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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 16 to 17 · M.D. Anderson Cancer Center

Patch inspector

Version 16 to 17

18 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
adverse_event_group_change
Value signals
[
  {
    "paths": [
      "/protocolSection/outcomesModule/secondaryOutcomes/0/description"
    ],
    "signal": "results_reconciliation_outcome_suppression",
    "category": "results_reconciliation",
    "severity": "low"
  }
]
Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 18:58:34+00
Raw hash
71ad179f14a058d67e4e87a3f54eceefbd44f6b62f32e8f136e8c5788f777e9f
Payload
Source URL
Adverse events and safety Posted serious or other adverse event data. Triage: High 5 ops
replace /resultsSection/adverseEventsModule/timeFrame
Triage: Uncategorized
Uncategorized Operation 12
Before
From the initiation of the first protocol-specific intervention to 2 years following the last dose of the drug.
After
From the initiation of the first protocol-specific intervention to 2 years following the last dose of the drug, up to 3 years.
replace /resultsSection/adverseEventsModule/eventGroups/0/deathsNumAffected
Triage: High
Adverse Event Group Change Operation 13
Matched rules
  • adverse_event_group_change Changes to adverse event group-level denominators or affected counts are high review priority.
Before
0
After
6
replace /resultsSection/adverseEventsModule/eventGroups/3/deathsNumAffected
Triage: High
Adverse Event Group Change Operation 14
Matched rules
  • adverse_event_group_change Changes to adverse event group-level denominators or affected counts are high review priority.
Before
1
After
2
replace /resultsSection/adverseEventsModule/reviewUnit/resetReasons/0
Triage: Uncategorized
Uncategorized Operation 15
Before
There does not appear to be sufficient information to understand the Time Frame.
After
The Time Frame appears inconsistent with information provided here or in other parts of the record.
remove /resultsSection/adverseEventsModule/allCauseMortalityReviewUnit
Triage: Uncategorized
Uncategorized Operation 16
Before
{
  "resetReasons": [
    "Information in other parts of the record suggests that adverse events were collected that are not reported here."
  ]
}
Secondary outcomes Additional endpoints and outcome descriptions. Triage: High 1 ops
replace /protocolSection/outcomesModule/secondaryOutcomes/0/description
Triage: High
Secondary Outcome Change Operation 4
Matched rules
  • secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority.
Before
Adverse events (AEs) graded using CTCAE version 5.0: ≥ Grade 2 for non-hematological and ≥ Grade 3 for hematological AEs observed after the first protocol intervention.
After
Adverse events (AEs) graded using CTCAE version 5.0: ≥ Grade 2 for non-hematological and ≥ Grade 3 for hematological AEs observed after the first protocol intervention for phase II patients.
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 5 ops
replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized
Uncategorized Operation 1
Before
2025-03
After
2025-04
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 2
Before
2025-03-24
After
2025-04-08
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 3
Before
2025-04-09
After
2025-04-25
replace /annotationSection/annotationModule/unpostedAnnotation/unpostedEvents/0/date
Triage: Uncategorized
Uncategorized Operation 17
Before
2025-04-08
After
2025-04-24
replace /reviewUnit/resetReasons/0
Triage: Uncategorized
Uncategorized Operation 18
Before
Issues noted on a previous submission of this record do not appear to have been addressed.
After
This record has new issues that must be addressed.
Results outcome measures Posted result outcome measures and result-level endpoint data. Triage: Uncategorized 7 ops
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/1/populationDescription
Triage: Uncategorized
Uncategorized Operation 5
Before
Patients treated at the MTD in Phase II.
After
Patients treated at the MTD in phase II were intended to be evaluated.
However, due to the study's termination during Phase Ib, no patients were analyzed for this objective.
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/1/measureCategoriesReviewUnit
Triage: Uncategorized
Uncategorized Operation 6
Before
{
  "resetReasons": [
    "Required information appears to be missing."
  ]
}
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/2/description
Triage: Uncategorized
Uncategorized Operation 7
Before
Adverse events (AEs) graded using CTCAE version 5.0: ≥ Grade 2 for non-hematological and ≥ Grade 3 for hematological AEs observed after the first protocol intervention.
After
Adverse events (AEs) graded using CTCAE version 5.0: ≥ Grade 2 for non-hematological and ≥ Grade 3 for hematological AEs observed after the first protocol intervention for phase II patients.
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/2/populationDescription
Triage: Uncategorized
Uncategorized Operation 8
Before
Patients treated at the MTD in Phase II.
After
Patients treated at the MTD in phase II were intended to be evaluated.
However, due to the study's termination during Phase Ib, no patients were analyzed for this objective.
remove /resultsSection/outcomeMeasuresModule/outcomeMeasures/2/measureCategoriesReviewUnit
Triage: Uncategorized
Uncategorized Operation 9
Before
{
  "resetReasons": [
    "Required information appears to be missing."
  ]
}
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/classes/0/categories/0/measurements/0/value
Triage: Uncategorized
Uncategorized Operation 10
Before
85.7
After
14.3
replace /resultsSection/outcomeMeasuresModule/outcomeMeasures/6/classes/0/categories/0/measurements/1/value
Triage: Uncategorized
Uncategorized Operation 11
Before
66.7
After
33.3
Raw JSON Patch
[
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/statusVerifiedDate",
    "value": "2025-04"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdateSubmitDate",
    "value": "2025-04-08"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
    "value": "2025-04-25"
  },
  {
    "op": "replace",
    "path": "/protocolSection/outcomesModule/secondaryOutcomes/0/description",
    "value": "Adverse events (AEs) graded using CTCAE version 5.0: ≥ Grade 2 for non-hematological and ≥ Grade 3 for hematological AEs observed after the first protocol intervention for phase II patients."
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/1/populationDescription",
    "value": "Patients treated at the MTD in phase II were intended to be evaluated.\nHowever, due to the study's termination during Phase Ib, no patients were analyzed for this objective."
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/1/measureCategoriesReviewUnit"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/2/description",
    "value": "Adverse events (AEs) graded using CTCAE version 5.0: ≥ Grade 2 for non-hematological and ≥ Grade 3 for hematological AEs observed after the first protocol intervention for phase II patients."
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/2/populationDescription",
    "value": "Patients treated at the MTD in phase II were intended to be evaluated.\nHowever, due to the study's termination during Phase Ib, no patients were analyzed for this objective."
  },
  {
    "op": "remove",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/2/measureCategoriesReviewUnit"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/classes/0/categories/0/measurements/0/value",
    "value": "14.3"
  },
  {
    "op": "replace",
    "path": "/resultsSection/outcomeMeasuresModule/outcomeMeasures/6/classes/0/categories/0/measurements/1/value",
    "value": "33.3"
  },
  {
    "op": "replace",
    "path": "/resultsSection/adverseEventsModule/timeFrame",
    "value": "From the initiation of the first protocol-specific intervention to 2 years following the last dose of the drug, up to 3 years."
  },
  {
    "op": "replace",
    "path": "/resultsSection/adverseEventsModule/eventGroups/0/deathsNumAffected",
    "value": 6
  },
  {
    "op": "replace",
    "path": "/resultsSection/adverseEventsModule/eventGroups/3/deathsNumAffected",
    "value": 2
  },
  {
    "op": "replace",
    "path": "/resultsSection/adverseEventsModule/reviewUnit/resetReasons/0",
    "value": "The Time Frame appears inconsistent with information provided here or in other parts of the record."
  },
  {
    "op": "remove",
    "path": "/resultsSection/adverseEventsModule/allCauseMortalityReviewUnit"
  },
  {
    "op": "replace",
    "path": "/annotationSection/annotationModule/unpostedAnnotation/unpostedEvents/0/date",
    "value": "2025-04-24"
  },
  {
    "op": "replace",
    "path": "/reviewUnit/resetReasons/0",
    "value": "This record has new issues that must be addressed."
  }
]