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NCT03535506

Preoperative Palbociclib in Patients With DCIS of the Breast That Are Candidates for Surgery

Version 8 to 9 · Georgetown University

Patch inspector

Version 8 to 9

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

None recorded.

Value signals
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  {
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      "/protocolSection/outcomesModule/primaryOutcomes/0/description",
      "/protocolSection/outcomesModule/primaryOutcomes/0/measure",
      "/protocolSection/outcomesModule/primaryOutcomes/0/timeFrame",
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      "/protocolSection/outcomesModule/secondaryOutcomes/2/timeFrame"
    ],
    "signal": "results_reconciliation_outcome_suppression",
    "category": "results_reconciliation",
    "severity": "low"
  }
]
Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 19:11:01+00
Raw hash
9d86a3310d1c15f486fee1c034386f3770615a4c8c1011d7c5bfe8e2ae273dbe
Payload
Source URL
Primary outcomes Outcome measures that define the trial's primary evidence target. Triage: Critical 3 ops
replace /protocolSection/outcomesModule/primaryOutcomes/0/measure
Triage: Critical
Primary Outcome Change Operation 7
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
Feasibility: recruitment rates
After
Feasibility: Recruitment Rates
replace /protocolSection/outcomesModule/primaryOutcomes/0/description
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
The approach will be considered feasible if more than 50% of the enrolled patients are treated and followed within protocol rules, if collected samples are suitable for studies, and if pathologic changes are detectable when comparing diagnostic and surgical specimens, or treated and untreated specimens.
In Group A, patients will be treated with palbociclib alone, providing the opportunity to address if proposing this kind of treatment for these patients is feasible.
Obtaining human data and feasibility data would be key for designing efficacy/definitive studies of palbociclib in DCIS.
This will be measured through data collected on eCRFs regarding timeline from consent to treatment, and treatment to surgery, including treatment delivery (beginning date, end date, number of tablets taken) and date of definitive surgery, as well as number of drop outs.
After
The approach will be considered feasible if more than 50% of the enrolled patients are treated andcomplete the study.
replace /protocolSection/outcomesModule/primaryOutcomes/0/timeFrame
Triage: Critical
Primary Outcome Change Operation 9
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
14 - 40 Days
After
5 years
Secondary outcomes Additional endpoints and outcome descriptions. Triage: High 9 ops
replace /protocolSection/outcomesModule/secondaryOutcomes/0/measure
Triage: High
Secondary Outcome Change Operation 10
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Pathology: descriptive findings on H&E
After
Pathologic Changes
replace /protocolSection/outcomesModule/secondaryOutcomes/0/description
Triage: High
Secondary Outcome Change Operation 11
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Pharmacodynamic effects as measured by changes in tissue morphology (evaluated by H&E) in pre- and post-dose tumor specimens
After
Number of patients with pathologic changes in breast tissue before and after definitive surgery.
replace /protocolSection/outcomesModule/secondaryOutcomes/0/timeFrame
Triage: High
Secondary Outcome Change Operation 12
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
14 - 40 Days
After
2 months
replace /protocolSection/outcomesModule/secondaryOutcomes/1/measure
Triage: High
Secondary Outcome Change Operation 13
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Pathology: descriptive findings on IHC
After
Pathology Changes on Immunohistochemistry (IHC)
replace /protocolSection/outcomesModule/secondaryOutcomes/1/description
Triage: High
Secondary Outcome Change Operation 14
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Pharmacodynamic effects as measured by changes in biomarkers Cdk4, Cdk6, pRb, Cyclin D1, Cyclin E (evaluated by IHC) in pre- and post-dose tumor specimens.
After
Number of treated subjects with pharmacodynamic changes evaluated by IHC from diagnostic biopsy to definitive surgery.
replace /protocolSection/outcomesModule/secondaryOutcomes/1/timeFrame
Triage: High
Secondary Outcome Change Operation 15
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
14 - 40 Days
After
2 months
replace /protocolSection/outcomesModule/secondaryOutcomes/2/measure
Triage: High
Secondary Outcome Change Operation 16
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Toxicity based on CTCAE
After
Toxcity Based on CTCAE
replace /protocolSection/outcomesModule/secondaryOutcomes/2/description
Triage: High
Secondary Outcome Change Operation 17
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Will be evaluated by CTCAE.
There is no plan to compare Groups A and B regarding efficacy or toxicity.
Toxicity will be descriptive for each treatment group, independently.
After
Number of subjects with an adverse event reported from time of consent until up to 32 days after surgery.
replace /protocolSection/outcomesModule/secondaryOutcomes/2/timeFrame
Triage: High
Secondary Outcome Change Operation 18
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
14 - 40 Days
After
3 months
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 9 ops
replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized
Uncategorized Operation 1
Before
2024-01
After
2025-09
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 2
Before
2024-01-16
After
2025-09-08
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 3
Before
2024-01-18
After
2025-09-26
add /protocolSection/statusModule/resultsFirstSubmitDate
Triage: Uncategorized
Uncategorized Operation 4
After
2025-09-08
add /protocolSection/statusModule/resultsFirstSubmitQcDate
Triage: Uncategorized
Uncategorized Operation 5
After
2025-09-08
add /protocolSection/statusModule/resultsFirstPostDateStruct
Triage: Uncategorized
Uncategorized Operation 6
After
{
  "date": "2025-09-26",
  "type": "ACTUAL"
}
replace /hasResults
Triage: Uncategorized
Uncategorized Operation 19
Before
false
After
true
add /resultsSection
Triage: Uncategorized
Uncategorized Operation 20
After
{
  "moreInfoModule": {
    "pointOfContact": {
      "email": "ns1209@georgetown.edu",
      "phone": "2026879194",
      "title": "Nicole Swanson",
      "organization": "Georgetown University"
    },
    "certainAgreement": {
      "piSponsorEmployee": true
    }
  },
  "adverseEventsModule": {
    "timeFrame": "3 months",
    "eventGroups": [
      {
        "id": "EG000",
        "title": "Group A- Palbociclib Before Surgery",
        "description": "Patients enrolled to Group A will receive a 12-day course of Palbociclib before surgery.\nPatients will receive Palbociclib 100mg PO daily x 12 days.",
        "otherNumAtRisk": 5,
        "deathsNumAtRisk": 5,
        "otherNumAffected": 5,
        "seriousNumAtRisk": 5,
        "deathsNumAffected": 0,
        "seriousNumAffected": 0
      },
      {
        "id": "EG001",
        "title": "Group B- No Pre-operative Treatment",
        "description": "These patients will receive no pre-operative treatment.\nCore biopsies from diagnosis and material from definitive surgery will be collected for translational studies and tissue banking.\nThey will also provide blood samples at screening and prior to definitive surgery.",
        "otherNumAtRisk": 12,
        "deathsNumAtRisk": 12,
        "otherNumAffected": 0,
        "seriousNumAtRisk": 12,
        "deathsNumAffected": 0,
        "seriousNumAffected": 0
      }
    ],
    "otherEvents": [
      {
        "term": "Dry mouth",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 5,
            "numEvents": 2,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 12,
            "numEvents": 0,
            "numAffected": 0
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE (4.0)"
      },
      {
        "term": "Nausea",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 5,
            "numEvents": 1,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 12,
            "numEvents": 0,
            "numAffected": 0
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE (4.0)"
      },
      {
        "term": "Gastrointestinal disorders - Other, specify:",
        "notes": "Dry Lips",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 5,
            "numEvents": 1,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 12,
            "numEvents": 0,
            "numAffected": 0
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE (4.0)"
      },
      {
        "term": "Infections and infestations - Other, specify:",
        "notes": "Covid-19",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 5,
            "numEvents": 1,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 12,
            "numEvents": 0,
            "numAffected": 0
          }
        ],
        "organSystem": "Infections and infestations",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE (4.0)"
      },
      {
        "term": "Headache",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 5,
            "numEvents": 2,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 12,
            "numEvents": 0,
            "numAffected": 0
          }
        ],
        "organSystem": "Nervous system disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE (4.0)"
      },
      {
        "term": "Hallucinations",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 5,
            "numEvents": 1,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 12,
            "numEvents": 0,
            "numAffected": 0
          }
        ],
        "organSystem": "Psychiatric disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE (4.0)"
      },
      {
        "term": "Breast pain",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 5,
            "numEvents": 1,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 12,
            "numEvents": 0,
            "numAffected": 0
          }
        ],
        "organSystem": "Reproductive system and breast disorders",
        "assessmentType": "SYSTEMATIC_ASSESSMENT",
        "sourceVocabulary": "CTCAE (4.0)"
      }
    ],
    "frequencyThreshold": "5"
  },
  "outcomeMeasuresModule": {
    "outcomeMeasures": [
      {
        "type": "PRIMARY",
        "title": "Feasibility: Recruitment Rates",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "5",
                "groupId": "OG000"
              },
              {
                "value": "12",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Group A- Palbociclib Before Surgery",
            "description": "Patients enrolled to Group A will receive a 12-day course of Palbociclib before surgery.\nPatients will receive Palbociclib 100mg PO daily x 12 days."
          },
          {
            "id": "OG001",
            "title": "Group B- No Pre-operative Treatment",
            "description": "These patients will receive no pre-operative treatment.\nCore biopsies from diagnosis and material from definitive surgery will be collected for translational studies and tissue banking.\nThey will also provide blood samples at screening and prior to definitive surgery."
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "5",
                    "groupId": "OG000"
                  },
                  {
                    "value": "11",
                    "groupId": "OG001"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "COUNT_OF_PARTICIPANTS",
        "timeFrame": "5 years",
        "description": "The approach will be considered feasible if more than 50% of the enrolled patients are treated andcomplete the study.",
        "unitOfMeasure": "Participants",
        "reportingStatus": "POSTED",
        "populationDescription": "Study was terminated due to lack of accural"
      },
      {
        "type": "SECONDARY",
        "title": "Pathologic Changes",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "4",
                "groupId": "OG000"
              },
              {
                "value": "11",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Group A- Palbociclib Before Surgery",
            "description": "Patients enrolled to Group A will receive a 12-day course of Palbociclib before surgery.\nPatients will receive Palbociclib 100mg PO daily x 12 days."
          },
          {
            "id": "OG001",
            "title": "Group B- No Pre-operative Treatment",
            "description": "These patients will receive no pre-operative treatment.\nCore biopsies from diagnosis and material from definitive surgery will be collected for translational studies and tissue banking.\nThey will also provide blood samples at screening and prior to definitive surgery."
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "0",
                    "groupId": "OG000"
                  },
                  {
                    "value": "0",
                    "groupId": "OG001"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "COUNT_OF_PARTICIPANTS",
        "timeFrame": "2 months",
        "description": "Number of patients with pathologic changes in breast tissue before and after definitive surgery.",
        "unitOfMeasure": "Participants",
        "reportingStatus": "POSTED",
        "populationDescription": "Subject in group B did not have specimens collected per protocol so was not included in the analysis.\nSubject in Group A could not be analyzed due to no evidence of disease at the time of definitive surgery."
      },
      {
        "type": "SECONDARY",
        "title": "Pathology Changes on Immunohistochemistry (IHC)",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "4",
                "groupId": "OG000"
              },
              {
                "value": "0",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Group A- Palbociclib Before Surgery",
            "description": "Patients enrolled to Group A will receive a 12-day course of Palbociclib before surgery.\nPatients will receive Palbociclib 100mg PO daily x 12 days."
          },
          {
            "id": "OG001",
            "title": "Group B- No Pre-operative Treatment",
            "description": "These patients will receive no pre-operative treatment.\nCore biopsies from diagnosis and material from definitive surgery will be collected for translational studies and tissue banking.\nThey will also provide blood samples at screening and prior to definitive surgery."
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "4",
                    "groupId": "OG000"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "COUNT_OF_PARTICIPANTS",
        "timeFrame": "2 months",
        "description": "Number of treated subjects with pharmacodynamic changes evaluated by IHC from diagnostic biopsy to definitive surgery.",
        "unitOfMeasure": "Participants",
        "reportingStatus": "POSTED",
        "populationDescription": "Treatment arm evaluated for Changes and 1 participant had no evidence of disease at surgery so there was no surgical specimen available to evaluate."
      },
      {
        "type": "SECONDARY",
        "title": "Toxcity Based on CTCAE",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "5",
                "groupId": "OG000"
              },
              {
                "value": "12",
                "groupId": "OG001"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Group A- Palbociclib Before Surgery",
            "description": "Patients enrolled to Group A will receive a 12-day course of Palbociclib before surgery.\nPatients will receive Palbociclib 100mg PO daily x 12 days."
          },
          {
            "id": "OG001",
            "title": "Group B- No Pre-operative Treatment",
            "description": "These patients will receive no pre-operative treatment.\nCore biopsies from diagnosis and material from definitive surgery will be collected for translational studies and tissue banking.\nThey will also provide blood samples at screening and prior to definitive surgery."
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "5",
                    "groupId": "OG000"
                  },
                  {
                    "value": "0",
                    "groupId": "OG001"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "COUNT_OF_PARTICIPANTS",
        "timeFrame": "3 months",
        "description": "Number of subjects with an adverse event reported from time of consent until up to 32 days after surgery.",
        "unitOfMeasure": "Participants",
        "reportingStatus": "POSTED"
      }
    ]
  },
  "participantFlowModule": {
    "groups": [
      {
        "id": "FG000",
        "title": "Group A- Palbociclib Before Surgery",
        "description": "Patients enrolled to Group A will receive a 12-day course of Palbociclib before surgery.\nPatients will receive Palbociclib 100mg PO daily x 12 days."
      },
      {
        "id": "FG001",
        "title": "Group B- No Pre-operative Treatment",
        "description": "These patients will receive no pre-operative treatment.\nCore biopsies from diagnosis and material from definitive surgery will be collected for translational studies and tissue banking.\nThey will also provide blood samples at screening and prior to definitive surgery."
      }
    ],
    "periods": [
      {
        "title": "Overall Study",
        "milestones": [
          {
            "type": "STARTED",
            "achievements": [
              {
                "groupId": "FG000",
                "numSubjects": "5"
              },
              {
                "groupId": "FG001",
                "numSubjects": "12"
              }
            ]
          },
          {
            "type": "COMPLETED",
            "achievements": [
              {
                "groupId": "FG000",
                "numSubjects": "5"
              },
              {
                "groupId": "FG001",
                "numSubjects": "12"
              }
            ]
          },
          {
            "type": "NOT COMPLETED",
            "achievements": [
              {
                "groupId": "FG000",
                "numSubjects": "0"
              },
              {
                "groupId": "FG001",
                "numSubjects": "0"
              }
            ]
          }
        ]
      }
    ]
  },
  "baselineCharacteristicsModule": {
    "denoms": [
      {
        "units": "Participants",
        "counts": [
          {
            "value": "5",
            "groupId": "BG000"
          },
          {
            "value": "12",
            "groupId": "BG001"
          },
          {
            "value": "17",
            "groupId": "BG002"
          }
        ]
      }
    ],
    "groups": [
      {
        "id": "BG000",
        "title": "Group A- Palbociclib Before Surgery",
        "description": "Patients enrolled to Group A will receive a 12-day course of Palbociclib before surgery.\nPatients will receive Palbociclib 100mg PO daily x 12 days."
      },
      {
        "id": "BG001",
        "title": "Group B- No Pre-operative Treatment",
        "description": "These patients will receive no pre-operative treatment.\nCore biopsies from diagnosis and material from definitive surgery will be collected for translational studies and tissue banking.\nThey will also provide blood samples at screening and prior to definitive surgery."
      },
      {
        "id": "BG002",
        "title": "Total",
        "description": "Total of all reporting groups"
      }
    ],
    "measures": [
      {
        "title": "Age, Categorical",
        "classes": [
          {
            "categories": [
              {
                "title": "<=18 years",
                "measurements": [
                  {
                    "value": "0",
                    "groupId": "BG000"
                  },
                  {
                    "value": "0",
                    "groupId": "BG001"
                  },
                  {
                    "value": "0",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "Between 18 and 65 years",
                "measurements": [
                  {
                    "value": "5",
                    "groupId": "BG000"
                  },
                  {
                    "value": "9",
                    "groupId": "BG001"
                  },
                  {
                    "value": "14",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": ">=65 years",
                "measurements": [
                  {
                    "value": "0",
                    "groupId": "BG000"
                  },
                  {
                    "value": "3",
                    "groupId": "BG001"
                  },
                  {
                    "value": "3",
                    "groupId": "BG002"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "COUNT_OF_PARTICIPANTS",
        "unitOfMeasure": "Participants"
      },
      {
        "title": "Sex: Female, Male",
        "classes": [
          {
            "categories": [
              {
                "title": "Female",
                "measurements": [
                  {
                    "value": "5",
                    "groupId": "BG000"
                  },
                  {
                    "value": "12",
                    "groupId": "BG001"
                  },
                  {
                    "value": "17",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "Male",
                "measurements": [
                  {
                    "value": "0",
                    "groupId": "BG000"
                  },
                  {
                    "value": "0",
                    "groupId": "BG001"
                  },
                  {
                    "value": "0",
                    "groupId": "BG002"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "COUNT_OF_PARTICIPANTS",
        "unitOfMeasure": "Participants"
      },
      {
        "title": "Ethnicity (NIH/OMB)",
        "classes": [
          {
            "categories": [
              {
                "title": "Hispanic or Latino",
                "measurements": [
                  {
                    "value": "0",
                    "groupId": "BG000"
                  },
                  {
                    "value": "1",
                    "groupId": "BG001"
                  },
                  {
                    "value": "1",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "Not Hispanic or Latino",
                "measurements": [
                  {
                    "value": "5",
                    "groupId": "BG000"
                  },
                  {
                    "value": "10",
                    "groupId": "BG001"
                  },
                  {
                    "value": "15",
                    "groupId": "BG002"
                  }
                ]
              },
              {
                "title": "Unknown or Not Reported",
                "measurements": [
                  {
                    "value": "0",
                    "groupId": "BG000"
                  },
                  {
                    "value": "1",
                    "groupId": "BG001"
                  },
                  {
                    "value": "1",
                    "groupId": "BG002"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "COUNT_OF_PARTICIPANTS",
        "unitOfMeasure": "Participants"
      },
      {
        "title": "Race (NIH/OMB)",
        "classes": [
          {
            "categories": [
              {
                "title": "American Indian or Alaska Native",
                "measurements": [
                  {
                    "value": "0",
                    "groupId": "BG000"
                  },
                  {
                    "value": "0",
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add /documentSection
Triage: Uncategorized
Uncategorized Operation 21
After
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        "date": "2022-01-20",
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        "uploadDate": "2025-05-22T09:52",
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Raw JSON Patch
[
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    "op": "replace",
    "path": "/protocolSection/statusModule/statusVerifiedDate",
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          {
            "term": "Gastrointestinal disorders - Other, specify:",
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            ],
            "paramType": "COUNT_OF_PARTICIPANTS",
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        ],
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