npm - clinicaltrialsgov-mcp-server - Versions diffs - 2.4.4 → 2.4.6 - Mend

clinicaltrialsgov-mcp-server 2.4.4 → 2.4.6

This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.

Files changed (26) hide show

package/README.md CHANGED Viewed

@@ -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-2.4.4-blue.svg?style=flat-square)](./CHANGELOG.md)
+[![Version](https://img.shields.io/badge/Version-2.4.6-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)
@@ -44,7 +44,7 @@ Seven tools for searching, discovering, analyzing, and matching clinical trials:
 | Resource                   | Description                                         |
 | :------------------------- | :-------------------------------------------------- |
-| `clinicaltrials://{nctId}` | Fetch a single clinical study by NCT ID. Full JSON. |
+| `clinicaltrials://{nctId}` | Fetch a single clinical trial study by NCT ID. Full JSON. |
 | Prompt                    | Description                                                                        |
 | :------------------------ | :--------------------------------------------------------------------------------- |

package/dist/mcp-server/tools/definitions/find-eligible.tool.d.ts CHANGED Viewed

@@ -29,6 +29,11 @@ export declare const findEligible: import("@cyanheads/mcp-ts-core").ToolDefiniti
         age: z.ZodNumber;
         sex: z.ZodString;
     }, z.core.$strip>;
+    funnel: z.ZodObject<{
+        conditionMatched: z.ZodNumber;
+        locationMatched: z.ZodNumber;
+        demographicsMatched: z.ZodNumber;
+    }, z.core.$strip>;
     noMatchHints: z.ZodOptional<z.ZodArray<z.ZodString>>;
 }, z.core.$strip>, readonly [{
     readonly reason: "rate_limited";

package/dist/mcp-server/tools/definitions/find-eligible.tool.d.ts.map CHANGED Viewed

	@@ -1 +1 @@
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1	+ {"version":3,"file":"find-eligible.tool.d.ts","sourceRoot":"","sources":["../../../../src/mcp-server/tools/definitions/find-eligible.tool.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAQ,CAAC,EAAE,MAAM,wBAAwB,CAAC;AACjD,OAAO,EAAE,gBAAgB,EAAE,MAAM,+BAA+B,CAAC;AAkEjE,eAAO,MAAM,YAAY;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;GAoUvB,CAAC"}

package/dist/mcp-server/tools/definitions/find-eligible.tool.js CHANGED Viewed

@@ -7,6 +7,24 @@ import { JsonRpcErrorCode } from '@cyanheads/mcp-ts-core/errors';
 import { getClinicalTrialsService } from '../../../services/clinical-trials/clinical-trials-service.js';
 import { formatRemainingStudyFields } from '../utils/format-helpers.js';
 import { RECOVERY_HINTS } from '../utils/recovery-hints.js';
+/**
+ * Score a study location against the user's stated location. Higher = better
+ * match. City equality dominates, then state, then country; recruiting status
+ * breaks ties between geographically-equivalent sites.
+ */
+function locationMatchScore(loc, user) {
+    const eq = (a, b) => a !== undefined && b !== undefined && a.toLowerCase() === b.toLowerCase();
+    let score = 0;
+    if (eq(loc.city, user.city))
+        score += 4;
+    if (eq(loc.state, user.state))
+        score += 2;
+    if (eq(loc.country, user.country))
+        score += 1;
+    if (loc.status === 'RECRUITING')
+        score += 0.5;
+    return score;
+}
 /** Dot-notation prefixes already rendered by the eligible formatter. */
 const ELIGIBLE_RENDERED = new Set([
     'protocolSection.identificationModule',
@@ -95,6 +113,19 @@ export const findEligible = tool('clinicaltrials_find_eligible', {
             sex: z.string().describe('Patient sex.'),
         })
             .describe('Search criteria used.'),
+        funnel: z
+            .object({
+            conditionMatched: z
+                .number()
+                .describe('Studies matching the condition query alone (broadest stage).'),
+            locationMatched: z
+                .number()
+                .describe('Studies matching condition + location — diagnoses geographic narrowing.'),
+            demographicsMatched: z
+                .number()
+                .describe('Studies matching the full filter set (condition + location + age/sex + status). Equal to totalCount.'),
+        })
+            .describe('Match counts at each filter stage. Diagnoses where the funnel collapsed on sparse results — e.g., conditionMatched=298 but demographicsMatched=2 means age/sex/status are the constraint.'),
         noMatchHints: z
             .array(z.string())
             .optional()
@@ -128,19 +159,53 @@ export const findEligible = tool('clinicaltrials_find_eligible', {
             age: input.age,
             sex: input.sex,
         });
-        const result = await service.searchStudies({
-            queryCond: conditionQuery,
-            queryLocn: locationQuery,
-            filterOverallStatus: statusFilter,
-            filterAdvanced: advancedParts.join(' AND '),
-            fields: ELIGIBLE_FIELDS,
-            pageSize: input.maxResults,
-            countTotal: true,
-        }, ctx);
+        // Run the main search and the two funnel-stage counts together. The
+        // service throttles outbound requests at ~1 req/sec, so the calls
+        // serialize at the network layer regardless — Promise.all keeps the code
+        // straight rather than chaining awaits. The extra ~2s is the price of
+        // diagnosing sparse results without a follow-up call.
+        const [result, conditionStage, locationStage] = await Promise.all([
+            service.searchStudies({
+                queryCond: conditionQuery,
+                queryLocn: locationQuery,
+                filterOverallStatus: statusFilter,
+                filterAdvanced: advancedParts.join(' AND '),
+                fields: ELIGIBLE_FIELDS,
+                pageSize: input.maxResults,
+                countTotal: true,
+                // Eligibility matches are about who can enroll, not about enrollment
+                // count quality. Don't drop matches just because the sponsor didn't
+                // publish a count.
+                includeUnknownEnrollment: true,
+            }, ctx),
+            service.searchStudies({
+                queryCond: conditionQuery,
+                pageSize: 0,
+                countTotal: true,
+                includeUnknownEnrollment: true,
+            }, ctx),
+            service.searchStudies({
+                queryCond: conditionQuery,
+                queryLocn: locationQuery,
+                pageSize: 0,
+                countTotal: true,
+                includeUnknownEnrollment: true,
+            }, ctx),
+        ]);
         ctx.log.info('Eligibility search complete', {
             returned: result.studies.length,
             totalCount: result.totalCount,
         });
+        // Sort each study's locations by match to the user's input so the most
+        // relevant sites surface first in both the structured payload and the
+        // truncated format() rendering. Stable sort preserves upstream order for
+        // sites with equal match scores.
+        for (const study of result.studies) {
+            const locs = study.protocolSection?.contactsLocationsModule?.locations;
+            if (locs && locs.length > 1) {
+                locs.sort((a, b) => locationMatchScore(b, input.location) - locationMatchScore(a, input.location));
+            }
+        }
         let noMatchHints;
         if (result.studies.length === 0) {
             noMatchHints = [
@@ -166,6 +231,11 @@ export const findEligible = tool('clinicaltrials_find_eligible', {
                 age: input.age,
                 sex: input.sex,
             },
+            funnel: {
+                conditionMatched: conditionStage.totalCount ?? 0,
+                locationMatched: locationStage.totalCount ?? 0,
+                demographicsMatched: result.totalCount ?? 0,
+            },
             ...(noMatchHints ? { noMatchHints } : {}),
         };
     },
@@ -182,6 +252,8 @@ export const findEligible = tool('clinicaltrials_find_eligible', {
                 : `Found ${count} eligible studies`);
         }
         lines.push(`Search: conditions=[${sc.conditions.join(', ')}] | location=${sc.location} | age=${sc.age} | sex=${sc.sex}`);
+        const f = result.funnel;
+        lines.push(`Funnel: ${f.conditionMatched} condition → ${f.locationMatched} + location → ${f.demographicsMatched} + demographics`);
         if (result.noMatchHints?.length) {
             for (const hint of result.noMatchHints)
                 lines.push(`- ${hint}`);
@@ -239,14 +311,14 @@ export const findEligible = tool('clinicaltrials_find_eligible', {
                     eligParts.push(`Healthy Volunteers: ${elig.healthyVolunteers ? 'Yes' : 'No'}`);
                 if (eligParts.length)
                     lines.push(`  Eligibility: ${eligParts.join(' | ')}`);
-                // Recruiting locations (up to 3)
+                // Locations are pre-sorted by match-score in the handler, so the top
+                // 3 are the most relevant sites — typically the user's city/state.
                 if (locs.length > 0) {
-                    const recruiting = locs.filter((l) => l.status === 'RECRUITING');
-                    const toShow = (recruiting.length > 0 ? recruiting : locs).slice(0, 3);
+                    const toShow = locs.slice(0, 3);
                     const locStr = toShow
                         .map((l) => [l.facility, l.city, l.state, l.country].filter(Boolean).join(', '))
                         .join(' | ');
-                    const remaining = (recruiting.length > 0 ? recruiting.length : locs.length) - toShow.length;
+                    const remaining = locs.length - toShow.length;
                     lines.push(`  Locations: ${locStr}${remaining > 0 ? ` (+${remaining} more)` : ''}`);
                 }
                 // Central contacts

package/dist/mcp-server/tools/definitions/find-eligible.tool.js.map CHANGED Viewed

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package/dist/mcp-server/tools/definitions/get-study-count.tool.d.ts CHANGED Viewed

@@ -12,6 +12,7 @@ export declare const getStudyCount: import("@cyanheads/mcp-ts-core").ToolDefinit
     statusFilter: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodArray<z.ZodString>]>>;
     phaseFilter: z.ZodOptional<z.ZodUnion<readonly [z.ZodString, z.ZodArray<z.ZodString>]>>;
     advancedFilter: z.ZodOptional<z.ZodString>;
+    includeUnknownEnrollment: z.ZodDefault<z.ZodBoolean>;
 }, z.core.$strip>, z.ZodObject<{
     totalCount: z.ZodNumber;
     searchCriteria: z.ZodOptional<z.ZodRecord<z.ZodString, z.ZodUnknown>>;

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

	@@ -1 +1 @@
1	- {"version":3,"file":"get-study-count.tool.d.ts","sourceRoot":"","sources":["../../../../src/mcp-server/tools/definitions/get-study-count.tool.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAQ,CAAC,EAAE,MAAM,wBAAwB,CAAC;AACjD,OAAO,EAAE,gBAAgB,EAAE,MAAM,+BAA+B,CAAC;AAKjE,eAAO,MAAM,aAAa~~;;;;;;;;;;;;;;;;;;;;;;;GAsHxB~~,CAAC"}
1	+ {"version":3,"file":"get-study-count.tool.d.ts","sourceRoot":"","sources":["../../../../src/mcp-server/tools/definitions/get-study-count.tool.ts"],"names":[],"mappings":"AAAA;;;GAGG;AAEH,OAAO,EAAQ,CAAC,EAAE,MAAM,wBAAwB,CAAC;AACjD,OAAO,EAAE,gBAAgB,EAAE,MAAM,+BAA+B,CAAC;AAKjE,eAAO,MAAM,aAAa;;;;;;;;;;;;;;;;;;;;;;;;GA6HxB,CAAC"}

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

@@ -8,7 +8,7 @@ import { getClinicalTrialsService } from '../../../services/clinical-trials/clin
 import { buildAdvancedFilter, toArray } from '../utils/query-helpers.js';
 import { RECOVERY_HINTS } from '../utils/recovery-hints.js';
 export const getStudyCount = tool('clinicaltrials_get_study_count', {
-    description: `Get total study count matching a query without fetching study data. Fast and lightweight. Use for quick statistics or to build breakdowns by calling multiple times with different filters (e.g., count by phase, count by status, count recruiting vs completed for a condition).`,
+    description: `Get total clinical trial study count from ClinicalTrials.gov matching a query, without fetching study data. Fast and lightweight. Use for quick statistics or to build breakdowns by calling multiple times with different filters (e.g., count by phase, count by status, count recruiting vs completed for a condition).`,
     annotations: {
         readOnlyHint: true,
         idempotentHint: true,
@@ -58,6 +58,10 @@ export const getStudyCount = tool('clinicaltrials_get_study_count', {
             .string()
             .optional()
             .describe('Advanced filter using AREA[] Essie syntax. E.g., "AREA[StudyType]INTERVENTIONAL", "AREA[EnrollmentCount]RANGE[100, 1000]". Combine with AND/OR/NOT and parentheses. Use clinicaltrials_get_field_definitions with a query to find AREA[]-compatible field names.'),
+        includeUnknownEnrollment: z
+            .boolean()
+            .default(false)
+            .describe('Include studies whose EnrollmentCount is the upstream "unknown" sentinel (99999999). Excluded by default — the sentinel pollutes RANGE[N, MAX] queries. Set true for data-quality audits.'),
     }),
     output: z.object({
         totalCount: z.number().describe('Total studies matching the query/filters.'),
@@ -81,6 +85,7 @@ export const getStudyCount = tool('clinicaltrials_get_study_count', {
             filterAdvanced: buildAdvancedFilter(toArray(input.phaseFilter), input.advancedFilter),
             countTotal: true,
             pageSize: 0,
+            includeUnknownEnrollment: input.includeUnknownEnrollment,
         }, ctx);
         const totalCount = result.totalCount ?? 0;
         ctx.log.info('Count completed', { totalCount });

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

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

@@ -276,7 +276,7 @@ function formatBaseline(bl, lines) {
         lines.push(`... and ${(measures ?? []).length - 15} more`);
 }
 export const getStudyResults = tool('clinicaltrials_get_study_results', {
-    description: `Fetch trial results data for completed studies — outcome measures with statistics, adverse events, participant flow, and baseline characteristics. Only available for studies where hasResults is true. Use clinicaltrials_search_studies first to find studies with results.`,
+    description: `Fetch clinical trial results data from ClinicalTrials.gov for completed studies — outcome measures with statistics, adverse events, participant flow, and baseline characteristics. Only available for studies where hasResults is true. Use clinicaltrials_search_studies first to find studies with results.`,
     annotations: {
         readOnlyHint: true,
         idempotentHint: true,

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

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

@@ -9,7 +9,7 @@ import { getClinicalTrialsService } from '../../../services/clinical-trials/clin
 import { nctIdSchema } from '../utils/_schemas.js';
 import { RECOVERY_HINTS } from '../utils/recovery-hints.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.',
+    description: 'Fetch a single clinical trial study by NCT ID from ClinicalTrials.gov. Returns the full study record including protocol details, eligibility criteria, outcomes, arms, interventions, contacts, and locations.',
     annotations: {
         readOnlyHint: true,
         idempotentHint: true,

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

	@@ -1 +1 @@
1	- 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package/dist/mcp-server/tools/definitions/search-studies.tool.d.ts CHANGED Viewed

@@ -22,11 +22,13 @@ export declare const searchStudies: import("@cyanheads/mcp-ts-core").ToolDefinit
     pageSize: z.ZodDefault<z.ZodNumber>;
     pageToken: z.ZodOptional<z.ZodString>;
     countTotal: z.ZodDefault<z.ZodBoolean>;
+    includeUnknownEnrollment: z.ZodDefault<z.ZodBoolean>;
 }, z.core.$strip>, z.ZodObject<{
     studies: z.ZodArray<z.ZodRecord<z.ZodString, z.ZodUnknown>>;
     totalCount: z.ZodOptional<z.ZodNumber>;
     nextPageToken: z.ZodOptional<z.ZodString>;
     searchCriteria: z.ZodOptional<z.ZodRecord<z.ZodString, z.ZodUnknown>>;
+    requestedFields: z.ZodOptional<z.ZodArray<z.ZodString>>;
     noMatchHints: z.ZodOptional<z.ZodArray<z.ZodString>>;
 }, z.core.$strip>, readonly [{
     readonly reason: "ids_not_found";

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

	@@ -1 +1 @@
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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;AACjD,OAAO,EAAE,gBAAgB,EAAE,MAAM,+BAA+B,CAAC;AAsBjE,eAAO,MAAM,aAAa;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;GAiSxB,CAAC"}

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

@@ -98,7 +98,7 @@ export const searchStudies = tool('clinicaltrials_search_studies', {
         fields: z
             .array(z.string())
             .optional()
-            .describe(`Specific field names to return — strongly recommended to reduce response size from ~70KB per study. Examples: NCTId, BriefTitle, OverallStatus, Condition, BriefSummary. Use clinicaltrials_get_field_definitions with a query (e.g., "enrollment", "sponsor") to find the exact field names for any concept.`),
+            .describe(`PascalCase leaf names to return; strongly recommended since full records are ~70KB. Common leaves: NCTId, BriefTitle, BriefSummary, OverallStatus, Phase, LeadSponsorName, Condition. Call clinicaltrials_get_field_definitions with a concept query (e.g., "adverse events", "eligibility") to find the exact leaf for any concept.`),
         sort: z
             .string()
             .optional()
@@ -115,6 +115,10 @@ export const searchStudies = tool('clinicaltrials_search_studies', {
             .boolean()
             .default(true)
             .describe('Include total study count in response. Only computed on the first page.'),
+        includeUnknownEnrollment: z
+            .boolean()
+            .default(false)
+            .describe('Include studies whose EnrollmentCount is the upstream "unknown" sentinel (99999999). Excluded by default — the sentinel pollutes RANGE[N, MAX] queries and EnrollmentCount:desc sorts. Set true for data-quality audits or when targeting unknown-enrollment studies specifically.'),
     }),
     output: z.object({
         studies: z
@@ -129,6 +133,10 @@ export const searchStudies = tool('clinicaltrials_search_studies', {
             .record(z.string(), z.unknown())
             .optional()
             .describe('Echo of query/filter criteria used. Present when results are empty.'),
+        requestedFields: z
+            .array(z.string())
+            .optional()
+            .describe('Echo of the explicit fields parameter. Present only when the caller passed fields — signals that all requested leaves should render in format() without the default truncation cap.'),
         noMatchHints: z
             .array(z.string())
             .optional()
@@ -153,6 +161,7 @@ export const searchStudies = tool('clinicaltrials_search_studies', {
             countTotal: input.countTotal,
             pageSize: input.pageSize,
             pageToken: input.pageToken,
+            includeUnknownEnrollment: input.includeUnknownEnrollment,
         }, ctx);
         ctx.log.info('Search completed', {
             count: result.studies.length,
@@ -207,9 +216,17 @@ export const searchStudies = tool('clinicaltrials_search_studies', {
                 hints.push('Remove statusFilter to include studies in all statuses (completed, terminated, etc.).');
             if (input.phaseFilter)
                 hints.push('Remove phaseFilter to include all trial phases.');
-            return { ...result, searchCriteria: criteria, noMatchHints: hints };
+            return {
+                ...result,
+                searchCriteria: criteria,
+                noMatchHints: hints,
+                ...(input.fields?.length ? { requestedFields: input.fields } : {}),
+            };
         }
-        return result;
+        return {
+            ...result,
+            ...(input.fields?.length ? { requestedFields: input.fields } : {}),
+        };
     },
     format: (result) => {
         const lines = [];
@@ -227,6 +244,9 @@ export const searchStudies = tool('clinicaltrials_search_studies', {
             const parts = Object.entries(result.searchCriteria).map(([k, v]) => `${k}=${v}`);
             lines.push(`Criteria: ${parts.join(', ')}`);
         }
+        if (result.requestedFields?.length) {
+            lines.push(`Requested fields: ${result.requestedFields.join(', ')}`);
+        }
         if (result.noMatchHints?.length) {
             for (const hint of result.noMatchHints)
                 lines.push(hint);
@@ -234,6 +254,12 @@ export const searchStudies = tool('clinicaltrials_search_studies', {
         else if (count === 0) {
             lines.push('Try broader search terms or fewer filters.');
         }
+        // Lift the per-study truncation cap when the caller asked for explicit
+        // fields — they've already opted into payload control, so silently dropping
+        // any of them is the wrong default.
+        const overflowOpts = result.requestedFields?.length
+            ? { maxLines: Number.POSITIVE_INFINITY }
+            : undefined;
         for (const study of result.studies) {
             const s = study;
             const nctId = s.protocolSection?.identificationModule?.nctId ?? 'Unknown';
@@ -255,7 +281,7 @@ export const searchStudies = tool('clinicaltrials_search_studies', {
             const statusStr = status ? ` [${status}]` : '';
             const metaStr = meta.length ? `\n  ${meta.join(' | ')}` : '';
             lines.push(`- **${nctId}**: ${title}${statusStr}${metaStr}`);
-            lines.push(...formatRemainingStudyFields(study, SEARCH_RENDERED));
+            lines.push(...formatRemainingStudyFields(study, SEARCH_RENDERED, overflowOpts));
         }
         if (result.nextPageToken) {
             lines.push('\n(More results available — pass pageToken to paginate)');

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

	@@ -1 +1 @@
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package/dist/mcp-server/tools/utils/format-helpers.d.ts.map CHANGED Viewed

	@@ -1 +1 @@
1	- {"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~~"}
1	+ {"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,CA6BV"}

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

@@ -72,20 +72,25 @@ export function formatRemainingStudyFields(study, renderedPrefixes, { maxLines =
     const remaining = leaves.filter((leaf) => !isRendered(leaf.segments, renderedPrefixes));
     if (remaining.length === 0)
         return [];
+    // Count only cap-dropped fields as "uncovered" — dedup-dropped leaves aren't
+    // truncation, just consolidation. Pre-fix logic counted both, lying about
+    // truncation whenever multiple array entries shared a label.
     const seen = new Set();
     const lines = [];
+    let dropped = 0;
     for (const leaf of remaining) {
-        if (lines.length >= maxLines)
-            break;
         const label = labelFromPath(leaf.segments);
         if (!label || seen.has(label))
             continue;
+        if (lines.length >= maxLines) {
+            dropped++;
+            continue;
+        }
         seen.add(label);
         lines.push(`  ${label}: ${truncate(leaf.value, maxValueLen)}`);
     }
-    const uncovered = remaining.length - lines.length;
-    if (uncovered > 0) {
-        lines.push(`  … and ${uncovered} more fields`);
+    if (dropped > 0) {
+        lines.push(`  … and ${dropped} more fields`);
     }
     return lines;
 }

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

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

	@@ -1 +1 @@
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package/dist/services/clinical-trials/clinical-trials-service.js CHANGED Viewed

@@ -6,11 +6,18 @@ import { JsonRpcErrorCode, McpError, notFound, rateLimited, serviceUnavailable,
 import { httpErrorFromResponse } from '@cyanheads/mcp-ts-core/utils';
 import { getServerConfig } from '../../config/server-config.js';
 import { flattenMetadata, nearestPieces, searchFields, } from './field-search.js';
-const DEFAULT_MAX_RETRIES = 6;
+const DEFAULT_MAX_RETRIES = 3;
 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;
+/**
+ * ClinicalTrials.gov uses 99999999 as a sentinel for "unknown enrollment
+ * count". The filter below excludes studies carrying the sentinel by
+ * default — `RANGE[5000, MAX]` and `EnrollmentCount:desc` otherwise surface
+ * sentinel-polluted results that look like the largest trials but aren't.
+ */
+const ENROLLMENT_SENTINEL_FILTER = 'AREA[EnrollmentCount]RANGE[0, 99999998]';
 export class ClinicalTrialsService {
     baseUrl;
     timeoutMs;
@@ -51,6 +58,8 @@ export class ClinicalTrialsService {
             filterIds: nctIds,
             fields: ['NCTId', 'BriefTitle', 'HasResults', 'ResultsSection'],
             pageSize: nctIds.length,
+            // ID-targeted lookups must never filter the caller's selection.
+            includeUnknownEnrollment: true,
         }, ctx);
         return response.studies;
     }
@@ -176,8 +185,17 @@ export class ClinicalTrialsService {
             q['filter.geo'] = params.filterGeo;
         if (params.filterIds?.length)
             q['filter.ids'] = params.filterIds.join('|');
+        const advancedParts = [];
         if (params.filterAdvanced)
-            q['filter.advanced'] = params.filterAdvanced;
+            advancedParts.push(params.filterAdvanced);
+        if (!params.includeUnknownEnrollment)
+            advancedParts.push(ENROLLMENT_SENTINEL_FILTER);
+        if (advancedParts.length > 0) {
+            q['filter.advanced'] =
+                advancedParts.length === 1
+                    ? advancedParts.join('')
+                    : advancedParts.map((p) => `(${p})`).join(' AND ');
+        }
         if (params.fields?.length)
             q.fields = params.fields.join('|');
         if (params.sort)

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package/dist/services/clinical-trials/types.d.ts CHANGED Viewed

@@ -10,6 +10,13 @@ export interface SearchParams {
     filterGeo?: string | undefined;
     filterIds?: string[] | undefined;
     filterOverallStatus?: string[] | undefined;
+    /**
+     * Include studies whose `EnrollmentCount` is the upstream "unknown" sentinel
+     * (`99999999`). Default behavior excludes them — the sentinel pollutes
+     * `RANGE[N, MAX]` queries and `EnrollmentCount:desc` sorts. Set true to opt
+     * out of the filter (e.g. when matching by eligibility, not enrollment).
+     */
+    includeUnknownEnrollment?: boolean | undefined;
     pageSize?: number | undefined;
     pageToken?: string | undefined;
     queryCond?: string | undefined;

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

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

@@ -1,6 +1,6 @@
 {
   "name": "clinicaltrialsgov-mcp-server",
-  "version": "2.4.4",
+  "version": "2.4.6",
   "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",
@@ -99,13 +99,13 @@
     "node": ">=22.0.0"
   },
   "dependencies": {
-    "@cyanheads/mcp-ts-core": "^0.8.13",
+    "@cyanheads/mcp-ts-core": "^0.8.14",
     "pino": "^10.3.1",
     "pino-pretty": "^13.1.3"
   },
   "devDependencies": {
     "@biomejs/biome": "^2.4.14",
-    "@cloudflare/workers-types": "^4.20260503.1",
+    "@cloudflare/workers-types": "^4.20260505.1",
     "@types/bun": "^1.3.13",
     "@types/diff": "^8.0.0",
     "@types/js-yaml": "^4.0.9",