUnit",
    "value": {
      "resetReasons": [
        "Results information appears incomplete."
      ]
    }
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/9/type",
    "value": "OTHER_PRE_SPECIFIED"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/9/title",
    "value": "Evaluation of PD-L1 Expression in Pre, Per and Post-treatment Tissue"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/9/description",
    "value": "by IHC and mass spectrometry-based proteomics; and in plasma samples using quantitative proteomics,"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/9/reportingStatus",
    "value": "POSTED"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/9/timeFrame",
    "value": "Following completion of neoadjuvant systemic treatment, an average of 24 weeks"
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/9/denomUnitsSelected"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/9/populationDescription",
    "value": "No participants were measured and analyzed for this Outcome Measure, due to statistical reasons (measure is excluded beacause the data does not meet statistical criteria)."
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/9/groups",
    "value": [
      {
        "id": "OG000",
        "title": "Pembrolizumab",
        "description": "EC Paclitaxel + Pembrolizumab Injection"
      },
      {
        "id": "OG001",
        "title": "Standard Neoadjuvant Chemotherapy",
        "description": "EC Paclitaxel alone"
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/9/denoms",
    "value": [
      {
        "units": "Participants",
        "counts": [
          {
            "value": "0",
            "groupId": "OG000"
          },
          {
            "value": "0",
            "groupId": "OG001"
          }
        ]
      }
    ]
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/9/measureCategoriesReviewUnit",
    "value": {
      "resetReasons": [
        "Results information appears incomplete."
      ]
    }
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/10"
  },
  {
    "op": "add",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/13",
    "value": {
      "type": "PRIMARY",
      "title": "Dose Limiting Toxicity (DLT) Rates",
      "denoms": [
        {
          "units": "Participants",
          "counts": [
            {
              "value": "6",
              "groupId": "OG000"
            },
            {
              "value": "0",
              "groupId": "OG001"
            }
          ]
        }
      ],
      "groups": [
        {
          "id": "OG000",
          "title": "Pembrolizumab",
          "description": "<p>EC Paclitaxel + Pembrolizumab Injection</p><p>Pembrolizumab Injection: Patients will receive intravenously 1 dose of Pembrolizumab every 3 weeks</p><p>neoadjuvant EC-paclitaxel chemotherapy: The cytotoxic regimen is a combination of dose-dense EC, followed by weekly paclitaxel</p>"
        },
        {
          "id": "OG001",
          "title": "Standard Neoadjuvant Chemotherapy",
          "description": "<p>EC Paclitaxel alone</p><p>neoadjuvant EC-paclitaxel chemotherapy: The cytotoxic regimen is a combination of dose-dense EC, followed by weekly paclitaxel</p>"
        }
      ],
      "classes": [
        {
          "categories": [
            {
              "measurements": [
                {
                  "value": "0",
                  "groupId": "OG000"
                }
              ]
            }
          ]
        }
      ],
      "paramType": "NUMBER",
      "timeFrame": "during 21 days following the first administration of pembrolizumab",
      "description": "incidence of DLT during the 21 days following the first administration of pembrolizumab in combination with EC, will be assessed separately in the first 3 patients of each stratum (HR+ and HR-).\nDLTs will be defined according to CTCAE.",
      "unitOfMeasure": "patients",
      "reportingStatus": "POSTED",
      "populationDescription": "only pembrolizumab patients have been analyzed for DLT",
      "measureCategoriesReviewUnit": {
        "resetReasons": [
          "Required information appears to be missing."
        ]
      }
    }
  },
  {
    "op": "replace",
    "path": "/resultsSection/adverseEventsModule/timeFrame",
    "value": "through 30 days after the last dose of study treatment or before the initiation of radiotherapy, whichever comes first. All AEs that occured prior to the Safety Follow-Up Visit were recorded. Patients with an AE of Grade &gt; 1 were followed until the resolution of the AE to Grade 0-1 or until the beginning of a new anti-cancer therapy (excluding the scheduled post-mastectomy treatments), whichever occured first."
  },
  {
    "op": "replace",
    "path": "/annotationSection/annotationModule/unpostedAnnotation/unpostedEvents/0/date",
    "value": "2025-12-01"
  },
  {
    "op": "add",
    "path": "/reviewUnit",
    "value": {
      "resetReasons": [
        "Issues noted on a previous submission of this record do not appear to have been addressed."
      ]
    }
  }
]