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NCT05460273

A Study of Dato-DXd in Chinese Patients With Advanced Non-Small Cell Lung Cancer, Triple-negative Breast Cancer and Other Solid Tumors (TROPION-PanTumor02)

Version 3 to 4 · AstraZeneca

Patch inspector

Version 3 to 4

27 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
eligibility_criteria_change
Value signals
[
  {
    "path": "/protocolSection/statusModule/primaryCompletionDateStruct/date",
    "signal": "timeline_minor_adjustment",
    "category": "timeline_minor_adjustment",
    "new_type": "ESTIMATED",
    "old_type": "ESTIMATED",
    "severity": "low",
    "direction": "earlier",
    "new_value": "2023-12-18",
    "old_value": "2023-12-20",
    "delta_days": 2,
    "date_struct": "primaryCompletionDateStruct",
    "new_precision": "day",
    "old_precision": "day"
  }
]
Provenance
Source
ctgov_internal_history
Fetched
2026-06-18 18:57:49+00
Raw hash
476a4705c833c60b950e2c96ee67f2dcf5d3ce6db60d12a281875ec47f3ff257
Payload
Source URL
Eligibility Criteria and population definition changes. Triage: High 1 ops
replace /protocolSection/eligibilityModule/eligibilityCriteria
Triage: High
Eligibility Change Operation 6
Matched rules
  • eligibility_criteria_change Eligibility criteria changes can alter the studied population.
Before
<p>Key Inclusion Criteria:</p><ul><li>Capable of giving signed informed consent.</li><li>Participant must be ≥ 18 years at the time of screening.</li><li>Eastern Cooperative Oncology Group performance status of 0 or 1.</li><li>At least one lesion not previously irradiated that qualifies as a RECIST 1.1 target lesion at baseline and can be accurately measured at baseline and is suitable for accurate repeated measurements.</li></ul><p>Additional Inclusion Criteria for Cohort 1 (NSCLC):</p><ul><li>Histologically or cytologically documented Stage IIIB or IIIC NSCLC disease not amenable for surgical resection or definitive chemoradiation or Stage IV NSCLC disease at the beginning of study intervention.</li><li>Documented negative test results for EGFR and ALK genomic alterations.
If test results for EGFR and ALK are not available, participants are required to undergo testing performed locally for these genomic alterations.</li><li>Participants must meet one of the required prior therapy requirements for advanced or metastatic NSCLC.</li></ul><p>Additional Inclusion Criteria for Cohort 2 (TNBC)</p><ul><li>Pathologically documented oestrogen and progesterone receptor-negative and HER2-negative expression.</li><li>Inoperable locally advanced or metastatic breast cancer.</li><li>Received at least 2 prior chemotherapy regimens for locally advanced or metastatic breast cancer and previously treated with a taxane in any setting.</li></ul><p>Key Exclusion Criteria:</p><ul><li>Has leptomeningeal carcinomatosis or metastasis</li><li>Has clinically significant corneal disease</li><li>Has known active hepatitis or uncontrolled hepatitis B or C infection</li><li>Has a history of non-infectious ILD&#x2F;pneumonitis that required steroids, has current ILD&#x2F;pneumonitis, or where suspected ILD&#x2F;pneumonitis cannot be ruled out by imaging at screening.</li><li>Prior exposure to specific therapies without an adequate treatment washout period prior to enrolment.</li></ul><p>Additional Exclusion Criteria for Cohort 1 (NSCLC):</p><p>- Has mixed SCLC and NSCLC histology.</p>
After
<p>Key Inclusion Criteria:</p><ul><li>Capable of giving signed informed consent.</li><li>Participant must be ≥ 18 years at the time of screening.</li><li>Eastern Cooperative Oncology Group performance status of 0 or 1.</li><li>At least one lesion not previously irradiated that qualifies as a RECIST 1.1 target lesion at baseline and can be accurately measured at baseline and is suitable for accurate repeated measurements.</li></ul><p>Additional Inclusion Criteria for Cohort 1 (NSCLC):</p><p>- Histologically or cytologically documented Stage IIIB or IIIC NSCLC disease not amenable for surgical resection or definitive chemoradiation or Stage IV NSCLC disease at the beginning of study intervention.</p><p>For the subset of participants without AGAs:</p><ul><li>Documented negative test results for EGFR and ALK genomic alterations.
If test results for EGFR and ALK are not available, participants are required to undergo testing performed locally for these genomic alterations.</li><li>Participants must meet one of the required prior therapy requirements for advanced or metastatic NSCLC.</li></ul><p>For the subset of participants with AGAs:</p><p>- Documented positive test results for one or more actionable genomic alteration: EGFR, ALK, ROS1, METex14 skipping, RET or other AGAs with approved therapies</p><p>- Received one or two prior lines of applicable targeted therapy for the participant&#x27;s genomic alteration at the time of screening.</p><p>Additional Inclusion Criteria for Cohort 2 (TNBC)</p><ul><li>Pathologically documented oestrogen and progesterone receptor-negative and HER2-negative expression.</li><li>Inoperable locally advanced or metastatic breast cancer.</li><li>Received at least 2 prior chemotherapy regimens for locally advanced or metastatic breast cancer and previously treated with a taxane in any setting.</li></ul><p>Key Exclusion Criteria:</p><ul><li>Has leptomeningeal carcinomatosis or metastasis</li><li>Has clinically significant corneal disease</li><li>Has known active hepatitis or uncontrolled hepatitis B or C infection</li><li>Has a history of non-infectious ILD&#x2F;pneumonitis that required steroids, has current ILD&#x2F;pneumonitis, or where suspected ILD&#x2F;pneumonitis cannot be ruled out by imaging at screening.</li><li>Prior exposure to specific therapies without an adequate treatment washout period prior to enrolment.</li></ul><p>Additional Exclusion Criteria for Cohort 1 (NSCLC):</p><p>- Has mixed SCLC and NSCLC histology.</p>
Timeline Start, primary completion, and completion date movement. Triage: Medium 1 ops
replace /protocolSection/statusModule/primaryCompletionDateStruct/date
Triage: Medium
Timeline Shift Operation 2
Matched rules
  • primary_completion_timeline_change Primary completion date changes are operational timeline signals.
Before
2023-12-20
After
2023-12-18
Contacts and locations Site, contact, and location updates that are usually operational. Triage: Uncategorized 21 ops
replace /protocolSection/contactsLocationsModule/locations/1/status
Triage: Uncategorized
Uncategorized Operation 7
Before
NOT_YET_RECRUITING
After
WITHDRAWN
replace /protocolSection/contactsLocationsModule/locations/3/status
Triage: Uncategorized
Uncategorized Operation 8
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/6/status
Triage: Uncategorized
Uncategorized Operation 9
Before
WITHDRAWN
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/7/status
Triage: Uncategorized
Uncategorized Operation 10
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/7/city
Triage: Uncategorized
Uncategorized Operation 11
Before
Changchun
After
Chengdu
replace /protocolSection/contactsLocationsModule/locations/7/zip
Triage: Uncategorized
Uncategorized Operation 12
Before
130021
After
610000
replace /protocolSection/contactsLocationsModule/locations/7/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 13
Before
43.88
After
30.66667
replace /protocolSection/contactsLocationsModule/locations/7/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 14
Before
125.32278
After
104.06667
replace /protocolSection/contactsLocationsModule/locations/8/status
Triage: Uncategorized
Uncategorized Operation 15
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/8/city
Triage: Uncategorized
Uncategorized Operation 16
Before
Chengdu
After
Chongqing
replace /protocolSection/contactsLocationsModule/locations/8/zip
Triage: Uncategorized
Uncategorized Operation 17
Before
610000
After
400030
replace /protocolSection/contactsLocationsModule/locations/8/geoPoint/lat
Triage: Uncategorized
Uncategorized Operation 18
Before
30.66667
After
29.56026
replace /protocolSection/contactsLocationsModule/locations/8/geoPoint/lon
Triage: Uncategorized
Uncategorized Operation 19
Before
104.06667
After
106.55771
remove /protocolSection/contactsLocationsModule/locations/9
Triage: Uncategorized
Uncategorized Operation 20
Before
{
  "zip": "400030",
  "city": "Chongqing",
  "status": "NOT_YET_RECRUITING",
  "country": "China",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 29.56026,
    "lon": 106.55771
  }
}
replace /protocolSection/contactsLocationsModule/locations/10/status
Triage: Uncategorized
Uncategorized Operation 21
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/11/status
Triage: Uncategorized
Uncategorized Operation 22
Before
NOT_YET_RECRUITING
After
RECRUITING
remove /protocolSection/contactsLocationsModule/locations/13
Triage: Uncategorized
Uncategorized Operation 23
Before
{
  "zip": "510100",
  "city": "Guangzhou",
  "status": "NOT_YET_RECRUITING",
  "country": "China",
  "facility": "Research Site",
  "geoPoint": {
    "lat": 23.11667,
    "lon": 113.25
  }
}
replace /protocolSection/contactsLocationsModule/locations/14/status
Triage: Uncategorized
Uncategorized Operation 24
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/15/status
Triage: Uncategorized
Uncategorized Operation 25
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/20/status
Triage: Uncategorized
Uncategorized Operation 26
Before
NOT_YET_RECRUITING
After
RECRUITING
replace /protocolSection/contactsLocationsModule/locations/22/status
Triage: Uncategorized
Uncategorized Operation 27
Before
NOT_YET_RECRUITING
After
RECRUITING
Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 4 ops
replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized
Uncategorized Operation 1
Before
2022-10
After
2023-01
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized
Uncategorized Operation 3
Before
2022-10-04
After
2023-01-23
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized
Uncategorized Operation 4
Before
2022-10-05
After
2023-01-25
replace /protocolSection/descriptionModule/detailedDescription
Triage: Uncategorized
Uncategorized Operation 5
Before
<p>This is a Phase 1&#x2F;Phase 2, multicentre, open-label, multiple-cohort study, which is designed to evaluate the efficacy, safety, Pharmacokinetic, and immunogenicity of Dato-DXd in adult Chinese participants with advanced or metastatic solid tumours.
It is a single-arm study with no blinding.</p><p>This study is divided into cohorts of participants with the same tumour type.
The starting cohorts are Cohort 1 (NSCLC) and Cohort 2 (TNBC).
Future cohorts will consist of other advanced or metastatic solid tumour types, including, but not limited to, advanced&#x2F;unresectable or metastatic gastric or gastroesophageal junction adenocarcinoma or urothelial carcinoma that is refractory or intolerant to SoC therapy or for which no Standard of Care therapy is available.</p><p>Cohort 1 and Cohort 2 will be prioritised for immediate enrolment and the protocol will be amended as needed for the future cohorts.</p><p>Cohort 1: The target population of Cohort 1 is adult Chinese participants with advanced or metastatic NSCLC without actionable genomic alterations (ie, alterations in genes with approved therapies, such as EGFR, ALK, or other known actionable driver oncogenes).Eligible participants will have been previously treated with platinum-based chemotherapy and anti-PD-1&#x2F;anti-PD-L1 monoclonal antibody either in combination or sequentially.
Participants who received anti-PD-1&#x2F;anti-PD-L1 monoclonal antibody as frontline therapy may have received the combination of platinum-based chemotherapy and anti-PD-1&#x2F;anti-PD-L1 monoclonal antibody in the second-line setting.
A total of approximately 40 eligible participants in China will be enrolled in this cohort.</p><p>Cohort 2: The target population of Cohort 2 is adult Chinese participants with inoperable locally advanced or metastatic TNBC who have received at least 2 prior chemotherapy regimens for advanced breast cancer, counting the (neo)adjuvant therapy as a prior chemotherapy regimen if progression occurred within 12 months after completion of the therapy (DFI ≤ 12 months).</p><p>A total of approximately 78 eligible participants in China will be enrolled in this cohort.
Cohort 2 will enroll at most around 20% (approximately N=15) of enrolled participants with a DFI ≤ 12 months.</p><p>Enrolled participants will be treated with Dato-DXd at 6.0 mg&#x2F;kg via an IV infusion on Day 1,every 3 weeks.</p><p>The primary objective of the study is to estimate the effectiveness of Dato-DXd by assessment of confirmed ORR by independent central review.</p>
After
<p>This is a Phase 1&#x2F;Phase 2, multicentre, open-label, multiple-cohort study, which is designed to evaluate the efficacy, safety, Pharmacokinetic, and immunogenicity of Dato-DXd in adult Chinese participants with advanced or metastatic solid tumours.
It is a single-arm study with no blinding.</p><p>This study is divided into different cohorts.
Participants of the same cohort are with the same tumour type.
The starting cohorts are Cohort 1 (NSCLC) and Cohort 2 (TNBC).
Future cohorts will consist of other advanced or metastatic solid tumour types, including, but not limited to, advanced&#x2F;unresectable or metastatic gastric or gastroesophageal junction adenocarcinoma or urothelial carcinoma that is refractory or intolerant to SoC therapy or for which no Standard of Care therapy is available.</p><p>Cohort 1 and Cohort 2 will be prioritised for immediate enrolment and the protocol will be amended as needed for the future cohorts.</p><p>Cohort 1: The target population of Cohort 1 is adult Chinese participants with advanced or metastatic NSCLC with or without actionable genomic alterations(AGAs) (ie, alterations in genes with approved therapies, such as EGFR, ALK, or other known AGAs).</p><p>Eligible participants without AGAs will have been previously treated with platinum-based chemotherapy and anti-PD-1&#x2F;anti-PD-L1 monoclonal antibody either in combination or sequentially.
Participants without AGAs who received anti-PD-1&#x2F;anti-PD-L1 monoclonal antibody as frontline therapy may have received the combination of platinum-based chemotherapy and anti-PD-1&#x2F;anti-PD-L1 monoclonal antibody in the second-line setting.</p><p>Eligible participants with AGAs will have been previously treated with one or two prior lines of applicable targeted therapy that is approved for the participant&#x27;s genomic alteration and platinum-based chemotherapy as the only prior line of cytotoxic therapy.
Participants with AGAs may have received up to one anti-PD-1&#x2F;anti-PD-L1 monoclonal antibody treatment alone or in combination with chemotherapy.</p><p>A total of approximately 40 eligible participants in China will be enrolled in this cohort, including approximately 6 participants with AGAs.</p><p>Cohort 2: The target population of Cohort 2 is adult Chinese participants with inoperable locally advanced or metastatic TNBC who have received at least 2 prior chemotherapy regimens for advanced breast cancer, counting the (neo)adjuvant therapy as a prior chemotherapy regimen if progression occurred within 12 months after completion of the therapy (DFI ≤ 12 months).</p><p>A total of approximately 78 eligible participants in China will be enrolled in this cohort.
Cohort 2 will enroll at most around 20% (approximately N=15) of enrolled participants with a DFI ≤ 12 months.</p><p>Enrolled participants will be treated with Dato-DXd at 6.0 mg&#x2F;kg via an IV infusion on Day 1,every 3 weeks.</p><p>The primary objective of the study is to estimate the effectiveness of Dato-DXd by assessment of confirmed ORR by independent central review.</p>
Raw JSON Patch
[
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/statusVerifiedDate",
    "value": "2023-01"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/primaryCompletionDateStruct/date",
    "value": "2023-12-18"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdateSubmitDate",
    "value": "2023-01-23"
  },
  {
    "op": "replace",
    "path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
    "value": "2023-01-25"
  },
  {
    "op": "replace",
    "path": "/protocolSection/descriptionModule/detailedDescription",
    "value": "<p>This is a Phase 1&#x2F;Phase 2, multicentre, open-label, multiple-cohort study, which is designed to evaluate the efficacy, safety, Pharmacokinetic, and immunogenicity of Dato-DXd in adult Chinese participants with advanced or metastatic solid tumours.\nIt is a single-arm study with no blinding.</p><p>This study is divided into different cohorts.\nParticipants of the same cohort are with the same tumour type.\nThe starting cohorts are Cohort 1 (NSCLC) and Cohort 2 (TNBC).\nFuture cohorts will consist of other advanced or metastatic solid tumour types, including, but not limited to, advanced&#x2F;unresectable or metastatic gastric or gastroesophageal junction adenocarcinoma or urothelial carcinoma that is refractory or intolerant to SoC therapy or for which no Standard of Care therapy is available.</p><p>Cohort 1 and Cohort 2 will be prioritised for immediate enrolment and the protocol will be amended as needed for the future cohorts.</p><p>Cohort 1: The target population of Cohort 1 is adult Chinese participants with advanced or metastatic NSCLC with or without actionable genomic alterations(AGAs) (ie, alterations in genes with approved therapies, such as EGFR, ALK, or other known AGAs).</p><p>Eligible participants without AGAs will have been previously treated with platinum-based chemotherapy and anti-PD-1&#x2F;anti-PD-L1 monoclonal antibody either in combination or sequentially.\nParticipants without AGAs who received anti-PD-1&#x2F;anti-PD-L1 monoclonal antibody as frontline therapy may have received the combination of platinum-based chemotherapy and anti-PD-1&#x2F;anti-PD-L1 monoclonal antibody in the second-line setting.</p><p>Eligible participants with AGAs will have been previously treated with one or two prior lines of applicable targeted therapy that is approved for the participant&#x27;s genomic alteration and platinum-based chemotherapy as the only prior line of cytotoxic therapy.\nParticipants with AGAs may have received up to one anti-PD-1&#x2F;anti-PD-L1 monoclonal antibody treatment alone or in combination with chemotherapy.</p><p>A total of approximately 40 eligible participants in China will be enrolled in this cohort, including approximately 6 participants with AGAs.</p><p>Cohort 2: The target population of Cohort 2 is adult Chinese participants with inoperable locally advanced or metastatic TNBC who have received at least 2 prior chemotherapy regimens for advanced breast cancer, counting the (neo)adjuvant therapy as a prior chemotherapy regimen if progression occurred within 12 months after completion of the therapy (DFI ≤ 12 months).</p><p>A total of approximately 78 eligible participants in China will be enrolled in this cohort.\nCohort 2 will enroll at most around 20% (approximately N=15) of enrolled participants with a DFI ≤ 12 months.</p><p>Enrolled participants will be treated with Dato-DXd at 6.0 mg&#x2F;kg via an IV infusion on Day 1,every 3 weeks.</p><p>The primary objective of the study is to estimate the effectiveness of Dato-DXd by assessment of confirmed ORR by independent central review.</p>"
  },
  {
    "op": "replace",
    "path": "/protocolSection/eligibilityModule/eligibilityCriteria",
    "value": "<p>Key Inclusion Criteria:</p><ul><li>Capable of giving signed informed consent.</li><li>Participant must be ≥ 18 years at the time of screening.</li><li>Eastern Cooperative Oncology Group performance status of 0 or 1.</li><li>At least one lesion not previously irradiated that qualifies as a RECIST 1.1 target lesion at baseline and can be accurately measured at baseline and is suitable for accurate repeated measurements.</li></ul><p>Additional Inclusion Criteria for Cohort 1 (NSCLC):</p><p>- Histologically or cytologically documented Stage IIIB or IIIC NSCLC disease not amenable for surgical resection or definitive chemoradiation or Stage IV NSCLC disease at the beginning of study intervention.</p><p>For the subset of participants without AGAs:</p><ul><li>Documented negative test results for EGFR and ALK genomic alterations.\nIf test results for EGFR and ALK are not available, participants are required to undergo testing performed locally for these genomic alterations.</li><li>Participants must meet one of the required prior therapy requirements for advanced or metastatic NSCLC.</li></ul><p>For the subset of participants with AGAs:</p><p>- Documented positive test results for one or more actionable genomic alteration: EGFR, ALK, ROS1, METex14 skipping, RET or other AGAs with approved therapies</p><p>- Received one or two prior lines of applicable targeted therapy for the participant&#x27;s genomic alteration at the time of screening.</p><p>Additional Inclusion Criteria for Cohort 2 (TNBC)</p><ul><li>Pathologically documented oestrogen and progesterone receptor-negative and HER2-negative expression.</li><li>Inoperable locally advanced or metastatic breast cancer.</li><li>Received at least 2 prior chemotherapy regimens for locally advanced or metastatic breast cancer and previously treated with a taxane in any setting.</li></ul><p>Key Exclusion Criteria:</p><ul><li>Has leptomeningeal carcinomatosis or metastasis</li><li>Has clinically significant corneal disease</li><li>Has known active hepatitis or uncontrolled hepatitis B or C infection</li><li>Has a history of non-infectious ILD&#x2F;pneumonitis that required steroids, has current ILD&#x2F;pneumonitis, or where suspected ILD&#x2F;pneumonitis cannot be ruled out by imaging at screening.</li><li>Prior exposure to specific therapies without an adequate treatment washout period prior to enrolment.</li></ul><p>Additional Exclusion Criteria for Cohort 1 (NSCLC):</p><p>- Has mixed SCLC and NSCLC histology.</p>"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/1/status",
    "value": "WITHDRAWN"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/3/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/6/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/7/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/7/city",
    "value": "Chengdu"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/7/zip",
    "value": "610000"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/7/geoPoint/lat",
    "value": 30.66667
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/7/geoPoint/lon",
    "value": 104.06667
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/8/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/8/city",
    "value": "Chongqing"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/8/zip",
    "value": "400030"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/8/geoPoint/lat",
    "value": 29.56026
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/8/geoPoint/lon",
    "value": 106.55771
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/9"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/10/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/11/status",
    "value": "RECRUITING"
  },
  {
    "op": "remove",
    "path": "/protocolSection/contactsLocationsModule/locations/13"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/14/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/15/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/20/status",
    "value": "RECRUITING"
  },
  {
    "op": "replace",
    "path": "/protocolSection/contactsLocationsModule/locations/22/status",
    "value": "RECRUITING"
  }
]