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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
arms_or_interventions_changeenrollment_count_changesecondary_outcome_any_change
Value signals
[
{
"path": "/protocolSection/statusModule/primaryCompletionDateStruct/date",
"signal": "timeline_significant_shift",
"category": "timeline_significant_shift",
"new_type": "ESTIMATED",
"old_type": "ESTIMATED",
"severity": "medium",
"direction": "later",
"new_value": "2025-03-31",
"old_value": "2024-08-05",
"delta_days": 238,
"date_struct": "primaryCompletionDateStruct",
"new_precision": "day",
"old_precision": "day"
},
{
"path": "/protocolSection/statusModule/completionDateStruct/date",
"signal": "timeline_significant_shift",
"category": "timeline_significant_shift",
"new_type": "ESTIMATED",
"old_type": "ESTIMATED",
"severity": "medium",
"direction": "later",
"new_value": "2025-12-31",
"old_value": "2025-09-25",
"delta_days": 97,
"date_struct": "completionDateStruct",
"new_precision": "day",
"old_precision": "day"
}
] Provenance
Source ctgov_internal_history
Fetched 2026-06-18 18:59:03+00
Raw hash 6c99d95ff72ab7f6e03d5b0177a50ee67831ac36a266c5fff149d63d4abb8fbf Design Trial model, phase, allocation, masking, arms, or interventions. Triage: High 5 ops replace /protocolSection/designModule/enrollmentInfo/count
Triage: High Enrollment Change Operation 7
Matched rules enrollment_count_change Enrollment count changes can signal scope or feasibility shifts. replace /protocolSection/armsInterventionsModule/interventions/0/otherNames/0
Triage: High Arm Intervention Change Operation 8
Matched rules arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure. replace /protocolSection/armsInterventionsModule/interventions/1/otherNames/0
Triage: High Arm Intervention Change Operation 9
Matched rules arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure. replace /protocolSection/armsInterventionsModule/interventions/2/otherNames/0
Triage: High Arm Intervention Change Operation 10
Matched rules arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure. replace /protocolSection/armsInterventionsModule/interventions/3/otherNames/0
Triage: High Arm Intervention Change Operation 11
Matched rules arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure. Secondary outcomes Additional endpoints and outcome descriptions. Triage: High 1 ops add /protocolSection/outcomesModule/secondaryOutcomes/18
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. After
{
"measure": "Percentage of Participants who Selected the Administration of PH FDC SC in the Home Setting Compared With the Hospital Setting in the Treatment Continuation Period",
"timeFrame": "Day 1 of Cycle 8 of adjuvant treatment (1 cycle is 3 weeks)"
} Timeline Start, primary completion, and completion date movement. Triage: Medium 2 ops replace /protocolSection/statusModule/primaryCompletionDateStruct/date
Triage: Medium Timeline Shift Operation 3
Matched rules primary_completion_timeline_change Primary completion date changes are operational timeline signals. replace /protocolSection/statusModule/completionDateStruct/date
Triage: Medium Timeline Shift Operation 4
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: Uncategorized 1 ops replace /protocolSection/contactsLocationsModule/locations/6/zip
Triage: Uncategorized Uncategorized Operation 13
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 5
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized Uncategorized Operation 6
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": "2023-506380-33-00",
"type": "REGISTRY",
"domain": "EU CT Number"
} Raw JSON Patch [
{
"op": "add",
"path": "/protocolSection/identificationModule/secondaryIdInfos/1",
"value": {
"id": "2023-506380-33-00",
"type": "REGISTRY",
"domain": "EU CT Number"
}
},
{
"op": "replace",
"path": "/protocolSection/statusModule/statusVerifiedDate",
"value": "2024-03"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/primaryCompletionDateStruct/date",
"value": "2025-03-31"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/completionDateStruct/date",
"value": "2025-12-31"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdateSubmitDate",
"value": "2024-03-18"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
"value": "2024-03-19"
},
{
"op": "replace",
"path": "/protocolSection/designModule/enrollmentInfo/count",
"value": 347
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/interventions/0/otherNames/0",
"value": "PHESGO®"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/interventions/1/otherNames/0",
"value": "Perjeta®"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/interventions/2/otherNames/0",
"value": "Herceptin®"
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/interventions/3/otherNames/0",
"value": "Kadcyla®"
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/18",
"value": {
"measure": "Percentage of Participants who Selected the Administration of PH FDC SC in the Home Setting Compared With the Hospital Setting in the Treatment Continuation Period",
"timeFrame": "Day 1 of Cycle 8 of adjuvant treatment (1 cycle is 3 weeks)"
}
},
{
"op": "replace",
"path": "/protocolSection/contactsLocationsModule/locations/6/zip",
"value": "90040-373"
}
]