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NCT05243641

Neratinib and Capmatinib Combination (Phase Ib/II) in Metastatic Breast Cancer and Inflammatory Breast Cancer Patients With Abnormal HER-family and c-Met Pathway Activity as Measured by the CELsignia Signaling Analysis Test

Version 13 to 14 · M.D. Anderson Cancer Center

Patch inspector

Version 13 to 14

14 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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  {
    "paths": [
      "/protocolSection/outcomesModule/primaryOutcomes/0/description",
      "/protocolSection/outcomesModule/primaryOutcomes/0/measure",
      "/protocolSection/outcomesModule/primaryOutcomes/0/timeFrame",
      "/protocolSection/outcomesModule/primaryOutcomes/1/description",
      "/protocolSection/outcomesModule/primaryOutcomes/1/measure",
      "/protocolSection/outcomesModule/primaryOutcomes/1/timeFrame"
    ],
    "signal": "results_reconciliation_outcome_suppression",
    "category": "results_reconciliation",
    "severity": "low"
  }
]
Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 18:58:33+00
Raw hash
37ab616ced0cf478454e57b54ce2785c8cee2f3cdb940b94ffdec0dc88b8acce
Payload
Source URL
Primary outcomes Outcome measures that define the trial's primary evidence target. Triage: Critical 6 ops
replace /protocolSection/outcomesModule/primaryOutcomes/0/measure
Triage: Critical
Primary Outcome Change Operation 4
Matched rules
  • primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority.
Before
To determine maximum tolerated dose for use in the Phase II portion of the trial
After
To Determine Maximum Tolerated Dose for Use in the Phase II Portion of the Trial
replace /protocolSection/outcomesModule/primaryOutcomes/0/timeFrame
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
through study completion, an average of 1 year
After
Cycle1 and 2, total 56 days
add /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.
After
This phase of the study uses the Bayesian Optimal Interval (BOIN) design with a 3+3 run-in to identify the maximum tolerable dose (MTD).
Patients are treated in cohorts of 3 with a maximum of 27 participants.
Starting with Neratinib PO dose level 1 (120 mg for Dose 1-7, then 160 mg) combined with Capmatinib PO level 1 (400 mg), with up to 12 patients per dose.
The target toxicity rate for the MTD is 25%.
replace /protocolSection/outcomesModule/primaryOutcomes/1/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
To determine overall response rate (ORR: CR+PR)
After
To Determine Overall Response Rate (ORR: CR+PR)
replace /protocolSection/outcomesModule/primaryOutcomes/1/timeFrame
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
through study completion, an average of 1 year
After
Up to 3 years
add /protocolSection/outcomesModule/primaryOutcomes/1/description
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.
After
To assess the overall response rate (ORR) for patients treated at the MTD.
Secondary outcomes Additional endpoints and outcome descriptions. Triage: High 1 ops
add /protocolSection/outcomesModule/secondaryOutcomes
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.
After
[
  {
    "measure": "To Further Characterize the Safety and Tolerability of Neratinib + Capmatinib",
    "timeFrame": "Up to 3 years",
    "description": "AEs (CTCAE version 5.0) ≥ grade 2 non-hematological and ≥ grade 3 hematological, occurring after the first protocol intervention observed."
  },
  {
    "measure": "To Determine Clinical Benefit Rate (CBR)",
    "timeFrame": "Up to 3 years",
    "description": "Clinical benefit rate (CBR) is defined as the rate of patients who achieved complete response, partial response and stable disease for ≥ 24 weeks."
  },
  {
    "measure": "To Determine the Duration of Response (DOR)",
    "timeFrame": "Up to 3 years",
    "description": "Duration of response (DOR) is defined as the period from the date of the first occurrence of a CR or PR until the first date that progressive disease or death is documented."
  },
  {
    "measure": "To Determine Progression Free Survival (PFS)",
    "timeFrame": "Up to 3 years",
    "description": "PFS is defined as the time between date of treatment start to the date of documented disease progression or death, whichever occurs first"
  },
  {
    "measure": "To Determine 2 Year Overall Survival (OS)",
    "timeFrame": "2 years after enrollment",
    "description": "The proportion of patients in the study who are alive 2 years after enrollment on to the study"
  }
]
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 7 ops
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 1
Before
2024-11-25
After
2025-01-28
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 2
Before
2024-11-27
After
2025-03-25
add /protocolSection/statusModule/resultsFirstSubmitDate
Triage: Uncategorized
Uncategorized Operation 3
After
2025-01-28
add /documentSection/largeDocumentModule/largeDocs/0
Triage: Uncategorized
Uncategorized Operation 11
After
{
  "date": "2024-02-01",
  "size": 2345255,
  "label": "Study Protocol and Statistical Analysis Plan",
  "hasIcf": false,
  "hasSap": true,
  "filename": "Prot_SAP_001.pdf",
  "typeAbbrev": "Prot_SAP",
  "uploadDate": "2025-01-07T11:52",
  "hasProtocol": true
}
replace /hasResults
Triage: Uncategorized
Uncategorized Operation 12
Before
false
After
true
add /resultsSection
Triage: Uncategorized
Uncategorized Operation 13
After
{
  "moreInfoModule": {
    "pointOfContact": {
      "email": "rlayman@mdanderson.org",
      "phone": "713) 745-8401",
      "title": "Rachel M. Layman, MD",
      "organization": "M D Anderson Cancer Center"
    },
    "certainAgreement": {
      "piSponsorEmployee": true
    }
  },
  "adverseEventsModule": {
    "timeFrame": "Serious adverse events will be captured from the time of the first protocol-specific intervention, until 30 days after the last dose, unless the participant withdraws consent. Serious adverse events must be followed until clinical recovery is complete and laboratory tests have returned to baseline, progression of the event has stabilized, or there has been acceptable resolution of the event.",
    "reviewUnit": {
      "resetReasons": [
        "There does not appear to be sufficient information to understand the Time Frame."
      ]
    },
    "description": "Death or life-threatening events that are unexpected, possibly, probably or definitely related to drug must be reported (initial or follow up) to the IND Office within 24 hours of knowledge of the event",
    "eventGroups": [
      {
        "id": "EG000",
        "title": "Phase Ib",
        "description": "Dose Escalation of Neratinib with Capmatinib uses a 3+3 design.\nMax 18 patients, treated in cohorts of 3, with safety data reviewed after each cohort's DLT period.",
        "otherNumAtRisk": 10,
        "deathsNumAtRisk": 10,
        "otherNumAffected": 10,
        "seriousNumAtRisk": 10,
        "deathsNumAffected": 1,
        "seriousNumAffected": 2
      },
      {
        "id": "EG001",
        "title": "Phase II",
        "description": "Subjects receive neratinib and capmatinib.\nThe MTD determined during Phase Ib will be used.",
        "otherNumAtRisk": 0,
        "deathsNumAtRisk": 0,
        "otherNumAffected": 0,
        "seriousNumAtRisk": 0,
        "deathsNumAffected": 0,
        "seriousNumAffected": 0
      }
    ],
    "otherEvents": [
      {
        "term": "Abdominal Pain",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 4
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Alanine Aminotransferase Increased",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 4
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Investigations",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Anorexia",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 4
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Metabolism and nutrition disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Arthralgia",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 4
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Musculoskeletal and connective tissue disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Constipation",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 6
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Dehydration",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 6
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Metabolism and nutrition disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Diarrhea",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 8
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Dizziness",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 6
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Nervous system disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Fatigue",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 9
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "General disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Headache",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 4
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Nervous system disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Hypoalbuminemia",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 5
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Metabolism and nutrition disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Myalgia",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 4
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Musculoskeletal and connective tissue disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Nausea",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 8
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Platelet Count Decreased",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 4
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Investigations",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Serum Amylase Increased",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 4
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Investigations",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Vomiting",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 6
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Gastrointestinal disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      }
    ],
    "seriousEvents": [
      {
        "term": "Pneumothorax",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Respiratory, thoracic and mediastinal disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Hypoalbuminemia",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Metabolism and nutrition disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Disease Progression",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "General disorders",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      },
      {
        "term": "Lung Infection",
        "stats": [
          {
            "groupId": "EG000",
            "numAtRisk": 10,
            "numAffected": 1
          },
          {
            "groupId": "EG001",
            "numAtRisk": 0
          }
        ],
        "organSystem": "Infections and infestations",
        "assessmentType": "NON_SYSTEMATIC_ASSESSMENT"
      }
    ],
    "armsReviewUnit": {
      "resetReasons": [
        "The arms/groups appear inconsistent with information in other parts of the record. Each arm/group should be described separately, or a valid explanation provided."
      ]
    },
    "frequencyThreshold": "4"
  },
  "outcomeMeasuresModule": {
    "outcomeMeasures": [
      {
        "type": "PRIMARY",
        "title": "To Determine Maximum Tolerated Dose for Use in the Phase II Portion of the Trial",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "10",
                "groupId": "OG000"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Phase Ib",
            "description": "Dose Escalation of Neratinib with Capmatinib uses a 3+3 design.\nMax 18 patients, treated in cohorts of 3, with safety data reviewed after each cohort's DLT period."
          }
        ],
        "classes": [
          {
            "categories": [
              {
                "measurements": [
                  {
                    "value": "9",
                    "groupId": "OG000"
                  }
                ]
              }
            ]
          }
        ],
        "paramType": "COUNT_OF_PARTICIPANTS",
        "timeFrame": "Cycle1 and 2, total 56 days",
        "description": "This phase of the study uses the Bayesian Optimal Interval (BOIN) design with a 3+3 run-in to identify the maximum tolerable dose (MTD).\nPatients are treated in cohorts of 3 with a maximum of 27 participants.\nStarting with Neratinib PO dose level 1 (120 mg for Dose 1-7, then 160 mg) combined with Capmatinib PO level 1 (400 mg), with up to 12 patients per dose.\nThe target toxicity rate for the MTD is 25%.",
        "unitOfMeasure": "Participants",
        "reportingStatus": "POSTED",
        "measureCategoriesReviewUnit": {
          "resetReasons": [
            "The arms/groups appear inconsistent with information in other parts of the record. Each arm/group should be described separately, or a valid explanation provided."
          ]
        }
      },
      {
        "type": "PRIMARY",
        "title": "To Determine Overall Response Rate (ORR: CR+PR)",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "0",
                "groupId": "OG000"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Phase II",
            "description": "Subjects receive neratinib and capmatinib.\nThe MTD determined during Phase Ib will be used."
          }
        ],
        "timeFrame": "Up to 3 years",
        "description": "To assess the overall response rate (ORR) for patients treated at the MTD.",
        "reportingStatus": "POSTED",
        "populationDescription": "No outcome measures were analyzed because Phase II was not conducted.",
        "measureCategoriesReviewUnit": {
          "resetReasons": [
            "Required information appears to be missing."
          ]
        }
      },
      {
        "type": "SECONDARY",
        "title": "To Further Characterize the Safety and Tolerability of Neratinib + Capmatinib",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "0",
                "groupId": "OG000"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Phase II",
            "description": "Subjects receive neratinib and capmatinib.\nThe MTD determined during Phase Ib will be used."
          }
        ],
        "timeFrame": "Up to 3 years",
        "description": "AEs (CTCAE version 5.0) ≥ grade 2 non-hematological and ≥ grade 3 hematological, occurring after the first protocol intervention observed.",
        "reportingStatus": "POSTED",
        "populationDescription": "No outcome measures were analyzed because Phase II was not conducted.",
        "measureCategoriesReviewUnit": {
          "resetReasons": [
            "Required information appears to be missing."
          ]
        }
      },
      {
        "type": "SECONDARY",
        "title": "To Determine Clinical Benefit Rate (CBR)",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "0",
                "groupId": "OG000"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Phase II",
            "description": "Subjects receive neratinib and capmatinib.\nThe MTD determined during Phase Ib will be used."
          }
        ],
        "timeFrame": "Up to 3 years",
        "description": "Clinical benefit rate (CBR) is defined as the rate of patients who achieved complete response, partial response and stable disease for ≥ 24 weeks.",
        "reportingStatus": "POSTED",
        "populationDescription": "No outcome measures were analyzed because Phase II was not conducted.",
        "measureCategoriesReviewUnit": {
          "resetReasons": [
            "Required information appears to be missing."
          ]
        }
      },
      {
        "type": "SECONDARY",
        "title": "To Determine the Duration of Response (DOR)",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "0",
                "groupId": "OG000"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Phase II",
            "description": "Subjects receive neratinib and capmatinib.\nThe MTD determined during Phase Ib will be used."
          }
        ],
        "timeFrame": "Up to 3 years",
        "description": "Duration of response (DOR) is defined as the period from the date of the first occurrence of a CR or PR until the first date that progressive disease or death is documented.",
        "reportingStatus": "POSTED",
        "populationDescription": "No outcome measures were analyzed because Phase II was not conducted.",
        "measureCategoriesReviewUnit": {
          "resetReasons": [
            "Required information appears to be missing."
          ]
        }
      },
      {
        "type": "SECONDARY",
        "title": "To Determine Progression Free Survival (PFS)",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "0",
                "groupId": "OG000"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Phase II",
            "description": "Subjects receive neratinib and capmatinib.\nThe MTD determined during Phase Ib will be used."
          }
        ],
        "timeFrame": "Up to 3 years",
        "description": "PFS is defined as the time between date of treatment start to the date of documented disease progression or death, whichever occurs first",
        "reportingStatus": "POSTED",
        "populationDescription": "No outcome measures were analyzed because Phase II was not conducted.",
        "measureCategoriesReviewUnit": {
          "resetReasons": [
            "Required information appears to be missing."
          ]
        }
      },
      {
        "type": "SECONDARY",
        "title": "To Determine 2 Year Overall Survival (OS)",
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "0",
                "groupId": "OG000"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "OG000",
            "title": "Phase II",
            "description": "Subjects receive neratinib and capmatinib.\nThe MTD determined during Phase Ib will be used."
          }
        ],
        "timeFrame": "2 years after enrollment",
        "description": "The proportion of patients in the study who are alive 2 years after enrollment on to the study",
        "reportingStatus": "POSTED",
        "populationDescription": "No outcome measures were analyzed because Phase II was not conducted.",
        "measureCategoriesReviewUnit": {
          "resetReasons": [
            "Required information appears to be missing."
          ]
        }
      }
    ]
  },
  "participantFlowModule": {
    "groups": [
      {
        "id": "FG000",
        "title": "Phase Ib",
        "description": "Dose Escalation of Neratinib with Capmatinib uses a 3+3 design.\nMax 18 patients, treated in cohorts of 3, with safety data reviewed after each cohort's DLT period."
      },
      {
        "id": "FG001",
        "title": "Phase II",
        "description": "Subjects receive neratinib and capmatinib.\nThe MTD determined during Phase Ib will be used."
      }
    ],
    "periods": [
      {
        "title": "Overall Study",
        "milestones": [
          {
            "type": "STARTED",
            "achievements": [
              {
                "groupId": "FG000",
                "numSubjects": "10"
              },
              {
                "groupId": "FG001",
                "numSubjects": "0"
              }
            ]
          },
          {
            "type": "COMPLETED",
            "achievements": [
              {
                "groupId": "FG000",
                "numSubjects": "0"
              },
              {
                "groupId": "FG001",
                "numSubjects": "0"
              }
            ]
          },
          {
            "type": "NOT COMPLETED",
            "achievements": [
              {
                "groupId": "FG000",
                "numSubjects": "10"
              },
              {
                "groupId": "FG001",
                "numSubjects": "0"
              }
            ]
          }
        ],
        "reviewUnit": {
          "resetReasons": [
            "The participant flow appears to include insufficient information to understand the arms/groups to which participants were assigned, the intervention strategy used in each arm/group, or how participants progressed in the study."
          ]
        },
        "dropWithdraws": [
          {
            "type": "Adverse Event",
            "reasons": [
              {
                "groupId": "FG000",
                "numSubjects": "4"
              },
              {
                "groupId": "FG001",
                "numSubjects": "0"
              }
            ]
          },
          {
            "type": "Disease progression",
            "reasons": [
              {
                "groupId": "FG000",
                "numSubjects": "6"
              },
              {
                "groupId": "FG001",
                "numSubjects": "0"
              }
            ]
          }
        ]
      }
    ],
    "recruitmentDetails": "August 2022~ June 2023.\nAll recruitment was done at The University of Texas MD Anderson Cancer Center.",
    "preAssignmentDetails": "11 patients were accrued and assessed for eligibility and 10 patients were assigned to the cohort."
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  "baselineCharacteristicsModule": {
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                "title": "Unknown or Not Reported",
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      {
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              },
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                "title": "Native Hawaiian or Other Pacific Islander",
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              },
              {
                "title": "White",
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                ]
              },
              {
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          }
        ],
        "paramType": "COUNT_OF_PARTICIPANTS",
        "unitOfMeasure": "Participants"
      },
      {
        "title": "Region of Enrollment",
        "classes": [
          {
            "title": "United States",
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              {
                "measurements": [
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                    "value": "10",
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        "paramType": "NUMBER",
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    ],
    "reviewUnit": {
      "resetReasons": [
        "The arms/groups appear inconsistent with information in other parts of the record. Each arm/group should be described separately, or a valid explanation provided."
      ]
    },
    "populationDescription": "Baseline analysis population included all participants treated.\nThe study was terminated during phase Ib, resulting in no patient enrollment for phase II."
  }
}
add /annotationSection
Triage: Uncategorized
Uncategorized Operation 14
After
{
  "annotationModule": {
    "unpostedAnnotation": {
      "unpostedEvents": [
        {
          "date": "2025-02-19",
          "type": "RESET"
        }
      ],
      "unpostedResponsibleParty": "M.D. Anderson Cancer Center"
    }
  }
}
Raw JSON Patch
[
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdateSubmitDate",
    "value": "2025-01-28"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
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  },
  {
    "op": "replace",
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  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/primaryOutcomes/1/timeFrame",
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    "op": "add",
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  {
    "op": "add",
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      },
      {
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      {
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    "op": "add",
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        ],
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            "term": "Abdominal Pain",
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                "groupId": "EG001",
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          {
            "term": "Alanine Aminotransferase Increased",
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            ],
            "organSystem": "Metabolism and nutrition disorders",
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          {
            "term": "Arthralgia",
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            ],
            "organSystem": "Musculoskeletal and connective tissue disorders",
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          {
            "term": "Constipation",
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          {
            "term": "Dehydration",
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          {
            "term": "Diarrhea",
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            "organSystem": "Gastrointestinal disorders",
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          {
            "term": "Dizziness",
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            "term": "Myalgia",
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            ],
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        ],
        "seriousEvents": [
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            "term": "Pneumothorax",
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          },
          {
            "type": "SECONDARY",
            "title": "To Determine the Duration of Response (DOR)",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "0",
                    "groupId": "OG000"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Phase II",
                "description": "Subjects receive neratinib and capmatinib.\nThe MTD determined during Phase Ib will be used."
              }
            ],
            "timeFrame": "Up to 3 years",
            "description": "Duration of response (DOR) is defined as the period from the date of the first occurrence of a CR or PR until the first date that progressive disease or death is documented.",
            "reportingStatus": "POSTED",
            "populationDescription": "No outcome measures were analyzed because Phase II was not conducted.",
            "measureCategoriesReviewUnit": {
              "resetReasons": [
                "Required information appears to be missing."
              ]
            }
          },
          {
            "type": "SECONDARY",
            "title": "To Determine Progression Free Survival (PFS)",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "0",
                    "groupId": "OG000"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Phase II",
                "description": "Subjects receive neratinib and capmatinib.\nThe MTD determined during Phase Ib will be used."
              }
            ],
            "timeFrame": "Up to 3 years",
            "description": "PFS is defined as the time between date of treatment start to the date of documented disease progression or death, whichever occurs first",
            "reportingStatus": "POSTED",
            "populationDescription": "No outcome measures were analyzed because Phase II was not conducted.",
            "measureCategoriesReviewUnit": {
              "resetReasons": [
                "Required information appears to be missing."
              ]
            }
          },
          {
            "type": "SECONDARY",
            "title": "To Determine 2 Year Overall Survival (OS)",
            "denoms": [
              {
                "units": "Participants",
                "counts": [
                  {
                    "value": "0",
                    "groupId": "OG000"
                  }
                ]
              }
            ],
            "groups": [
              {
                "id": "OG000",
                "title": "Phase II",
                "description": "Subjects receive neratinib and capmatinib.\nThe MTD determined during Phase Ib will be used."
              }
            ],
            "timeFrame": "2 years after enrollment",
            "description": "The proportion of patients in the study who are alive 2 years after enrollment on to the study",
            "reportingStatus": "POSTED",
            "populationDescription": "No outcome measures were analyzed because Phase II was not conducted.",
            "measureCategoriesReviewUnit": {
              "resetReasons": [
                "Required information appears to be missing."
              ]
            }
          }
        ]
      },
      "participantFlowModule": {
        "groups": [
          {
            "id": "FG000",
            "title": "Phase Ib",
            "description": "Dose Escalation of Neratinib with Capmatinib uses a 3+3 design.\nMax 18 patients, treated in cohorts of 3, with safety data reviewed after each cohort's DLT period."
          },
          {
            "id": "FG001",
            "title": "Phase II",
            "description": "Subjects receive neratinib and capmatinib.\nThe MTD determined during Phase Ib will be used."
          }
        ],
        "periods": [
          {
            "title": "Overall Study",
            "milestones": [
              {
                "type": "STARTED",
                "achievements": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "10"
                  },
                  {
                    "groupId": "FG001",
                    "numSubjects": "0"
                  }
                ]
              },
              {
                "type": "COMPLETED",
                "achievements": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "0"
                  },
                  {
                    "groupId": "FG001",
                    "numSubjects": "0"
                  }
                ]
              },
              {
                "type": "NOT COMPLETED",
                "achievements": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "10"
                  },
                  {
                    "groupId": "FG001",
                    "numSubjects": "0"
                  }
                ]
              }
            ],
            "reviewUnit": {
              "resetReasons": [
                "The participant flow appears to include insufficient information to understand the arms/groups to which participants were assigned, the intervention strategy used in each arm/group, or how participants progressed in the study."
              ]
            },
            "dropWithdraws": [
              {
                "type": "Adverse Event",
                "reasons": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "4"
                  },
                  {
                    "groupId": "FG001",
                    "numSubjects": "0"
                  }
                ]
              },
              {
                "type": "Disease progression",
                "reasons": [
                  {
                    "groupId": "FG000",
                    "numSubjects": "6"
                  },
                  {
                    "groupId": "FG001",
                    "numSubjects": "0"
                  }
                ]
              }
            ]
          }
        ],
        "recruitmentDetails": "August 2022~ June 2023.\nAll recruitment was done at The University of Texas MD Anderson Cancer Center.",
        "preAssignmentDetails": "11 patients were accrued and assessed for eligibility and 10 patients were assigned to the cohort."
      },
      "baselineCharacteristicsModule": {
        "denoms": [
          {
            "units": "Participants",
            "counts": [
              {
                "value": "10",
                "groupId": "BG000"
              },
              {
                "value": "0",
                "groupId": "BG001"
              },
              {
                "value": "10",
                "groupId": "BG002"
              }
            ]
          }
        ],
        "groups": [
          {
            "id": "BG000",
            "title": "Phase Ib",
            "description": "Dose Escalation of Neratinib with Capmatinib uses a 3+3 design.\nMax 18 patients, treated in cohorts of 3, with safety data reviewed after each cohort's DLT period."
          },
          {
            "id": "BG001",
            "title": "Phase II",
            "description": "Subjects receive neratinib and capmatinib.\nThe MTD determined during Phase Ib will be used."
          },
          {
            "id": "BG002",
            "title": "Total",
            "description": "Total of all reporting groups"
          }
        ],
        "measures": [
          {
            "title": "Age, Continuous",
            "classes": [
              {
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "44.5",
                        "groupId": "BG000",
                        "lowerLimit": "39",
                        "upperLimit": "62"
                      },
                      {
                        "value": "44.5",
                        "groupId": "BG002",
                        "lowerLimit": "39",
                        "upperLimit": "62"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "MEDIAN",
            "unitOfMeasure": "Years",
            "dispersionType": "FULL_RANGE"
          },
          {
            "title": "Sex: Female, Male",
            "classes": [
              {
                "categories": [
                  {
                    "title": "Female",
                    "measurements": [
                      {
                        "value": "10",
                        "groupId": "BG000"
                      },
                      {
                        "value": "10",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Male",
                    "measurements": [
                      {
                        "value": "0",
                        "groupId": "BG000"
                      },
                      {
                        "value": "0",
                        "groupId": "BG002"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "COUNT_OF_PARTICIPANTS",
            "unitOfMeasure": "Participants"
          },
          {
            "title": "Ethnicity (NIH/OMB)",
            "classes": [
              {
                "categories": [
                  {
                    "title": "Hispanic or Latino",
                    "measurements": [
                      {
                        "value": "2",
                        "groupId": "BG000"
                      },
                      {
                        "value": "2",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Not Hispanic or Latino",
                    "measurements": [
                      {
                        "value": "8",
                        "groupId": "BG000"
                      },
                      {
                        "value": "8",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Unknown or Not Reported",
                    "measurements": [
                      {
                        "value": "0",
                        "groupId": "BG000"
                      },
                      {
                        "value": "0",
                        "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",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Asian",
                    "measurements": [
                      {
                        "value": "0",
                        "groupId": "BG000"
                      },
                      {
                        "value": "0",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Native Hawaiian or Other Pacific Islander",
                    "measurements": [
                      {
                        "value": "0",
                        "groupId": "BG000"
                      },
                      {
                        "value": "0",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Black or African American",
                    "measurements": [
                      {
                        "value": "4",
                        "groupId": "BG000"
                      },
                      {
                        "value": "4",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "White",
                    "measurements": [
                      {
                        "value": "5",
                        "groupId": "BG000"
                      },
                      {
                        "value": "5",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "More than one race",
                    "measurements": [
                      {
                        "value": "1",
                        "groupId": "BG000"
                      },
                      {
                        "value": "1",
                        "groupId": "BG002"
                      }
                    ]
                  },
                  {
                    "title": "Unknown or Not Reported",
                    "measurements": [
                      {
                        "value": "0",
                        "groupId": "BG000"
                      },
                      {
                        "value": "0",
                        "groupId": "BG002"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "COUNT_OF_PARTICIPANTS",
            "unitOfMeasure": "Participants"
          },
          {
            "title": "Region of Enrollment",
            "classes": [
              {
                "title": "United States",
                "categories": [
                  {
                    "measurements": [
                      {
                        "value": "10",
                        "groupId": "BG000"
                      },
                      {
                        "value": "10",
                        "groupId": "BG002"
                      }
                    ]
                  }
                ]
              }
            ],
            "paramType": "NUMBER",
            "unitOfMeasure": "participants"
          }
        ],
        "reviewUnit": {
          "resetReasons": [
            "The arms/groups appear inconsistent with information in other parts of the record. Each arm/group should be described separately, or a valid explanation provided."
          ]
        },
        "populationDescription": "Baseline analysis population included all participants treated.\nThe study was terminated during phase Ib, resulting in no patient enrollment for phase II."
      }
    }
  },
  {
    "op": "add",
    "path": "/annotationSection",
    "value": {
      "annotationModule": {
        "unpostedAnnotation": {
          "unpostedEvents": [
            {
              "date": "2025-02-19",
              "type": "RESET"
            }
          ],
          "unpostedResponsibleParty": "M.D. Anderson Cancer Center"
        }
      }
    }
  }
]