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NCT04278144

A First-in-human Study Using BDC-1001 as a Single Agent and in Combination With Nivolumab in Advanced HER2-Expressing Solid Tumors

Version 29 to 30 · Bolt Biotherapeutics, Inc.

Patch inspector

Version 29 to 30

11 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
enrollment_count_changeenrollment_type_change
Value signals
[
  {
    "path": "/protocolSection/statusModule/completionDateStruct/date",
    "signal": "timeline_earlier_adjustment",
    "category": "timeline_minor_adjustment",
    "new_type": "ESTIMATED",
    "old_type": "ESTIMATED",
    "severity": "low",
    "direction": "earlier",
    "new_value": "2026-01-31",
    "old_value": "2026-10-31",
    "delta_days": 273,
    "date_struct": "completionDateStruct",
    "new_precision": "day",
    "old_precision": "day"
  },
  {
    "path": "/protocolSection/designModule/enrollmentInfo/count",
    "signal": "enrollment_count_change_ge_20pct",
    "category": "enrollment_change",
    "severity": "high",
    "new_value": 175,
    "old_value": 390,
    "pct_change": 0.5513
  }
]
Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 19:11:09+00
Raw hash
a26fe8250d20164bf2573dbc23c0176e3eeb823b62cec3dd5baf40a63c4fb59f
Payload
Source URL
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.
Before
390
After
175
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.
Before
ESTIMATED
After
ACTUAL
Timeline Start, primary completion, and completion date movement. Triage: Medium 1 ops
replace /protocolSection/statusModule/completionDateStruct/date
Triage: Medium
Timeline Shift Operation 1
Matched rules
  • completion_timeline_change Completion date changes are operational timeline signals.
Before
2026-10-31
After
2026-01-31
Contacts and locations Site, contact, and location updates that are usually operational. Triage: Uncategorized 4 ops
remove /protocolSection/contactsLocationsModule/locations/14
Triage: Uncategorized
Uncategorized Operation 7
Before
{
  "zip": "35042",
  "city": "Rennes",
  "country": "France",
  "facility": "Centre Eugene Marquis",
  "geoPoint": {
    "lat": 48.11109,
    "lon": -1.67431
  }
}
remove /protocolSection/contactsLocationsModule/locations/15
Triage: Uncategorized
Uncategorized Operation 8
Before
{
  "zip": "80131",
  "city": "Naples",
  "state": "Campania",
  "country": "Italy",
  "facility": "Istituto Nazionale Tumori IRCCS Fondazione G. Pascale",
  "geoPoint": {
    "lat": 40.85216,
    "lon": 14.26811
  }
}
remove /protocolSection/contactsLocationsModule/locations/15
Triage: Uncategorized
Uncategorized Operation 9
Before
{
  "zip": "20089",
  "city": "Milan",
  "state": "Lombardy",
  "country": "Italy",
  "facility": "Instituto Clinico Humanitas",
  "geoPoint": {
    "lat": 45.46427,
    "lon": 9.18951
  }
}
remove /protocolSection/contactsLocationsModule/locations/20
Triage: Uncategorized
Uncategorized Operation 10
Before
{
  "zip": "08908",
  "city": "Barcelona",
  "country": "Spain",
  "facility": "Institut Catala D'Oncologia",
  "geoPoint": {
    "lat": 41.38879,
    "lon": 2.15899
  }
}
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 4 ops
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 2
Before
2024-05-28
After
2024-08-16
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 3
Before
2024-05-30
After
2024-08-20
replace /protocolSection/descriptionModule/detailedDescription
Triage: Uncategorized
Uncategorized Operation 4
Before
This study has four parts.
Part 1 is a dose escalation of BDC-1001 as a single agent to determine the maximum tolerated dose (MTD), recommended Phase 2 dose (RP2D), or maximum protocol dose (MPD) recommended for Part 3. In Part 3, the selected dose will be administered as monotherapy to patients with selected advanced malignancies.
Part 2 is a dose escalation of BDC-1001 in combination with nivolumab to determine the maximum tolerated dose (MTD), recommended Phase 2 dose (RP2D), or maximum protocol dose (MPD) recommended for Part 4. In Part 4, the selected dose will be administered in combination with nivolumab to patients with selected advanced malignancies.
After
<p>This study has four parts.
Part 1 is a dose escalation of BDC-1001 as a single agent to determine the maximum tolerated dose (MTD), recommended Phase 2 dose (RP2D), or maximum protocol dose (MPD) recommended for Part 3. In Part 3, the selected dose will be administered as monotherapy to patients with selected advanced malignancies.
Part 2 is a dose escalation of BDC-1001 in combination with nivolumab to determine the maximum tolerated dose (MTD), recommended Phase 2 dose (RP2D), or maximum protocol dose (MPD) recommended for Part 4. In Part 4, the selected dose will be administered in combination with nivolumab to patients with selected advanced malignancies.</p><p>Bolt amended the protocol to transition any subjects still receiving BDC-1001 to continue receiving BDC-1001 in the Maintenance Phase.
Subjects remaining on BDC-1001 will continue to receive BDC-1001 until a criterion for discontinuation has been met.</p>
add /protocolSection/ipdSharingStatementModule
Triage: Uncategorized
Uncategorized Operation 11
After
{
  "ipdSharing": "NO"
}
Raw JSON Patch
[
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/completionDateStruct/date",
    "value": "2026-01-31"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdateSubmitDate",
    "value": "2024-08-16"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
    "value": "2024-08-20"
  },
  {
    "op": "replace",
    "path": "/protocolSection/descriptionModule/detailedDescription",
    "value": "<p>This study has four parts.\nPart 1 is a dose escalation of BDC-1001 as a single agent to determine the maximum tolerated dose (MTD), recommended Phase 2 dose (RP2D), or maximum protocol dose (MPD) recommended for Part 3. In Part 3, the selected dose will be administered as monotherapy to patients with selected advanced malignancies.\nPart 2 is a dose escalation of BDC-1001 in combination with nivolumab to determine the maximum tolerated dose (MTD), recommended Phase 2 dose (RP2D), or maximum protocol dose (MPD) recommended for Part 4. In Part 4, the selected dose will be administered in combination with nivolumab to patients with selected advanced malignancies.</p><p>Bolt amended the protocol to transition any subjects still receiving BDC-1001 to continue receiving BDC-1001 in the Maintenance Phase.\nSubjects remaining on BDC-1001 will continue to receive BDC-1001 until a criterion for discontinuation has been met.</p>"
  },
  {
    "op": "replace",
    "path": "/protocolSection/designModule/enrollmentInfo/count",
    "value": 175
  },
  {
    "op": "replace",
    "path": "/protocolSection/designModule/enrollmentInfo/type",
    "value": "ACTUAL"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/14"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/15"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/15"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/20"
  },
  {
    "op": "add",
    "path": "/protocolSection/ipdSharingStatementModule",
    "value": {
      "ipdSharing": "NO"
    }
  }
]