clinicaltrialsgov-mcp-server 2.1.1 → 2.3.0

package/README.md

@@ -10,7 +10,7 @@
 
 [![npm](https://img.shields.io/npm/v/clinicaltrialsgov-mcp-server?style=flat-square&logo=npm&logoColor=white)](https://www.npmjs.com/package/clinicaltrialsgov-mcp-server)
 [![Docker](https://img.shields.io/badge/Docker-ghcr.io-2496ED?style=flat-square&logo=docker&logoColor=white)](https://github.com/users/cyanheads/packages/container/package/clinicaltrialsgov-mcp-server)
-[![Version](https://img.shields.io/badge/Version-2.1.1-blue.svg?style=flat-square)](./CHANGELOG.md)
+[![Version](https://img.shields.io/badge/Version-2.3.0-blue.svg?style=flat-square)](./CHANGELOG.md)
 [![Framework](https://img.shields.io/badge/Built%20on-@cyanheads/mcp--ts--core-259?style=flat-square)](https://www.npmjs.com/package/@cyanheads/mcp-ts-core)
 
 
@@ -35,12 +35,12 @@ Seven tools for searching, discovering, analyzing, and matching clinical trials:
 | Tool Name                              | Description                                                                                      |
 | :------------------------------------- | :----------------------------------------------------------------------------------------------- |
 | `clinicaltrials_search_studies`        | Search studies with full-text queries, filters, pagination, sorting, and field selection.        |
-| `clinicaltrials_get_study_record`      | Fetch a single study by NCT ID. Tool equivalent of the `clinicaltrials://{nctId}` resource.     |
+| `clinicaltrials_get_study_record`      | Fetch a single study by NCT ID. Returns the full record: protocol, eligibility, outcomes, arms, interventions, contacts, and locations. |
 | `clinicaltrials_get_study_count`       | Get total study count for a query without fetching data. Fast statistics and breakdowns.         |
 | `clinicaltrials_get_field_values`      | Discover valid values for API fields (status, phase, study type, etc.) with per-value counts.    |
 | `clinicaltrials_get_field_definitions` | Browse the study data model field tree — piece names, types, nesting. Supports subtree navigation and keyword search. |
 | `clinicaltrials_get_study_results`     | Extract outcomes, adverse events, participant flow, and baseline from completed studies. Optional summary mode reduces ~200KB payloads to ~5KB. |
-| `clinicaltrials_find_eligible`         | Match patient demographics and conditions to eligible recruiting trials. Builds optimized queries from a patient profile and returns studies with eligibility/location fields. |
+| `clinicaltrials_find_eligible`         | Match patient demographics and conditions to eligible recruiting trials. Provide age, sex, conditions, and location to find studies with matching eligibility criteria, contacts, and recruiting locations. |
 
 | Resource                   | Description                                         |
 | :------------------------- | :-------------------------------------------------- |

package/dist/config/server-config.d.ts.map

@@ -1 +1 @@
-{"version":3,"file":"server-config.d.ts","sourceRoot":"","sources":["../../src/config/server-config.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAE,CAAC,EAAE,MAAM,wBAAwB,CAAC;AAE3C,QAAA,MAAM,kBAAkB;;;;iBAOtB,CAAC;AAEH,MAAM,MAAM,YAAY,GAAG,CAAC,CAAC,KAAK,CAAC,OAAO,kBAAkB,CAAC,CAAC;AAI9D,4DAA4D;AAC5D,wBAAgB,eAAe,IAAI,YAAY,CAO9C"}
+{"version":3,"file":"server-config.d.ts","sourceRoot":"","sources":["../../src/config/server-config.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAE,CAAC,EAAE,MAAM,wBAAwB,CAAC;AAG3C,QAAA,MAAM,kBAAkB;;;;iBAOtB,CAAC;AAEH,MAAM,MAAM,YAAY,GAAG,CAAC,CAAC,KAAK,CAAC,OAAO,kBAAkB,CAAC,CAAC;AAI9D,4DAA4D;AAC5D,wBAAgB,eAAe,IAAI,YAAY,CAO9C"}

package/dist/config/server-config.js

@@ -3,6 +3,7 @@
  * @module config/server-config
  */
 import { z } from '@cyanheads/mcp-ts-core';
+import { parseEnvConfig } from '@cyanheads/mcp-ts-core/config';
 const ServerConfigSchema = z.object({
     apiBaseUrl: z
         .string()
@@ -14,10 +15,10 @@ const ServerConfigSchema = z.object({
 let _config;
 /** Get server configuration (lazy-parsed from env vars). */
 export function getServerConfig() {
-    _config ??= ServerConfigSchema.parse({
-        apiBaseUrl: process.env.CT_API_BASE_URL,
-        requestTimeoutMs: process.env.CT_REQUEST_TIMEOUT_MS,
-        maxPageSize: process.env.CT_MAX_PAGE_SIZE,
+    _config ??= parseEnvConfig(ServerConfigSchema, {
+        apiBaseUrl: 'CT_API_BASE_URL',
+        requestTimeoutMs: 'CT_REQUEST_TIMEOUT_MS',
+        maxPageSize: 'CT_MAX_PAGE_SIZE',
     });
     return _config;
 }

package/dist/config/server-config.js.map

@@ -1 +1 @@
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package/dist/mcp-server/resources/definitions/study.resource.d.ts.map

@@ -1 +1 @@
-{"version":3,"file":"study.resource.d.ts","sourceRoot":"","sources":["../../../../src/mcp-server/resources/definitions/study.resource.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAY,CAAC,EAAE,MAAM,wBAAwB,CAAC;AAGrD,eAAO,MAAM,aAAa;;6BAiBxB,CAAC"}
+{"version":3,"file":"study.resource.d.ts","sourceRoot":"","sources":["../../../../src/mcp-server/resources/definitions/study.resource.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAY,CAAC,EAAE,MAAM,wBAAwB,CAAC;AAIrD,eAAO,MAAM,aAAa;;6BAcxB,CAAC"}

package/dist/mcp-server/resources/definitions/study.resource.js

@@ -4,15 +4,13 @@
  */
 import { resource, z } from '@cyanheads/mcp-ts-core';
 import { getClinicalTrialsService } from '../../../services/clinical-trials/clinical-trials-service.js';
+import { nctIdSchema } from '../../tools/utils/_schemas.js';
 export const studyResource = resource('clinicaltrials://{nctId}', {
     name: 'Clinical Trial Study',
     description: 'Fetch a single clinical study by NCT ID. Returns full study data as JSON.',
     mimeType: 'application/json',
     params: z.object({
-        nctId: z
-            .string()
-            .regex(/^NCT\d{8}$/)
-            .describe('NCT identifier (e.g., NCT03722472).'),
+        nctId: nctIdSchema.describe('NCT identifier (e.g., NCT03722472).'),
     }),
     async handler(params, ctx) {
         const service = getClinicalTrialsService();

package/dist/mcp-server/resources/definitions/study.resource.js.map

@@ -1 +1 @@
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package/dist/mcp-server/tools/definitions/get-field-values.tool.d.ts.map

@@ -1 +1 @@
-{"version":3,"file":"get-field-values.tool.d.ts","sourceRoot":"","sources":["../../../../src/mcp-server/tools/definitions/get-field-values.tool.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAQ,CAAC,EAAE,MAAM,wBAAwB,CAAC;AAGjD,eAAO,MAAM,cAAc;;;;;;;;;;;;;;;;kBAgFzB,CAAC"}
+{"version":3,"file":"get-field-values.tool.d.ts","sourceRoot":"","sources":["../../../../src/mcp-server/tools/definitions/get-field-values.tool.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAQ,CAAC,EAAE,MAAM,wBAAwB,CAAC;AAGjD,eAAO,MAAM,cAAc;;;;;;;;;;;;;;;;kBAqFzB,CAAC"}

package/dist/mcp-server/tools/definitions/get-field-values.tool.js

@@ -66,8 +66,14 @@ export const getFieldValues = tool('clinicaltrials_get_field_values', {
             }
             else {
                 lines.push(`**${stat.piece}** (${stat.uniqueValuesCount ?? '?'} unique values):`);
-                for (const tv of (stat.topValues ?? []).slice(0, 15)) {
-                    lines.push(`  ${tv.value}: ${tv.studiesCount.toLocaleString()} studies`);
+                const topValues = stat.topValues ?? [];
+                if (topValues.length === 0) {
+                    lines.push('  No recorded values for this field.');
+                }
+                else {
+                    for (const tv of topValues.slice(0, 15)) {
+                        lines.push(`  ${tv.value}: ${tv.studiesCount.toLocaleString()} studies`);
+                    }
                 }
             }
             if (stat.missingStudiesCount != null && stat.missingStudiesCount > 0)

package/dist/mcp-server/tools/definitions/get-field-values.tool.js.map

@@ -1 +1 @@
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package/dist/mcp-server/tools/definitions/get-study-count.tool.js

@@ -89,7 +89,8 @@ export const getStudyCount = tool('clinicaltrials_get_study_count', {
                 const parts = Object.entries(result.searchCriteria).map(([k, v]) => `${k}=${v}`);
                 lines.push(`Criteria: ${parts.join(', ')}`);
             }
-            lines.push('Try broader search terms or fewer filters.');
+            for (const hint of result.noMatchHints ?? [])
+                lines.push(hint);
             return [{ type: 'text', text: lines.join('\n') }];
         }
         return [{ type: 'text', text: `${result.totalCount} studies match the specified criteria.` }];

package/dist/mcp-server/tools/definitions/get-study-count.tool.js.map

@@ -1 +1 @@
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+{"version":3,"file":"get-study-count.tool.js","sourceRoot":"","sources":["../../../../src/mcp-server/tools/definitions/get-study-count.tool.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAE,IAAI,EAAE,CAAC,EAAE,MAAM,wBAAwB,CAAC;AACjD,OAAO,EAAE,wBAAwB,EAAE,MAAM,uDAAuD,CAAC;AACjG,OAAO,EAAE,mBAAmB,EAAE,OAAO,EAAE,MAAM,2BAA2B,CAAC;AAEzE,MAAM,CAAC,MAAM,aAAa,GAAG,IAAI,CAAC,gCAAgC,EAAE;IAClE,WAAW,EAAE,oRAAoR;IACjS,WAAW,EAAE;QACX,YAAY,EAAE,IAAI;QAClB,cAAc,EAAE,IAAI;QACpB,aAAa,EAAE,IAAI;KACpB;IAED,KAAK,EAAE,CAAC,CAAC,MAAM,CAAC;QACd,KAAK,EAAE,CAAC,CAAC,MAAM,EAAE,CAAC,QAAQ,EAAE,CAAC,QAAQ,CAAC,6CAA6C,CAAC;QACpF,cAAc,EAAE,CAAC;aACd,MAAM,EAAE;aACR,QAAQ,EAAE;aACV,QAAQ,CACP,2FAA2F,CAC5F;QACH,iBAAiB,EAAE,CAAC;aACjB,MAAM,EAAE;aACR,QAAQ,EAAE;aACV,QAAQ,CACP,uFAAuF,CACxF;QACH,YAAY,EAAE,CAAC,CAAC,MAAM,EAAE,CAAC,QAAQ,EAAE,CAAC,QAAQ,CAAC,mCAAmC,CAAC;QACjF,YAAY,EAAE,CAAC;aACZ,KAAK,CAAC,CAAC,CAAC,CAAC,MAAM,EAAE,EAAE,CAAC,CAAC,KAAK,CAAC,CAAC,CAAC,MAAM,EAAE,CAAC,CAAC,CAAC;aACxC,QAAQ,EAAE;aACV,QAAQ,CACP,oQAAoQ,CACrQ;QACH,WAAW,EAAE,CAAC;aACX,KAAK,CAAC,CAAC,CAAC,CAAC,MAAM,EAAE,EAAE,CAAC,CAAC,KAAK,CAAC,CAAC,CAAC,MAAM,EAAE,CAAC,CAAC,CAAC;aACxC,QAAQ,EAAE;aACV,QAAQ,CAAC,kFAAkF,CAAC;QAC/F,cAAc,EAAE,CAAC;aACd,MAAM,EAAE;aACR,QAAQ,EAAE;aACV,QAAQ,CACP,qKAAqK,CACtK;KACJ,CAAC;IAEF,MAAM,EAAE,CAAC,CAAC,MAAM,CAAC;QACf,UAAU,EAAE,CAAC,CAAC,MAAM,EAAE,CAAC,QAAQ,CAAC,2CAA2C,CAAC;QAC5E,cAAc,EAAE,CAAC;aACd,MAAM,CAAC,CAAC,CAAC,MAAM,EAAE,EAAE,CAAC,CAAC,OAAO,EAAE,CAAC;aAC/B,QAAQ,EAAE;aACV,QAAQ,CAAC,qCAAqC,CAAC;QAClD,YAAY,EAAE,CAAC;aACZ,KAAK,CAAC,CAAC,CAAC,MAAM,EAAE,CAAC;aACjB,QAAQ,EAAE;aACV,QAAQ,CAAC,sDAAsD,CAAC;KACpE,CAAC;IAEF,KAAK,CAAC,OAAO,CAAC,KAAK,EAAE,GAAG;QACtB,MAAM,OAAO,GAAG,wBAAwB,EAAE,CAAC;QAC3C,MAAM,MAAM,GAAG,MAAM,OAAO,CAAC,aAAa,CACxC;YACE,SAAS,EAAE,KAAK,CAAC,KAAK;YACtB,SAAS,EAAE,KAAK,CAAC,cAAc;YAC/B,SAAS,EAAE,KAAK,CAAC,iBAAiB;YAClC,UAAU,EAAE,KAAK,CAAC,YAAY;YAC9B,mBAAmB,EAAE,OAAO,CAAC,KAAK,CAAC,YAAY,CAAC;YAChD,cAAc,EAAE,mBAAmB,CAAC,OAAO,CAAC,KAAK,CAAC,WAAW,CAAC,EAAE,KAAK,CAAC,cAAc,CAAC;YACrF,UAAU,EAAE,IAAI;YAChB,QAAQ,EAAE,CAAC;SACZ,EACD,GAAG,CACJ,CAAC;QACF,MAAM,UAAU,GAAG,MAAM,CAAC,UAAU,IAAI,CAAC,CAAC;QAC1C,GAAG,CAAC,GAAG,CAAC,IAAI,CAAC,iBAAiB,EAAE,EAAE,UAAU,EAAE,CAAC,CAAC;QAEhD,MAAM,QAAQ,GAA4B,EAAE,CAAC;QAC7C,IAAI,KAAK,CAAC,KAAK;YAAE,QAAQ,CAAC,KAAK,GAAG,KAAK,CAAC,KAAK,CAAC;QAC9C,IAAI,KAAK,CAAC,cAAc;YAAE,QAAQ,CAAC,cAAc,GAAG,KAAK,CAAC,cAAc,CAAC;QACzE,IAAI,KAAK,CAAC,iBAAiB;YAAE,QAAQ,CAAC,iBAAiB,GAAG,KAAK,CAAC,iBAAiB,CAAC;QAClF,IAAI,KAAK,CAAC,YAAY;YAAE,QAAQ,CAAC,YAAY,GAAG,KAAK,CAAC,YAAY,CAAC;QACnE,IAAI,KAAK,CAAC,YAAY;YAAE,QAAQ,CAAC,YAAY,GAAG,KAAK,CAAC,YAAY,CAAC;QACnE,IAAI,KAAK,CAAC,WAAW;YAAE,QAAQ,CAAC,WAAW,GAAG,KAAK,CAAC,WAAW,CAAC;QAChE,IAAI,KAAK,CAAC,cAAc;YAAE,QAAQ,CAAC,cAAc,GAAG,KAAK,CAAC,cAAc,CAAC;QAEzE,OAAO;YACL,UAAU;YACV,GAAG,CAAC,MAAM,CAAC,IAAI,CAAC,QAAQ,CAAC,CAAC,MAAM,GAAG,CAAC,CAAC,CAAC,CAAC,EAAE,cAAc,EAAE,QAAQ,EAAE,CAAC,CAAC,CAAC,EAAE,CAAC;YACzE,GAAG,CAAC,UAAU,KAAK,CAAC,CAAC,CAAC,CAAC,EAAE,YAAY,EAAE,CAAC,4CAA4C,CAAC,EAAE,CAAC,CAAC,CAAC,EAAE,CAAC;SAC9F,CAAC;IACJ,CAAC;IAED,MAAM,EAAE,CAAC,MAAM,EAAE,EAAE;QACjB,IAAI,MAAM,CAAC,UAAU,KAAK,CAAC,EAAE,CAAC;YAC5B,MAAM,KAAK,GAAG,CAAC,yCAAyC,CAAC,CAAC;YAC1D,IAAI,MAAM,CAAC,cAAc,IAAI,MAAM,CAAC,IAAI,CAAC,MAAM,CAAC,cAAc,CAAC,CAAC,MAAM,GAAG,CAAC,EAAE,CAAC;gBAC3E,MAAM,KAAK,GAAG,MAAM,CAAC,OAAO,CAAC,MAAM,CAAC,cAAc,CAAC,CAAC,GAAG,CAAC,CAAC,CAAC,CAAC,EAAE,CAAC,CAAC,EAAE,EAAE,CAAC,GAAG,CAAC,IAAI,CAAC,EAAE,CAAC,CAAC;gBACjF,KAAK,CAAC,IAAI,CAAC,aAAa,KAAK,CAAC,IAAI,CAAC,IAAI,CAAC,EAAE,CAAC,CAAC;YAC9C,CAAC;YACD,KAAK,MAAM,IAAI,IAAI,MAAM,CAAC,YAAY,IAAI,EAAE;gBAAE,KAAK,CAAC,IAAI,CAAC,IAAI,CAAC,CAAC;YAC/D,OAAO,CAAC,EAAE,IAAI,EAAE,MAAM,EAAE,IAAI,EAAE,KAAK,CAAC,IAAI,CAAC,IAAI,CAAC,EAAE,CAAC,CAAC;QACpD,CAAC;QACD,OAAO,CAAC,EAAE,IAAI,EAAE,MAAM,EAAE,IAAI,EAAE,GAAG,MAAM,CAAC,UAAU,wCAAwC,EAAE,CAAC,CAAC;IAChG,CAAC;CACF,CAAC,CAAC"}

package/dist/mcp-server/tools/definitions/get-study-results.tool.d.ts.map

@@ -1 +1 @@
-{"version":3,"file":"get-study-results.tool.d.ts","sourceRoot":"","sources":["../../../../src/mcp-server/tools/definitions/get-study-results.tool.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAQ,CAAC,EAAE,MAAM,wBAAwB,CAAC;AA0SjD,eAAO,MAAM,eAAe;;;;;;;;;;;;;;;;;;;;;;;;;;;;;kBA6L1B,CAAC"}
+{"version":3,"file":"get-study-results.tool.d.ts","sourceRoot":"","sources":["../../../../src/mcp-server/tools/definitions/get-study-results.tool.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAQ,CAAC,EAAE,MAAM,wBAAwB,CAAC;AA2SjD,eAAO,MAAM,eAAe;;;;;;;;;;;;;;;;;;;;;;;;;;;;;kBAgM1B,CAAC"}

package/dist/mcp-server/tools/definitions/get-study-results.tool.js

@@ -4,6 +4,7 @@
  */
 import { tool, z } from '@cyanheads/mcp-ts-core';
 import { getClinicalTrialsService } from '../../../services/clinical-trials/clinical-trials-service.js';
+import { nctIdSchema } from '../utils/_schemas.js';
 const VALID_SECTIONS = ['outcomes', 'adverseEvents', 'participantFlow', 'baseline'];
 /** Map section names to resultsSection module keys. */
 const SECTION_MAP = {
@@ -281,13 +282,7 @@ export const getStudyResults = tool('clinicaltrials_get_study_results', {
     },
     input: z.object({
         nctIds: z
-            .union([
-            z.string().regex(/^NCT\d{8}$/, 'NCT IDs must match format NCTxxxxxxxx (8 digits).'),
-            z
-                .array(z.string().regex(/^NCT\d{8}$/, 'NCT IDs must match format NCTxxxxxxxx (8 digits).'))
-                .min(1)
-                .max(20),
-        ])
+            .union([nctIdSchema, z.array(nctIdSchema).min(1).max(20)])
             .describe('One or more NCT IDs (max 20). E.g., "NCT12345678" or ["NCT12345678", "NCT87654321"]. Use summary=true for large batches to avoid large payloads.'),
         sections: z
             .union([z.enum(VALID_SECTIONS), z.array(z.enum(VALID_SECTIONS))])
@@ -345,7 +340,24 @@ export const getStudyResults = tool('clinicaltrials_get_study_results', {
         const results = [];
         const studiesWithoutResults = [];
         const fetchErrors = [];
-        const fetched = (await service.getStudiesBatch(nctIds, ctx));
+        let fetched;
+        try {
+            fetched = (await service.getStudiesBatch(nctIds, ctx));
+        }
+        catch (err) {
+            // Batch-wide failure (e.g., all IDs rejected by the API). Surface a
+            // structured result with per-ID fetchErrors instead of escaping, so
+            // callers get the same shape as the partial-failure path.
+            const message = err instanceof Error ? err.message : String(err);
+            ctx.log.warning('Batch fetch failed; returning fetchErrors', {
+                count: nctIds.length,
+                error: message,
+            });
+            return {
+                results: [],
+                fetchErrors: nctIds.map((nctId) => ({ nctId, error: message })),
+            };
+        }
         const studyMap = new Map(fetched
             .map((s) => [s.protocolSection?.identificationModule?.nctId, s])
             .filter((e) => e[0] != null));
@@ -387,9 +399,6 @@ export const getStudyResults = tool('clinicaltrials_get_study_results', {
             }
             results.push(entry);
         }
-        if (results.length === 0 && fetchErrors.length > 0) {
-            throw new Error(`All studies failed to fetch: ${fetchErrors.map((e) => `${e.nctId}: ${e.error}`).join('; ')}`);
-        }
         ctx.log.info('Results extracted', {
             resultCount: results.length,
             withoutResults: studiesWithoutResults.length,

package/dist/mcp-server/tools/definitions/get-study-results.tool.js.map

@@ -1 +1 @@
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package/dist/mcp-server/tools/definitions/get-study.tool.d.ts

@@ -1,6 +1,6 @@
 /**
- * @fileoverview Single study lookup by NCT ID. Mirrors the clinicaltrials://{nctId}
- * resource as a tool for clients that don't support MCP resources.
+ * @fileoverview Single study lookup by NCT ID. Returns the full study record including
+ * protocol details, eligibility criteria, outcomes, arms, interventions, contacts, and locations.
  * @module mcp-server/tools/definitions/get-study.tool
  */
 import { z } from '@cyanheads/mcp-ts-core';

package/dist/mcp-server/tools/definitions/get-study.tool.d.ts.map

@@ -1 +1 @@
-{"version":3,"file":"get-study.tool.d.ts","sourceRoot":"","sources":["../../../../src/mcp-server/tools/definitions/get-study.tool.ts"],"names":[],"mappings":"AAAA;;;;GAIG;AAEH,OAAO,EAAQ,CAAC,EAAE,MAAM,wBAAwB,CAAC;AAIjD,eAAO,MAAM,QAAQ;;;;kBAuKnB,CAAC"}
+{"version":3,"file":"get-study.tool.d.ts","sourceRoot":"","sources":["../../../../src/mcp-server/tools/definitions/get-study.tool.ts"],"names":[],"mappings":"AAAA;;;;GAIG;AAEH,OAAO,EAAQ,CAAC,EAAE,MAAM,wBAAwB,CAAC;AAKjD,eAAO,MAAM,QAAQ;;;;kBAiQnB,CAAC"}

package/dist/mcp-server/tools/definitions/get-study.tool.js

@@ -1,10 +1,11 @@
 /**
- * @fileoverview Single study lookup by NCT ID. Mirrors the clinicaltrials://{nctId}
- * resource as a tool for clients that don't support MCP resources.
+ * @fileoverview Single study lookup by NCT ID. Returns the full study record including
+ * protocol details, eligibility criteria, outcomes, arms, interventions, contacts, and locations.
  * @module mcp-server/tools/definitions/get-study.tool
  */
 import { tool, z } from '@cyanheads/mcp-ts-core';
 import { getClinicalTrialsService } from '../../../services/clinical-trials/clinical-trials-service.js';
+import { nctIdSchema } from '../utils/_schemas.js';
 export const getStudy = tool('clinicaltrials_get_study_record', {
     description: 'Fetch a single clinical study by NCT ID. Returns the full study record including protocol details, eligibility criteria, outcomes, arms, interventions, contacts, and locations.',
     annotations: {
@@ -13,10 +14,7 @@ export const getStudy = tool('clinicaltrials_get_study_record', {
         openWorldHint: true,
     },
     input: z.object({
-        nctId: z
-            .string()
-            .regex(/^NCT\d{8}$/)
-            .describe('NCT identifier (e.g., NCT03722472).'),
+        nctId: nctIdSchema.describe('NCT identifier (e.g., NCT03722472).'),
     }),
     output: z.object({
         study: z.record(z.string(), z.unknown()).describe('Full study record.'),
@@ -40,6 +38,9 @@ export const getStudy = tool('clinicaltrials_get_study_record', {
         const outcomes = ps.outcomesModule ?? {};
         const elig = ps.eligibilityModule ?? {};
         const contacts = ps.contactsLocationsModule ?? {};
+        const oversight = ps.oversightModule ?? {};
+        const ipd = ps.ipdSharingStatementModule ?? {};
+        const references = ps.referencesModule ?? {};
         const lines = [];
         // Header
         const nctId = id.nctId ?? 'Unknown';
@@ -47,6 +48,21 @@ export const getStudy = tool('clinicaltrials_get_study_record', {
         lines.push(`# ${nctId}: ${title}`);
         if (id.acronym)
             lines.push(`**Acronym:** ${id.acronym}`);
+        // Only surface officialTitle when briefTitle is the primary — otherwise
+        // the header already shows officialTitle and duplicating would be noise.
+        if (id.briefTitle && id.officialTitle && id.officialTitle !== id.briefTitle)
+            lines.push(`**Official Title:** ${id.officialTitle}`);
+        if (id.orgStudyIdInfo?.id)
+            lines.push(`**Org Study ID:** ${id.orgStudyIdInfo.id}`);
+        if (id.organization?.fullName)
+            lines.push(`**Organization:** ${id.organization.fullName}`);
+        if (id.secondaryIdInfos?.length) {
+            const parts = id.secondaryIdInfos
+                .map((s2) => (s2.type ? `${s2.type}: ${s2.id}` : s2.id))
+                .filter(Boolean);
+            if (parts.length)
+                lines.push(`**Secondary IDs:** ${parts.join(', ')}`);
+        }
         // Status / Design
         const statusParts = [
             status.overallStatus,
@@ -56,33 +72,81 @@ export const getStudy = tool('clinicaltrials_get_study_record', {
         ].filter((v) => v != null);
         if (statusParts.length)
             lines.push(`**Status:** ${statusParts.join(' | ')}`);
+        // Design details
+        const di = design.designInfo;
+        if (di) {
+            const designParts = [
+                di.allocation && `Allocation: ${di.allocation}`,
+                di.interventionModel && `Model: ${di.interventionModel}`,
+                di.primaryPurpose && `Purpose: ${di.primaryPurpose}`,
+                di.maskingInfo?.masking && `Masking: ${di.maskingInfo.masking}`,
+            ].filter(Boolean);
+            if (designParts.length)
+                lines.push(`**Design:** ${designParts.join(' | ')}`);
+        }
         // Dates
-        const startDate = status.startDateStruct?.date;
-        const primaryCompletion = status.primaryCompletionDateStruct?.date;
-        const completion = status.completionDateStruct?.date;
         const dateParts = [];
-        if (startDate)
-            dateParts.push(`Start: ${startDate}`);
-        if (primaryCompletion)
-            dateParts.push(`Primary Completion: ${primaryCompletion}`);
-        if (completion)
-            dateParts.push(`Completion: ${completion}`);
+        if (status.startDateStruct?.date)
+            dateParts.push(`Start: ${status.startDateStruct.date}`);
+        if (status.primaryCompletionDateStruct?.date)
+            dateParts.push(`Primary Completion: ${status.primaryCompletionDateStruct.date}`);
+        if (status.completionDateStruct?.date)
+            dateParts.push(`Completion: ${status.completionDateStruct.date}`);
         if (dateParts.length)
             lines.push(`**Dates:** ${dateParts.join(' | ')}`);
-        // Sponsor
+        // Submission / update dates
+        const submissionParts = [];
+        if (status.studyFirstSubmitDate)
+            submissionParts.push(`First Submit: ${status.studyFirstSubmitDate}`);
+        if (status.studyFirstPostDateStruct?.date)
+            submissionParts.push(`First Post: ${status.studyFirstPostDateStruct.date}`);
+        if (status.lastUpdateSubmitDate)
+            submissionParts.push(`Last Update Submit: ${status.lastUpdateSubmitDate}`);
+        if (status.lastUpdatePostDateStruct?.date)
+            submissionParts.push(`Last Update Post: ${status.lastUpdatePostDateStruct.date}`);
+        if (status.statusVerifiedDate)
+            submissionParts.push(`Verified: ${status.statusVerifiedDate}`);
+        if (submissionParts.length)
+            lines.push(`**Submission:** ${submissionParts.join(' | ')}`);
+        // Sponsor + collaborators
         if (sponsor.leadSponsor?.name) {
             const cls = sponsor.leadSponsor.class ? ` (${sponsor.leadSponsor.class})` : '';
             lines.push(`**Sponsor:** ${sponsor.leadSponsor.name}${cls}`);
         }
-        // Conditions
+        if (sponsor.collaborators?.length) {
+            const parts = sponsor.collaborators
+                .map((c) => (c.class ? `${c.name} (${c.class})` : c.name))
+                .filter(Boolean);
+            if (parts.length)
+                lines.push(`**Collaborators:** ${parts.join(', ')}`);
+        }
+        // Conditions + keywords
         if (cond.conditions?.length)
             lines.push(`**Conditions:** ${cond.conditions.join(', ')}`);
+        if (cond.keywords?.length)
+            lines.push(`**Keywords:** ${cond.keywords.join(', ')}`);
+        // Oversight
+        const oversightParts = [];
+        if (oversight.oversightHasDmc != null)
+            oversightParts.push(`DMC: ${oversight.oversightHasDmc ? 'Yes' : 'No'}`);
+        if (oversight.isFdaRegulatedDrug != null)
+            oversightParts.push(`FDA-Regulated Drug: ${oversight.isFdaRegulatedDrug ? 'Yes' : 'No'}`);
+        if (oversight.isFdaRegulatedDevice != null)
+            oversightParts.push(`FDA-Regulated Device: ${oversight.isFdaRegulatedDevice ? 'Yes' : 'No'}`);
+        if (oversightParts.length)
+            lines.push(`**Oversight:** ${oversightParts.join(' | ')}`);
         // Brief summary
         if (desc.briefSummary) {
             lines.push('');
             lines.push('## Summary');
             lines.push(desc.briefSummary.trim());
         }
+        // Detailed description
+        if (desc.detailedDescription) {
+            lines.push('');
+            lines.push('## Detailed Description');
+            lines.push(desc.detailedDescription.trim());
+        }
         // Eligibility
         lines.push('');
         lines.push('## Eligibility');
@@ -122,24 +186,24 @@ export const getStudy = tool('clinicaltrials_get_study_record', {
                 lines.push(`- **${arm.label}** (${arm.type ?? 'unknown'})${desc2}`);
             }
         }
-        // Primary outcomes
-        if (outcomes.primaryOutcomes?.length) {
-            lines.push('');
-            lines.push('## Primary Outcomes');
-            for (const o of outcomes.primaryOutcomes) {
-                lines.push(`- ${o.measure}${o.timeFrame ? ` [${o.timeFrame}]` : ''}`);
-            }
-        }
-        if (outcomes.secondaryOutcomes?.length) {
+        // Outcomes
+        const renderOutcomeList = (heading, list, limit) => {
             lines.push('');
-            lines.push('## Secondary Outcomes');
-            const shown = outcomes.secondaryOutcomes.slice(0, 5);
+            lines.push(`## ${heading}`);
+            const shown = limit != null ? list.slice(0, limit) : list;
             for (const o of shown) {
                 lines.push(`- ${o.measure}${o.timeFrame ? ` [${o.timeFrame}]` : ''}`);
             }
-            if (outcomes.secondaryOutcomes.length > 5)
-                lines.push(`... and ${outcomes.secondaryOutcomes.length - 5} more`);
-        }
+            if (limit != null && list.length > limit) {
+                lines.push(`... and ${list.length - limit} more`);
+            }
+        };
+        if (outcomes.primaryOutcomes?.length)
+            renderOutcomeList('Primary Outcomes', outcomes.primaryOutcomes);
+        if (outcomes.secondaryOutcomes?.length)
+            renderOutcomeList('Secondary Outcomes', outcomes.secondaryOutcomes, 5);
+        if (outcomes.otherOutcomes?.length)
+            renderOutcomeList('Other Outcomes', outcomes.otherOutcomes, 5);
         // Central contacts
         if (contacts.centralContacts?.length) {
             lines.push('');
@@ -164,6 +228,34 @@ export const getStudy = tool('clinicaltrials_get_study_record', {
             if (locs.length > 10)
                 lines.push(`... and ${locs.length - 10} more`);
         }
+        // IPD sharing
+        if (ipd.ipdSharing || ipd.description || ipd.timeFrame) {
+            lines.push('');
+            lines.push('## IPD Sharing');
+            if (ipd.ipdSharing)
+                lines.push(`**Plan:** ${ipd.ipdSharing}`);
+            if (ipd.timeFrame)
+                lines.push(`**Time Frame:** ${ipd.timeFrame}`);
+            if (ipd.description)
+                lines.push(ipd.description.trim());
+        }
+        // References
+        if (references.references?.length || references.seeAlsoLinks?.length) {
+            lines.push('');
+            lines.push('## References');
+            const refs = references.references ?? [];
+            const shown = refs.slice(0, 10);
+            for (const r of shown) {
+                const pmid = r.pmid ? ` (PMID: ${r.pmid})` : '';
+                const type = r.type ? ` [${r.type}]` : '';
+                lines.push(`- ${r.citation ?? 'Citation unavailable'}${pmid}${type}`);
+            }
+            if (refs.length > 10)
+                lines.push(`... and ${refs.length - 10} more`);
+            for (const link of references.seeAlsoLinks ?? []) {
+                lines.push(`- See also: ${link.label ?? link.url}${link.url ? ` — ${link.url}` : ''}`);
+            }
+        }
         return [{ type: 'text', text: lines.join('\n') }];
     },
 });

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package/dist/mcp-server/tools/definitions/search-studies.tool.d.ts.map

@@ -1 +1 @@
-{"version":3,"file":"search-studies.tool.d.ts","sourceRoot":"","sources":["../../../../src/mcp-server/tools/definitions/search-studies.tool.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAQ,CAAC,EAAE,MAAM,wBAAwB,CAAC;AAoBjD,eAAO,MAAM,aAAa;;;;;;;;;;;;;;;;;;;;;;;;kBA+NxB,CAAC"}
+{"version":3,"file":"search-studies.tool.d.ts","sourceRoot":"","sources":["../../../../src/mcp-server/tools/definitions/search-studies.tool.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAQ,CAAC,EAAE,MAAM,wBAAwB,CAAC;AAqBjD,eAAO,MAAM,aAAa;;;;;;;;;;;;;;;;;;;;;;;;kBA0NxB,CAAC"}

package/dist/mcp-server/tools/definitions/search-studies.tool.js

@@ -5,6 +5,7 @@
 import { tool, z } from '@cyanheads/mcp-ts-core';
 import { getServerConfig } from '../../../config/server-config.js';
 import { getClinicalTrialsService } from '../../../services/clinical-trials/clinical-trials-service.js';
+import { nctIdSchema } from '../utils/_schemas.js';
 import { formatRemainingStudyFields } from '../utils/format-helpers.js';
 import { buildAdvancedFilter, toArray } from '../utils/query-helpers.js';
 const { maxPageSize } = getServerConfig();
@@ -59,16 +60,13 @@ export const searchStudies = tool('clinicaltrials_search_studies', {
             .optional()
             .describe(`Geographic proximity filter. Format: distance(lat,lon,radius). E.g., "distance(47.6062,-122.3321,50mi)" for studies within 50 miles of Seattle.`),
         nctIds: z
-            .union([
-            z.string().regex(/^NCT\d{8}$/, 'NCT IDs must match format NCTxxxxxxxx (8 digits).'),
-            z.array(z.string().regex(/^NCT\d{8}$/, 'NCT IDs must match format NCTxxxxxxxx (8 digits).')),
-        ])
+            .union([nctIdSchema, z.array(nctIdSchema)])
             .optional()
             .describe('Filter to specific NCT IDs for batch lookups.'),
         fields: z
             .array(z.string())
             .optional()
-            .describe(`Fields to return (PascalCase piece names). Strongly recommended to reduce payload. Common: NCTId, BriefTitle, OverallStatus, Phase, LeadSponsorName, Condition, InterventionName, BriefSummary, EnrollmentCount, StartDate.`),
+            .describe(`Fields to return — PascalCase piece names (leaves in the field tree), not module names. E.g., use 'DesignPrimaryPurpose' not 'StudyDesign'. Strongly recommended to reduce payload. Common: NCTId, BriefTitle, OverallStatus, Phase, LeadSponsorName, Condition, InterventionName, BriefSummary, EnrollmentCount, StartDate. Call clinicaltrials_get_field_definitions to browse valid fields.`),
         sort: z
             .string()
             .optional()

package/dist/mcp-server/tools/definitions/search-studies.tool.js.map

@@ -1 +1 @@
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package/dist/mcp-server/tools/utils/_schemas.d.ts

@@ -0,0 +1,8 @@
+/**
+ * @fileoverview Shared Zod schemas used across tool inputs and resource params.
+ * @module mcp-server/tools/utils/_schemas
+ */
+import { z } from '@cyanheads/mcp-ts-core';
+/** Canonical NCT identifier schema, e.g. NCT03722472. */
+export declare const nctIdSchema: z.ZodString;
+//# sourceMappingURL=_schemas.d.ts.map

package/dist/mcp-server/tools/utils/_schemas.d.ts.map

@@ -0,0 +1 @@
+{"version":3,"file":"_schemas.d.ts","sourceRoot":"","sources":["../../../../src/mcp-server/tools/utils/_schemas.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAE,CAAC,EAAE,MAAM,wBAAwB,CAAC;AAI3C,yDAAyD;AACzD,eAAO,MAAM,WAAW,aAAiD,CAAC"}

package/dist/mcp-server/tools/utils/_schemas.js

@@ -0,0 +1,9 @@
+/**
+ * @fileoverview Shared Zod schemas used across tool inputs and resource params.
+ * @module mcp-server/tools/utils/_schemas
+ */
+import { z } from '@cyanheads/mcp-ts-core';
+const NCT_ID_MESSAGE = 'NCT IDs must match format NCTxxxxxxxx (8 digits).';
+/** Canonical NCT identifier schema, e.g. NCT03722472. */
+export const nctIdSchema = z.string().regex(/^NCT\d{8}$/, NCT_ID_MESSAGE);
+//# sourceMappingURL=_schemas.js.map

package/dist/mcp-server/tools/utils/_schemas.js.map

@@ -0,0 +1 @@
+{"version":3,"file":"_schemas.js","sourceRoot":"","sources":["../../../../src/mcp-server/tools/utils/_schemas.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAE,CAAC,EAAE,MAAM,wBAAwB,CAAC;AAE3C,MAAM,cAAc,GAAG,mDAAmD,CAAC;AAE3E,yDAAyD;AACzD,MAAM,CAAC,MAAM,WAAW,GAAG,CAAC,CAAC,MAAM,EAAE,CAAC,KAAK,CAAC,YAAY,EAAE,cAAc,CAAC,CAAC"}

package/dist/mcp-server/tools/utils/format-helpers.d.ts.map

@@ -1 +1 @@
-{"version":3,"file":"format-helpers.d.ts","sourceRoot":"","sources":["../../../../src/mcp-server/tools/utils/format-helpers.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAqEH;;;;;;GAMG;AACH,wBAAgB,0BAA0B,CACxC,KAAK,EAAE,MAAM,CAAC,MAAM,EAAE,OAAO,CAAC,EAC9B,gBAAgB,EAAE,WAAW,CAAC,MAAM,CAAC,EACrC,EAAE,QAAY,EAAE,WAAiB,EAAE;;;CAAK,GACvC,MAAM,EAAE,CAuBV"}
+{"version":3,"file":"format-helpers.d.ts","sourceRoot":"","sources":["../../../../src/mcp-server/tools/utils/format-helpers.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAmEH;;;;;;GAMG;AACH,wBAAgB,0BAA0B,CACxC,KAAK,EAAE,MAAM,CAAC,MAAM,EAAE,OAAO,CAAC,EAC9B,gBAAgB,EAAE,WAAW,CAAC,MAAM,CAAC,EACrC,EAAE,QAAY,EAAE,WAAiB,EAAE;;;CAAK,GACvC,MAAM,EAAE,CAuBV"}

package/dist/mcp-server/tools/utils/format-helpers.js

@@ -37,13 +37,11 @@ function collectLeaves(obj, segments, out) {
             out.push({ segments, value: obj.join(', ') });
             return;
         }
-        const limit = Math.min(obj.length, 3);
-        for (let i = 0; i < limit; i++) {
+        // No per-array cap — the outer `maxLines` budget in formatRemainingStudyFields
+        // already bounds total output. Capping here silently hid data from callers.
+        for (let i = 0; i < obj.length; i++) {
             collectLeaves(obj[i], [...segments, `[${i}]`], out);
         }
-        if (obj.length > limit) {
-            out.push({ segments: [...segments, '[…]'], value: `+${obj.length - limit} more` });
-        }
         return;
     }
     if (typeof obj === 'object') {

package/dist/mcp-server/tools/utils/format-helpers.js.map

@@ -1 +1 @@
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package/dist/services/clinical-trials/clinical-trials-service.d.ts

@@ -5,12 +5,21 @@
 import type { Context } from '@cyanheads/mcp-ts-core';
 import { type ServerConfig } from '../../config/server-config.js';
 import type { FieldNode, FieldValueStats, PagedStudiesResponse, SearchParams, Study } from './types.js';
+/** Constructor options for overriding retry/backoff behavior (primarily for tests). */
+export interface ClinicalTrialsServiceOptions {
+    baseBackoffMs?: number;
+    maxBackoffMs?: number;
+    maxRetries?: number;
+}
 export declare class ClinicalTrialsService {
     private readonly baseUrl;
     private readonly timeoutMs;
     private readonly maxPageSize;
+    private readonly maxRetries;
+    private readonly baseBackoffMs;
+    private readonly maxBackoffMs;
     private lastRequestAt;
-    constructor(config: ServerConfig);
+    constructor(config: ServerConfig, options?: ClinicalTrialsServiceOptions);
     /** Search studies with query, filters, pagination, and field selection. */
     searchStudies(params: SearchParams, ctx: Context): Promise<PagedStudiesResponse>;
     /** Fetch a single study by NCT ID. */

package/dist/services/clinical-trials/clinical-trials-service.d.ts.map

@@ -1 +1 @@
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+{"version":3,"file":"clinical-trials-service.d.ts","sourceRoot":"","sources":["../../../src/services/clinical-trials/clinical-trials-service.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,KAAK,EAAE,OAAO,EAAE,MAAM,wBAAwB,CAAC;AAQtD,OAAO,EAAmB,KAAK,YAAY,EAAE,MAAM,2BAA2B,CAAC;AAC/E,OAAO,KAAK,EACV,SAAS,EACT,eAAe,EACf,oBAAoB,EACpB,YAAY,EACZ,KAAK,EACN,MAAM,YAAY,CAAC;AAQpB,uFAAuF;AACvF,MAAM,WAAW,4BAA4B;IAC3C,aAAa,CAAC,EAAE,MAAM,CAAC;IACvB,YAAY,CAAC,EAAE,MAAM,CAAC;IACtB,UAAU,CAAC,EAAE,MAAM,CAAC;CACrB;AAED,qBAAa,qBAAqB;IAChC,OAAO,CAAC,QAAQ,CAAC,OAAO,CAAS;IACjC,OAAO,CAAC,QAAQ,CAAC,SAAS,CAAS;IACnC,OAAO,CAAC,QAAQ,CAAC,WAAW,CAAS;IACrC,OAAO,CAAC,QAAQ,CAAC,UAAU,CAAS;IACpC,OAAO,CAAC,QAAQ,CAAC,aAAa,CAAS;IACvC,OAAO,CAAC,QAAQ,CAAC,YAAY,CAAS;IACtC,OAAO,CAAC,aAAa,CAAK;gBAEd,MAAM,EAAE,YAAY,EAAE,OAAO,GAAE,4BAAiC;IAS5E,2EAA2E;IAC3E,aAAa,CAAC,MAAM,EAAE,YAAY,EAAE,GAAG,EAAE,OAAO,GAAG,OAAO,CAAC,oBAAoB,CAAC;IAMhF,sCAAsC;IACtC,QAAQ,CAAC,KAAK,EAAE,MAAM,EAAE,GAAG,EAAE,OAAO,GAAG,OAAO,CAAC,KAAK,CAAC;IAKrD,8GAA8G;IACxG,eAAe,CAAC,MAAM,EAAE,MAAM,EAAE,EAAE,GAAG,EAAE,OAAO,GAAG,OAAO,CAAC,KAAK,EAAE,CAAC;IAavE,iEAAiE;IACjE,WAAW,CAAC,kBAAkB,EAAE,OAAO,EAAE,GAAG,EAAE,OAAO,GAAG,OAAO,CAAC,SAAS,EAAE,CAAC;IAO5E,2DAA2D;IACrD,cAAc,CAAC,MAAM,EAAE,MAAM,EAAE,EAAE,GAAG,EAAE,OAAO,GAAG,OAAO,CAAC,eAAe,EAAE,CAAC;IAuBhF,OAAO,CAAC,gBAAgB;YAuBV,QAAQ;YAMR,SAAS;CA+HxB;AAQD,0EAA0E;AAC1E,wBAAgB,yBAAyB,IAAI,IAAI,CAEhD;AAED,2DAA2D;AAC3D,wBAAgB,wBAAwB,IAAI,qBAAqB,CAMhE"}

package/dist/services/clinical-trials/clinical-trials-service.js

@@ -4,18 +4,26 @@
  */
 import { JsonRpcErrorCode, McpError, notFound, serviceUnavailable, validationError, } from '@cyanheads/mcp-ts-core/errors';
 import { getServerConfig } from '../../config/server-config.js';
-const MAX_RETRIES = 3;
+const DEFAULT_MAX_RETRIES = 6;
+const DEFAULT_BASE_BACKOFF_MS = 1000;
+const DEFAULT_MAX_BACKOFF_MS = 30_000;
 const RETRYABLE_STATUS = new Set([429, 500, 502, 503, 504]);
 const MIN_INTERVAL_MS = 1000;
 export class ClinicalTrialsService {
     baseUrl;
     timeoutMs;
     maxPageSize;
+    maxRetries;
+    baseBackoffMs;
+    maxBackoffMs;
     lastRequestAt = 0;
-    constructor(config) {
+    constructor(config, options = {}) {
         this.baseUrl = config.apiBaseUrl;
         this.timeoutMs = config.requestTimeoutMs;
         this.maxPageSize = config.maxPageSize;
+        this.maxRetries = options.maxRetries ?? DEFAULT_MAX_RETRIES;
+        this.baseBackoffMs = options.baseBackoffMs ?? DEFAULT_BASE_BACKOFF_MS;
+        this.maxBackoffMs = options.maxBackoffMs ?? DEFAULT_MAX_BACKOFF_MS;
     }
     /** Search studies with query, filters, pagination, and field selection. */
     searchStudies(params, ctx) {
@@ -54,7 +62,7 @@ export class ClinicalTrialsService {
         }
         catch (err) {
             if (err instanceof McpError && err.code === JsonRpcErrorCode.NotFound) {
-                throw validationError(`Invalid field name(s): ${fields.join(', ')}. Use PascalCase piece names like OverallStatus, Phase, StudyType, InterventionType, LeadSponsorClass, Sex, StdAge.`);
+                throw validationError(`Invalid field name(s): ${fields.join(', ')}. Use PascalCase piece names like OverallStatus, Phase, StudyType, InterventionType, LeadSponsorClass, Sex, StdAge. Call clinicaltrials_get_field_definitions to browse the full field tree.`);
             }
             throw err;
         }
@@ -113,12 +121,19 @@ export class ClinicalTrialsService {
                 url.searchParams.set(k, v);
         }
         let lastError;
-        for (let attempt = 0; attempt <= MAX_RETRIES; attempt++) {
+        let lastStatus;
+        for (let attempt = 0; attempt <= this.maxRetries; attempt++) {
             if (ctx.signal.aborted)
                 throw new Error('Request cancelled');
             if (attempt > 0) {
-                const delay = Math.min(1000 * 2 ** (attempt - 1), 8000) + Math.random() * 500;
-                ctx.log.debug('Retrying', { attempt, delay: Math.round(delay), path });
+                const base = Math.min(this.baseBackoffMs * 2 ** (attempt - 1), this.maxBackoffMs);
+                const delay = base * (0.75 + 0.5 * Math.random());
+                ctx.log.debug('Retrying', {
+                    attempt,
+                    delay: Math.round(delay),
+                    path,
+                    lastStatus,
+                });
                 await new Promise((r) => setTimeout(r, delay));
             }
             await this.throttle();
@@ -147,6 +162,13 @@ export class ClinicalTrialsService {
                 }
                 if (res.status === 400) {
                     const text = await res.text();
+                    if (text.includes('contains invalid field name')) {
+                        const match = text.match(/invalid field name: ['"]([^'"]+)['"]/);
+                        const offender = match
+                            ? ` '${match[1]}' is likely a module name — use one of its piece names instead (e.g., DesignPrimaryPurpose, DesignInterventionModel, LeadSponsorName).`
+                            : ' Use PascalCase piece names (e.g., DesignPrimaryPurpose, DesignInterventionModel, LeadSponsorName), not module names.';
+                        throw validationError(`${text.trim()}${offender} Call clinicaltrials_get_field_definitions to browse valid piece names.`);
+                    }
                     if (text.includes('incorrect format')) {
                         if (path.startsWith('/studies/')) {
                             const id = path.split('/').pop() ?? path;
@@ -166,6 +188,7 @@ export class ClinicalTrialsService {
                 }
                 if (RETRYABLE_STATUS.has(res.status)) {
                     lastError = new Error(`HTTP ${res.status}`);
+                    lastStatus = res.status;
                     continue;
                 }
                 throw new Error(`HTTP ${res.status}: ${res.statusText}`);
@@ -185,9 +208,13 @@ export class ClinicalTrialsService {
                 throw err;
             }
         }
+        if (lastStatus === 429) {
+            throw new McpError(JsonRpcErrorCode.RateLimited, `Rate limited by ClinicalTrials.gov after ${this.maxRetries} retries`, { path, lastError: String(lastError) });
+        }
         throw serviceUnavailable('ClinicalTrials.gov API unavailable after retries', {
             path,
             lastError: String(lastError),
+            ...(lastStatus != null ? { lastStatus } : {}),
         });
     }
 }

package/dist/services/clinical-trials/clinical-trials-service.js.map

@@ -1 +1 @@
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package/dist/services/clinical-trials/types.d.ts

@@ -33,6 +33,23 @@ export interface StudyLocation {
 }
 /** Typed subset of the raw study response for accessing common nested fields. */
 export interface RawStudyShape {
+    derivedSection?: {
+        conditionBrowseModule?: {
+            meshes?: Array<{
+                id?: string;
+                term?: string;
+            }>;
+        };
+        interventionBrowseModule?: {
+            meshes?: Array<{
+                id?: string;
+                term?: string;
+            }>;
+        };
+        miscInfoModule?: {
+            versionHolder?: string;
+        };
+    };
     hasResults?: boolean;
     protocolSection?: {
         armsInterventionsModule?: {
@@ -62,10 +79,20 @@ export interface RawStudyShape {
         };
         descriptionModule?: {
             briefSummary?: string;
+            detailedDescription?: string;
         };
         designModule?: {
+            designInfo?: {
+                allocation?: string;
+                interventionModel?: string;
+                maskingInfo?: {
+                    masking?: string;
+                };
+                primaryPurpose?: string;
+            };
             enrollmentInfo?: {
                 count?: number;
+                type?: string;
             };
             phases?: string[];
             studyType?: string;
@@ -83,17 +110,55 @@ export interface RawStudyShape {
             briefTitle?: string;
             nctId?: string;
             officialTitle?: string;
+            orgStudyIdInfo?: {
+                id?: string;
+            };
+            organization?: {
+                fullName?: string;
+            };
+            secondaryIdInfos?: Array<{
+                id?: string;
+                type?: string;
+            }>;
+        };
+        ipdSharingStatementModule?: {
+            description?: string;
+            ipdSharing?: string;
+            timeFrame?: string;
         };
         outcomesModule?: {
+            otherOutcomes?: Array<{
+                description?: string;
+                measure?: string;
+                timeFrame?: string;
+            }>;
             primaryOutcomes?: Array<{
+                description?: string;
                 measure?: string;
                 timeFrame?: string;
             }>;
             secondaryOutcomes?: Array<{
+                description?: string;
                 measure?: string;
                 timeFrame?: string;
             }>;
         };
+        oversightModule?: {
+            isFdaRegulatedDevice?: boolean;
+            isFdaRegulatedDrug?: boolean;
+            oversightHasDmc?: boolean;
+        };
+        referencesModule?: {
+            references?: Array<{
+                citation?: string;
+                pmid?: string;
+                type?: string;
+            }>;
+            seeAlsoLinks?: Array<{
+                label?: string;
+                url?: string;
+            }>;
+        };
         sponsorCollaboratorsModule?: {
             collaborators?: Array<{
                 class?: string;
@@ -107,14 +172,28 @@ export interface RawStudyShape {
         statusModule?: {
             completionDateStruct?: {
                 date?: string;
+                type?: string;
+            };
+            lastUpdatePostDateStruct?: {
+                date?: string;
+                type?: string;
             };
+            lastUpdateSubmitDate?: string;
             overallStatus?: string;
             primaryCompletionDateStruct?: {
                 date?: string;
+                type?: string;
             };
             startDateStruct?: {
                 date?: string;
+                type?: string;
             };
+            statusVerifiedDate?: string;
+            studyFirstPostDateStruct?: {
+                date?: string;
+                type?: string;
+            };
+            studyFirstSubmitDate?: string;
         };
     };
     resultsSection?: Record<string, Record<string, unknown>>;
@@ -125,17 +204,24 @@ export interface PagedStudiesResponse {
     studies: Study[];
     totalCount?: number;
 }
-/** Field value statistics from GET /stats/field/values. */
+/**
+ * Field value statistics from GET /stats/field/values.
+ *
+ * `topValues` and `uniqueValuesCount` are omitted for BOOLEAN fields, which
+ * return `trueCount`/`falseCount` instead.
+ */
 export interface FieldValueStats {
+    falseCount?: number;
     field: string;
     missingStudiesCount: number;
     piece: string;
-    topValues: Array<{
+    topValues?: Array<{
         value: string;
         studiesCount: number;
     }>;
+    trueCount?: number;
     type: string;
-    uniqueValuesCount: number;
+    uniqueValuesCount?: number;
 }
 /** Field node from GET /studies/metadata. */
 export interface FieldNode {

package/dist/services/clinical-trials/types.d.ts.map

@@ -1 +1 @@
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package/package.json

@@ -1,6 +1,6 @@
 {
   "name": "clinicaltrialsgov-mcp-server",
-  "version": "2.1.1",
+  "version": "2.3.0",
   "mcpName": "io.github.cyanheads/clinicaltrialsgov-mcp-server",
   "description": "MCP server for the ClinicalTrials.gov v2 API. Search trials, retrieve study details and results, and match patients to eligible trials.",
   "main": "dist/index.js",
@@ -100,13 +100,13 @@
     "node": ">=22.0.0"
   },
   "dependencies": {
-    "@cyanheads/mcp-ts-core": "^0.3.5",
+    "@cyanheads/mcp-ts-core": "^0.5.0",
     "pino": "^10.3.1",
     "pino-pretty": "^13.1.3"
   },
   "devDependencies": {
-    "@biomejs/biome": "^2.4.11",
-    "@cloudflare/workers-types": "^4.20260413.1",
+    "@biomejs/biome": "^2.4.12",
+    "@cloudflare/workers-types": "^4.20260420.1",
     "@types/bun": "^1.3.12",
     "@types/diff": "^8.0.0",
     "@types/js-yaml": "^4.0.9",
@@ -114,17 +114,17 @@
     "@types/node-cron": "^3.0.11",
     "@types/papaparse": "^5.5.2",
     "@types/sanitize-html": "^2.16.1",
-    "@types/validator": "13.15.10",
+    "@types/validator": "^13.15.10",
     "@vitest/coverage-istanbul": "^4.1.4",
     "depcheck": "^1.4.7",
-    "diff": "^8.0.4",
+    "diff": "^9.0.0",
     "husky": "^9.1.7",
     "ignore": "^7.0.5",
     "repomix": "^1.13.1",
     "tsc-alias": "^1.8.16",
     "typedoc": "^0.28.19",
-    "typescript": "^6.0.2",
-    "vite": "8.0.8",
+    "typescript": "^6.0.3",
+    "vite": "^8.0.9",
     "vitest": "^4.1.4"
   },
   "publishConfig": {