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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
contact_admin_changeenrollment_count_changeenrollment_type_change
Value signals
[
{
"path": "/protocolSection/designModule/enrollmentInfo/count",
"signal": "enrollment_count_change_ge_20pct",
"category": "enrollment_change",
"severity": "high",
"new_value": 17,
"old_value": 24,
"pct_change": 0.2917
}
] Provenance
Source ctgov_internal_history
Fetched 2026-06-18 19:11:01+00
Raw hash 6352310ac31fc2418bf88ac54da392e95865d7a7a10ce68f394e984b8c4b1317 Design Trial model, phase, allocation, masking, arms, or interventions. Triage: High 2 ops replace /protocolSection/designModule/enrollmentInfo/count
Triage: High Enrollment Change Operation 5
Matched rules enrollment_count_change Enrollment count changes can signal scope or feasibility shifts. replace /protocolSection/designModule/enrollmentInfo/type
Triage: High Enrollment Change Operation 6
Matched rules enrollment_type_change Enrollment type changes from anticipated to actual or similar are high review priority. Contacts and locations Site, contact, and location updates that are usually operational. Triage: Low 6 ops remove /protocolSection/contactsLocationsModule/centralContacts
Triage: Low Administrative Contact Change Operation 7
Matched rules contact_admin_change Central contact updates are usually administrative. Before
[
{
"name": "Candace Mainor, MD",
"role": "CONTACT",
"email": "Candace.Mainor@gunet.georgetown.edu",
"phone": "202-444-2223"
},
{
"name": "Antonella Novielli, RN, MSN",
"role": "CONTACT",
"email": "noviella@georgetown.edu",
"phone": "202-784-3923"
}
] remove /protocolSection/contactsLocationsModule/locations/0/status
Triage: Uncategorized Uncategorized Operation 8
remove /protocolSection/contactsLocationsModule/locations/0/contacts
Triage: Uncategorized Uncategorized Operation 9
Before
[
{
"name": "Nellie Novielli, RN",
"role": "CONTACT",
"email": "noviella@georgetown.edu",
"phone": "202-784-3923"
},
{
"name": "Candace Mainor, MD",
"role": "PRINCIPAL_INVESTIGATOR"
}
] remove /protocolSection/contactsLocationsModule/locations/1/status
Triage: Uncategorized Uncategorized Operation 10
remove /protocolSection/contactsLocationsModule/locations/1/contacts
Triage: Uncategorized Uncategorized Operation 11
Before
[
{
"name": "Stacy Malloy",
"role": "CONTACT",
"email": "stacy.k.malloy@medstar.net",
"phone": "202-877-9374"
},
{
"name": "Christopher Gallagher, MD",
"role": "PRINCIPAL_INVESTIGATOR"
}
] add /protocolSection/contactsLocationsModule/overallOfficials
Triage: Uncategorized Uncategorized Operation 12
After
[
{
"name": "Candace Mainor, MD",
"role": "PRINCIPAL_INVESTIGATOR",
"affiliation": "Georgetown University"
}
] Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 3 ops replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized Uncategorized Operation 1
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized Uncategorized Operation 3
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized Uncategorized Operation 4
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
After
ACTIVE_NOT_RECRUITING Raw JSON Patch [
{
"op": "replace",
"path": "/protocolSection/statusModule/statusVerifiedDate",
"value": "2023-12"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/overallStatus",
"value": "ACTIVE_NOT_RECRUITING"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdateSubmitDate",
"value": "2023-12-15"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
"value": "2023-12-18"
},
{
"op": "replace",
"path": "/protocolSection/designModule/enrollmentInfo/count",
"value": 17
},
{
"op": "replace",
"path": "/protocolSection/designModule/enrollmentInfo/type",
"value": "ACTUAL"
},
{
"op": "remove",
"path": "/protocolSection/contactsLocationsModule/centralContacts"
},
{
"op": "remove",
"path": "/protocolSection/contactsLocationsModule/locations/0/status"
},
{
"op": "remove",
"path": "/protocolSection/contactsLocationsModule/locations/0/contacts"
},
{
"op": "remove",
"path": "/protocolSection/contactsLocationsModule/locations/1/status"
},
{
"op": "remove",
"path": "/protocolSection/contactsLocationsModule/locations/1/contacts"
},
{
"op": "add",
"path": "/protocolSection/contactsLocationsModule/overallOfficials",
"value": [
{
"name": "Candace Mainor, MD",
"role": "PRINCIPAL_INVESTIGATOR",
"affiliation": "Georgetown University"
}
]
}
]