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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_changeterminal_status_changewhy_stopped_change
Value signals
[
{
"path": "/protocolSection/statusModule/primaryCompletionDateStruct/date",
"signal": "timeline_actualized_earlier",
"category": "timeline_actualized_earlier",
"new_type": "ACTUAL",
"old_type": "ESTIMATED",
"severity": "low",
"direction": "earlier",
"new_value": "2024-12-18",
"old_value": "2025-03",
"delta_days": 73,
"date_struct": "primaryCompletionDateStruct",
"new_precision": "day",
"old_precision": "month"
},
{
"path": "/protocolSection/statusModule/completionDateStruct/date",
"signal": "timeline_actualized_earlier",
"category": "timeline_actualized_earlier",
"new_type": "ACTUAL",
"old_type": "ESTIMATED",
"severity": "low",
"direction": "earlier",
"new_value": "2024-12-18",
"old_value": "2025-03",
"delta_days": 73,
"date_struct": "completionDateStruct",
"new_precision": "day",
"old_precision": "month"
},
{
"path": "/protocolSection/designModule/enrollmentInfo/count",
"signal": "enrollment_zeroed",
"category": "enrollment_change",
"severity": "critical",
"new_value": 0,
"old_value": 30,
"pct_change": 1
}
] Provenance
Source ctgov_internal_history
Fetched 2026-06-18 19:13:23+00
Raw hash 8b807468de0e253ef83f5fda8c590fef89b460e3814bea3f2c6781d002c48ed9 Design Trial model, phase, allocation, masking, arms, or interventions. Triage: High 2 ops replace /protocolSection/designModule/enrollmentInfo/count
Triage: High Enrollment Change Operation 11
Matched rules enrollment_count_change Enrollment count changes can signal scope or feasibility shifts. replace /protocolSection/designModule/enrollmentInfo/type
Triage: High Enrollment Change Operation 12
Matched rules enrollment_type_change Enrollment type changes from anticipated to actual or similar are high review priority. Status and stopping reason Recruitment status, termination, suspension, withdrawal, or why-stopped text. Triage: High 2 ops replace /protocolSection/statusModule/overallStatus
Triage: High Status Termination Operation 3
Matched rules terminal_status_change Status changed to terminated, suspended, or withdrawn; whyStopped content determines whether critical review is warranted. add /protocolSection/statusModule/whyStopped
Triage: High Status Termination Operation 10
Matched rules why_stopped_change Why-stopped changes explain discontinuation and need review. After
Due to changes in the treatment landscape, the study faced significant recruitment challenges.
As no patients were enrolled, the sponsor requested study closure Timeline Start, primary completion, and completion date movement. Triage: Medium 4 ops replace /protocolSection/statusModule/primaryCompletionDateStruct/date
Triage: Medium Timeline Shift Operation 4
Matched rules primary_completion_timeline_change Primary completion date changes are operational timeline signals. replace /protocolSection/statusModule/primaryCompletionDateStruct/type
Triage: Medium Timeline Shift Operation 5
Matched rules primary_completion_timeline_change Primary completion date changes are operational timeline signals. replace /protocolSection/statusModule/completionDateStruct/date
Triage: Medium Timeline Shift Operation 6
Matched rules completion_timeline_change Completion date changes are operational timeline signals. replace /protocolSection/statusModule/completionDateStruct/type
Triage: Medium Timeline Shift Operation 7
Matched rules completion_timeline_change Completion date changes are operational timeline signals. Contacts and locations Site, contact, and location updates that are usually operational. Triage: Low 3 ops remove /protocolSection/contactsLocationsModule/centralContacts
Triage: Low Administrative Contact Change Operation 13
Matched rules contact_admin_change Central contact updates are usually administrative. Before
[
{
"name": "Nuzhat Shaikh",
"role": "CONTACT",
"email": "njshaikh@stanford.edu",
"phone": "650-723-0659"
}
] remove /protocolSection/contactsLocationsModule/locations/0/status
Triage: Uncategorized Uncategorized Operation 14
remove /protocolSection/contactsLocationsModule/locations/0/contacts
Triage: Uncategorized Uncategorized Operation 15
Before
[
{
"name": "Nuzhat Shaikh",
"role": "CONTACT",
"email": "njshaikh@stanford.edu",
"phone": "650-723-0659"
},
{
"name": "Melinda Telli, MD",
"role": "PRINCIPAL_INVESTIGATOR"
}
] Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 3 ops replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized Uncategorized Operation 2
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized Uncategorized Operation 8
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized Uncategorized Operation 9
Sponsor and administrative fields Sponsor, collaborator, oversight, or registry maintenance changes. Triage: Uncategorized 1 ops add /protocolSection/identificationModule/secondaryIdInfos/1
Triage: Uncategorized Uncategorized Operation 1
After
{
"id": "NCI-2023-01961",
"type": "REGISTRY",
"domain": "National Cancer Institute: Clinical Trials Reporting Program"
} Raw JSON Patch [
{
"op": "add",
"path": "/protocolSection/identificationModule/secondaryIdInfos/1",
"value": {
"id": "NCI-2023-01961",
"type": "REGISTRY",
"domain": "National Cancer Institute: Clinical Trials Reporting Program"
}
},
{
"op": "replace",
"path": "/protocolSection/statusModule/statusVerifiedDate",
"value": "2025-08"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/overallStatus",
"value": "WITHDRAWN"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/primaryCompletionDateStruct/date",
"value": "2024-12-18"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/primaryCompletionDateStruct/type",
"value": "ACTUAL"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/completionDateStruct/date",
"value": "2024-12-18"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/completionDateStruct/type",
"value": "ACTUAL"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdateSubmitDate",
"value": "2025-08-13"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
"value": "2025-08-17"
},
{
"op": "add",
"path": "/protocolSection/statusModule/whyStopped",
"value": "Due to changes in the treatment landscape, the study faced significant recruitment challenges.\nAs no patients were enrolled, the sponsor requested study closure"
},
{
"op": "replace",
"path": "/protocolSection/designModule/enrollmentInfo/count",
"value": 0
},
{
"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"
}
]