npm - clinicaltrialsgov-mcp-server - Versions diffs - 2.7.4 → 2.8.1 - Mend

clinicaltrialsgov-mcp-server 2.7.4 → 2.8.1

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Files changed (13) hide show

package/LICENSE CHANGED Viewed

@@ -175,7 +175,7 @@
    END OF TERMS AND CONDITIONS
-   Copyright 2025 Casey Hand
+   Copyright 2026 Casey Hand
    Licensed under the Apache License, Version 2.0 (the "License");
    you may not use this file except in compliance with the License.

package/README.md CHANGED Viewed

@@ -7,7 +7,7 @@
 <div align="center">
-[![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-2.7.4-blue.svg?style=flat-square)](./CHANGELOG.md) [![MCP SDK](https://img.shields.io/badge/MCP%20SDK-^1.29.0-green.svg?style=flat-square)](https://modelcontextprotocol.io/) [![License](https://img.shields.io/badge/License-Apache%202.0-orange.svg?style=flat-square)](./LICENSE) [![TypeScript](https://img.shields.io/badge/TypeScript-^6.0-3178C6.svg?style=flat-square)](https://www.typescriptlang.org/) [![Bun](https://img.shields.io/badge/Bun-v1.3.2-blueviolet.svg?style=flat-square)](https://bun.sh/)
+[![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-2.8.1-blue.svg?style=flat-square)](./CHANGELOG.md) [![MCP SDK](https://img.shields.io/badge/MCP%20SDK-^1.29.0-green.svg?style=flat-square)](https://modelcontextprotocol.io/) [![License](https://img.shields.io/badge/License-Apache%202.0-orange.svg?style=flat-square)](./LICENSE) [![TypeScript](https://img.shields.io/badge/TypeScript-^6.0-3178C6.svg?style=flat-square)](https://www.typescriptlang.org/) [![Bun](https://img.shields.io/badge/Bun-v1.3.14-blueviolet.svg?style=flat-square)](https://bun.sh/)
 </div>
@@ -59,7 +59,7 @@ Primary search tool with full ClinicalTrials.gov query capabilities.
 - Status and phase filters with typed enum values
 - Geographic proximity filtering by coordinates and distance
 - Advanced AREA[] Essie expression support for complex queries
-- Field selection to reduce payload size (full records are ~70KB each)
+- Compact index results by default; pass `fields` for a full-fidelity projection of specific leaves (a full single record is ~70KB — fetch one with `get_study_record`)
 - Pagination with cursor tokens, sorting by any field
 ---

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

@@ -4,6 +4,31 @@
  */
 import { z } from '@cyanheads/mcp-ts-core';
 import { JsonRpcErrorCode } from '@cyanheads/mcp-ts-core/errors';
+/**
+ * Score how directly a study's own listed conditions match the patient's
+ * requested conditions. ClinicalTrials.gov's `query.cond` is a fuzzy relevance
+ * search that pulls in tangential trials via the MeSH umbrella (e.g. a Von
+ * Willebrand bleeding-disorder trial matches "Cardiovascular Disease" through a
+ * distant MeSH ancestor). This score re-ranks those tangential matches below
+ * trials whose own condition list actually names a requested condition — a
+ * transparent, deterministic rule, not a relevance estimate. Recall is
+ * unchanged: every upstream match is still returned, only reordered.
+ *
+ * Tiers (best across the study's conditions × requested conditions):
+ *   3 — exact match (study condition equals a requested condition)
+ *   2 — every significant token of a multi-word requested condition is present
+ *       in a study condition, so the study names the same concept or a more
+ *       specific subtype — independent of word order ("Type 2 Diabetes" matches
+ *       both "Type 2 Diabetes Mellitus" and "Diabetes Mellitus, Type 2";
+ *       "Cardiovascular Disease" matches "Atherosclerotic Cardiovascular
+ *       Disease"). Gated to multi-word requests so a single word like
+ *       "Hypertension" does not credit the distinct disease "Pulmonary Arterial
+ *       Hypertension" as a subtype — it falls to tier 1, below a genuine
+ *       "Hypertension" exact match at tier 3.
+ *   1 — a shared significant token ("Type 2 Diabetes" ↔ "Diabetes Mellitus")
+ *   0 — no direct overlap (matched only through upstream fuzziness)
+ */
+export declare function conditionMatchScore(studyConditions: string[], requested: string[]): number;
 export declare const findEligible: import("@cyanheads/mcp-ts-core").ToolDefinition<z.ZodObject<{
     age: z.ZodNumber;
     sex: z.ZodEnum<{
@@ -35,6 +60,9 @@ export declare const findEligible: import("@cyanheads/mcp-ts-core").ToolDefiniti
         location: z.ZodString;
         age: z.ZodNumber;
         sex: z.ZodString;
+        conditionQuery: z.ZodOptional<z.ZodString>;
+        statusFilter: z.ZodOptional<z.ZodArray<z.ZodString>>;
+        advancedFilter: z.ZodOptional<z.ZodString>;
     }, z.core.$strip>;
     readonly funnel: z.ZodObject<{
         conditionMatched: z.ZodNumber;

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;AAsDjE;;;;;;;;;;;;;;;;;;;;;;;GAuBG;AACH,wBAAgB,mBAAmB,CAAC,eAAe,EAAE,MAAM,EAAE,EAAE,SAAS,EAAE,MAAM,EAAE,GAAG,MAAM,CAiC1F;AAwCD,eAAO,MAAM,YAAY;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;EAobvB,CAAC"}

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

@@ -59,17 +59,31 @@ function significantTokens(condition) {
  *
  * Tiers (best across the study's conditions × requested conditions):
  *   3 — exact match (study condition equals a requested condition)
- *   2 — phrase containment either way ("Atherosclerotic Cardiovascular Disease"
- *       contains "Cardiovascular Disease")
+ *   2 — every significant token of a multi-word requested condition is present
+ *       in a study condition, so the study names the same concept or a more
+ *       specific subtype — independent of word order ("Type 2 Diabetes" matches
+ *       both "Type 2 Diabetes Mellitus" and "Diabetes Mellitus, Type 2";
+ *       "Cardiovascular Disease" matches "Atherosclerotic Cardiovascular
+ *       Disease"). Gated to multi-word requests so a single word like
+ *       "Hypertension" does not credit the distinct disease "Pulmonary Arterial
+ *       Hypertension" as a subtype — it falls to tier 1, below a genuine
+ *       "Hypertension" exact match at tier 3.
  *   1 — a shared significant token ("Type 2 Diabetes" ↔ "Diabetes Mellitus")
  *   0 — no direct overlap (matched only through upstream fuzziness)
  */
-function conditionMatchScore(studyConditions, requested) {
+export function conditionMatchScore(studyConditions, requested) {
     if (studyConditions.length === 0)
         return 0;
     const reqNorm = requested.map((c) => ({
         text: c.toLowerCase().trim(),
         tokens: significantTokens(c),
+        // Raw word count, before generic-token stripping: "Cardiovascular Disease"
+        // is multi-word even though "disease" drops out, while "Hypertension" is a
+        // single word. Only multi-word requests earn tier-2 subtype credit.
+        multiWord: c
+            .toLowerCase()
+            .split(/[^a-z0-9]+/)
+            .filter((t) => t.length > 0).length > 1,
     }));
     let best = 0;
     for (const sc of studyConditions) {
@@ -78,10 +92,17 @@ function conditionMatchScore(studyConditions, requested) {
         for (const req of reqNorm) {
             if (text === req.text)
                 return 3;
-            if (text.includes(req.text) || req.text.includes(text))
+            // Tier 2 — every significant token of a multi-word requested condition is
+            // present in this study condition, so the study is the same concept or a
+            // more specific subtype (word order independent). The multi-word gate
+            // stops a single shared word from crediting a distinct disease as a
+            // subtype ("Hypertension" vs "Pulmonary Arterial Hypertension").
+            if (req.multiWord && req.tokens.size > 0 && [...req.tokens].every((t) => tokens.has(t))) {
                 best = Math.max(best, 2);
-            else if ([...tokens].some((t) => req.tokens.has(t)))
+            }
+            else if ([...tokens].some((t) => req.tokens.has(t))) {
                 best = Math.max(best, 1);
+            }
         }
     }
     return best;
@@ -172,11 +193,25 @@ export const findEligible = tool('clinicaltrials_find_eligible', {
         searchCriteria: z
             .object({
             conditions: z.array(z.string()).describe('Conditions searched.'),
-            location: z.string().describe('Location searched.'),
+            location: z
+                .string()
+                .describe('The exact queryLocn string sent upstream (city/state/country joined). Pass as locationQuery to clinicaltrials_search_studies to reproduce the location filter beyond the maxResults cap.'),
             age: z.number().describe('Patient age.'),
             sex: z.string().describe('Patient sex.'),
+            conditionQuery: z
+                .string()
+                .optional()
+                .describe('The exact queryCond string sent upstream (multi-word terms quoted, OR-joined). Pass as conditionQuery to clinicaltrials_search_studies to reproduce the full match set beyond the maxResults cap.'),
+            statusFilter: z
+                .array(z.string())
+                .optional()
+                .describe('The status filter applied (["RECRUITING"] when recruitingOnly). Pass as statusFilter to clinicaltrials_search_studies. Absent when recruitingOnly is false.'),
+            advancedFilter: z
+                .string()
+                .optional()
+                .describe('The exact AREA[] advancedFilter (age range, plus sex/healthy-volunteer when constrained) sent upstream. Pass as advancedFilter to clinicaltrials_search_studies to reproduce the demographic constraints.'),
         })
-            .describe('Normalized search criteria applied to this eligibility query.'),
+            .describe('Normalized search criteria applied to this eligibility query, including the exact upstream query strings needed to reproduce the full match set via clinicaltrials_search_studies (replay with includeUnknownEnrollment=true, which find_eligible always sets).'),
         funnel: z
             .object({
             conditionMatched: z
@@ -197,7 +232,34 @@ export const findEligible = tool('clinicaltrials_find_eligible', {
     },
     enrichmentTrailer: {
         searchCriteria: {
-            render: (sc) => `**Search:** conditions=[${sc.conditions.join(', ')}] | location=${sc.location} | age=${sc.age} | sex=${sc.sex}`,
+            render: (sc) => {
+                const lines = [
+                    `**Search:** conditions=[${sc.conditions.join(', ')}] | location=${sc.location} | age=${sc.age} | sex=${sc.sex}`,
+                ];
+                // Echo the exact upstream query strings so a content[]-only caller can
+                // reproduce the full match set (find_eligible returns only maxResults) by
+                // replaying them through clinicaltrials_search_studies. Every sub-field's
+                // VALUE must render here or it reaches structuredContent but not content[].
+                const repro = [];
+                if (sc.conditionQuery)
+                    repro.push(`conditionQuery=${sc.conditionQuery}`);
+                // location IS an applied upstream filter (queryLocn) — without it in the
+                // repro set a caller replays a broader, all-locations query (#91-C).
+                if (sc.location)
+                    repro.push(`locationQuery=${sc.location}`);
+                if (sc.statusFilter?.length)
+                    repro.push(`statusFilter=[${sc.statusFilter.join(', ')}]`);
+                if (sc.advancedFilter)
+                    repro.push(`advancedFilter=${sc.advancedFilter}`);
+                if (repro.length) {
+                    // find_eligible always queries with includeUnknownEnrollment=true (eligibility
+                    // ignores enrollment-count quality); search_studies defaults it false and drops
+                    // the unknown-enrollment sentinel, so a faithful replay must set it too (#91-C).
+                    repro.push('includeUnknownEnrollment=true');
+                    lines.push(`**Reproduce via clinicaltrials_search_studies:** ${repro.join(' | ')}`);
+                }
+                return lines.join('\n');
+            },
         },
         funnel: {
             render: (f) => `**Funnel:** ${f.conditionMatched} condition → ${f.locationMatched} + location → ${f.demographicsMatched} + demographics`,
@@ -225,6 +287,9 @@ export const findEligible = tool('clinicaltrials_find_eligible', {
         if (input.healthyVolunteer) {
             advancedParts.push('AREA[HealthyVolunteers]true');
         }
+        // Name the joined filter so both the upstream call and the searchCriteria echo
+        // reuse the identical string — the echo is the reproducible query (#91-C).
+        const advancedFilter = advancedParts.join(' AND ');
         ctx.log.info('Finding eligible studies', {
             conditions: input.conditions,
             location: locationQuery,
@@ -241,7 +306,7 @@ export const findEligible = tool('clinicaltrials_find_eligible', {
                 queryCond: conditionQuery,
                 queryLocn: locationQuery,
                 filterOverallStatus: statusFilter,
-                filterAdvanced: advancedParts.join(' AND '),
+                filterAdvanced: advancedFilter,
                 fields: ELIGIBLE_FIELDS,
                 pageSize: input.maxResults,
                 countTotal: true,
@@ -294,13 +359,19 @@ export const findEligible = tool('clinicaltrials_find_eligible', {
         const conditionMatched = conditionStage.totalCount ?? 0;
         const locationMatched = locationStage.totalCount ?? 0;
         const demographicsMatched = result.totalCount ?? 0;
-        // Always enrich with search echo and funnel diagnostics
+        // Always enrich with search echo and funnel diagnostics. The searchCriteria
+        // echo carries the exact upstream query strings (conditionQuery/statusFilter/
+        // advancedFilter) so callers can reproduce the full match set via
+        // clinicaltrials_search_studies past find_eligible's maxResults cap (#91-C).
         ctx.enrich({
             searchCriteria: {
                 conditions: input.conditions,
                 location: locationQuery,
                 age: input.age,
                 sex: input.sex,
+                conditionQuery,
+                ...(statusFilter ? { statusFilter } : {}),
+                advancedFilter,
             },
             funnel: { conditionMatched, locationMatched, demographicsMatched },
         });
@@ -382,17 +453,17 @@ export const findEligible = tool('clinicaltrials_find_eligible', {
                 if (studyMeta.length)
                     lines.push(`  ${studyMeta.join(' | ')}`);
                 if (interventions?.length) {
-                    const names = interventions
-                        .map((i) => i.name)
-                        .filter(Boolean)
-                        .slice(0, 3);
+                    // Render every intervention name — content[] must match the full list
+                    // carried in structuredContent, not a first-3 preview (#91).
+                    const names = interventions.map((i) => i.name).filter(Boolean);
                     if (names.length)
                         lines.push(`  Interventions: ${names.join(', ')}`);
                 }
                 const summary = s.protocolSection?.descriptionModule?.briefSummary;
-                if (summary) {
-                    lines.push(`  Summary: ${summary.length > 200 ? `${summary.slice(0, 200)}...` : summary}`);
-                }
+                // Render the full summary — structuredContent carries it complete, so a
+                // 200-char content[] clip left content-only clients with a partial value (#91).
+                if (summary)
+                    lines.push(`  Summary: ${summary}`);
                 // Eligibility criteria summary
                 const eligParts = [];
                 if (elig.minimumAge && elig.maximumAge)
@@ -407,26 +478,31 @@ export const findEligible = tool('clinicaltrials_find_eligible', {
                     eligParts.push(`Healthy Volunteers: ${elig.healthyVolunteers ? 'Yes' : 'No'}`);
                 if (eligParts.length)
                     lines.push(`  Eligibility: ${eligParts.join(' | ')}`);
-                // 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.
+                // Locations are pre-sorted by match-score in the handler, so the most
+                // relevant sites (typically the user's city/state) lead. Render every
+                // site — structuredContent carries the full list, so a first-3 preview
+                // with a "(+N more)" tail left content-only clients unable to see the
+                // remaining sites (#91).
                 if (locs.length > 0) {
-                    const toShow = locs.slice(0, 3);
-                    const locStr = toShow
+                    const locStr = locs
                         .map((l) => [l.facility, l.city, l.state, l.country].filter(Boolean).join(', '))
                         .join(' | ');
-                    const remaining = locs.length - toShow.length;
-                    lines.push(`  Locations: ${locStr}${remaining > 0 ? ` (+${remaining} more)` : ''}`);
+                    lines.push(`  Locations: ${locStr}`);
                 }
-                // Central contacts
+                // Central contacts — render all; the full set rides in structuredContent (#91).
                 const centralContacts = s.protocolSection?.contactsLocationsModule?.centralContacts ?? [];
                 if (centralContacts.length > 0) {
                     const contactStr = centralContacts
-                        .slice(0, 2)
                         .map((c) => [c.name, c.phone, c.email].filter(Boolean).join(', '))
                         .join(' | ');
                     lines.push(`  Contact: ${contactStr}`);
                 }
-                lines.push(...formatRemainingStudyFields(study, ELIGIBLE_RENDERED));
+                // Lift both caps on the field-dump fallback so any remaining requested leaf
+                // reaches content[] at full length, matching structuredContent (#91, mirrors #89).
+                lines.push(...formatRemainingStudyFields(study, ELIGIBLE_RENDERED, {
+                    maxLines: Number.POSITIVE_INFINITY,
+                    maxValueLen: Number.POSITIVE_INFINITY,
+                }));
             }
         }
         return [{ type: 'text', text: lines.join('\n') }];

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

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

	@@ -1 +1 @@
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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;AACjD,OAAO,EAAE,gBAAgB,EAAE,MAAM,+BAA+B,CAAC;AAKjE,eAAO,MAAM,cAAc;;;;;;;;;;;;;;;;;;;;;;;;;;;;cAgJzB,CAAC"}

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

@@ -106,14 +106,18 @@ export const getFieldValues = tool('clinicaltrials_get_field_values', {
                     lines.push('  No recorded values for this field.');
                 }
                 else {
-                    const shown = topValues.slice(0, 15);
-                    for (const tv of shown) {
+                    // Render every fetched value with its study count — content[] must
+                    // carry the same topValues the handler returns in structuredContent,
+                    // or content-only clients go blind past the 16th value (#90).
+                    for (const tv of topValues) {
                         lines.push(`  ${tv.value}: ${tv.studiesCount} studies`);
                     }
-                    if (topValues.length > shown.length) {
-                        const remainder = topValues.length - shown.length;
-                        const unique = stat.uniqueValuesCount;
-                        lines.push(`  … and ${remainder} more${unique != null ? ` (of ${unique} unique; topValues capped at 250)` : ''}`);
+                    // topValues is upstream-capped at 250. When the field has more distinct
+                    // values than were fetched, the tail is unreachable (beyond the API cap),
+                    // not omitted by us — disclose that honestly rather than implying we trimmed.
+                    const unique = stat.uniqueValuesCount;
+                    if (unique != null && unique > topValues.length) {
+                        lines.push(`  Showing all ${topValues.length} fetched values (of ${unique} unique; topValues capped at 250 by the API).`);
                     }
                 }
             }

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

	@@ -1 +1 @@
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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;AAkPjE,eAAO,MAAM,aAAa;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;EAiVxB,CAAC"}

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

@@ -45,8 +45,161 @@ function reRankLocationsByProximity(studies, center) {
         locationsModule.locations = [...withGeo, ...withoutGeo];
     }
 }
+/** Pick the rendered subset of the lead/nearest site for the index projection. */
+function pickNearest(loc) {
+    const site = {};
+    if (loc.facility != null)
+        site.facility = loc.facility;
+    if (loc.city != null)
+        site.city = loc.city;
+    if (loc.state != null)
+        site.state = loc.state;
+    if (loc.country != null)
+        site.country = loc.country;
+    if (loc.distanceMi != null)
+        site.distanceMi = loc.distanceMi;
+    return site;
+}
+/**
+ * Project a full study record to the compact index entry the formatter renders.
+ * Only keys with a value are set, mirroring the get-study `applyFilters()` /
+ * `summarizeResults()` structural-projection style. With an active geoFilter the
+ * handler has already re-ranked `locations[]`, so `locations[0]` is the nearest
+ * matched site and its `distanceMi` rides along.
+ */
+function projectStudyIndex(study) {
+    const ps = study.protocolSection;
+    const id = ps?.identificationModule;
+    const design = ps?.designModule;
+    const entry = {};
+    if (id?.nctId != null)
+        entry.nctId = id.nctId;
+    if (id?.briefTitle != null)
+        entry.briefTitle = id.briefTitle;
+    const status = ps?.statusModule?.overallStatus;
+    if (status != null)
+        entry.overallStatus = status;
+    if (design?.phases?.length)
+        entry.phases = design.phases;
+    const enrollment = design?.enrollmentInfo?.count;
+    if (enrollment != null)
+        entry.enrollmentCount = enrollment;
+    const sponsor = ps?.sponsorCollaboratorsModule?.leadSponsor?.name;
+    if (sponsor != null)
+        entry.leadSponsor = sponsor;
+    const conditions = ps?.conditionsModule?.conditions;
+    if (conditions?.length)
+        entry.conditions = conditions;
+    const locations = ps?.contactsLocationsModule?.locations;
+    if (locations?.length) {
+        const lead = locations[0];
+        const nearest = lead ? pickNearest(lead) : undefined;
+        entry.locations = {
+            total: locations.length,
+            ...(nearest && Object.keys(nearest).length > 0 ? { nearest } : {}),
+        };
+    }
+    // Fresh object literal — assignable to the opaque Record<string, unknown> the
+    // output schema declares (mirrors get-study's `{ ...study }`).
+    return { ...entry };
+}
+/** Render the shared `- **NCT**: title [status]` headline + meta line. */
+function renderStudyHeaderLine(e) {
+    const nctId = e.nctId ?? 'Unknown';
+    const titleStr = e.briefTitle ? `: ${e.briefTitle}` : '';
+    const statusStr = e.overallStatus ? ` [${e.overallStatus}]` : '';
+    const meta = [];
+    if (e.phases?.length)
+        meta.push(e.phases.join('/'));
+    if (e.enrollmentCount != null)
+        meta.push(`N=${e.enrollmentCount}`);
+    if (e.leadSponsor)
+        meta.push(e.leadSponsor);
+    if (e.conditions?.length)
+        meta.push(e.conditions.join(', '));
+    const metaStr = meta.length ? `\n  ${meta.join(' | ')}` : '';
+    return `- **${nctId}**${titleStr}${statusStr}${metaStr}`;
+}
+/** Render one compact index entry (the default, no-`fields` search projection). */
+function renderIndexEntry(entry) {
+    const lines = [renderStudyHeaderLine(entry)];
+    // Surface the study's site — the headline carries no location. With an active
+    // geoFilter the projection's nearest site is annotated with distanceMi: lead
+    // with it. Without one, show the lead registered site. Either way the total
+    // site count discloses how many sites the full record holds.
+    const near = entry.locations?.nearest;
+    if (near) {
+        const place = [near.facility, near.city, near.state, near.country].filter(Boolean).join(', ');
+        if (place) {
+            const total = entry.locations?.total ?? 0;
+            if (near.distanceMi != null) {
+                const totalStr = total > 1 ? ` of ${total} sites` : '';
+                lines.push(`  Nearest site: ${place} (${near.distanceMi.toFixed(1)} mi from geoFilter center${totalStr})`);
+            }
+            else {
+                const totalStr = total > 1 ? ` (1 of ${total} sites)` : '';
+                lines.push(`  Site: ${place}${totalStr}`);
+            }
+        }
+    }
+    return lines;
+}
+/**
+ * Render every site in a requested-`fields` study. The field-dump fallback dedups
+ * object-array leaves by label (so it would collapse `locations[]` to the lead
+ * site) and SEARCH_RENDERED suppresses the `locations` subtree from it — a
+ * dedicated loop is the only way sites 2..N reach content[]. Carries every typed
+ * StudyLocation leaf (place, status, distance, geoPoint) so any requested
+ * location field has channel parity. Mirrors get-study's Locations loop.
+ */
+function renderSiteLines(locations) {
+    const lines = [`  Locations (${locations.length}):`];
+    for (const loc of locations) {
+        const place = [loc.facility, loc.city, loc.state, loc.country].filter(Boolean).join(', ');
+        const statusNote = loc.status ? ` [${loc.status}]` : '';
+        const distNote = loc.distanceMi != null ? ` (${loc.distanceMi.toFixed(1)} mi)` : '';
+        const geoNote = loc.geoPoint ? ` @${loc.geoPoint.lat},${loc.geoPoint.lon}` : '';
+        lines.push(`    - ${place || '(unnamed site)'}${statusNote}${distNote}${geoNote}`);
+    }
+    return lines;
+}
+/**
+ * Render a study when the caller passed explicit `fields` — the record is the
+ * upstream projection (just the requested leaves), carried at full fidelity in
+ * structuredContent. Renders the standard index line, every requested site
+ * distinctly, then the remaining requested leaves via the field dump with the
+ * truncation cap lifted, so content[] mirrors the record leaf-for-leaf.
+ */
+function renderRequestedFieldsStudy(study) {
+    const s = study;
+    const ps = s.protocolSection;
+    const lines = [
+        renderStudyHeaderLine({
+            nctId: ps?.identificationModule?.nctId,
+            briefTitle: ps?.identificationModule?.briefTitle,
+            overallStatus: ps?.statusModule?.overallStatus,
+            phases: ps?.designModule?.phases,
+            enrollmentCount: ps?.designModule?.enrollmentInfo?.count,
+            leadSponsor: ps?.sponsorCollaboratorsModule?.leadSponsor?.name,
+            conditions: ps?.conditionsModule?.conditions,
+        }),
+    ];
+    const locations = ps?.contactsLocationsModule?.locations;
+    if (locations?.length)
+        lines.push(...renderSiteLines(locations));
+    // The caller opted into payload control, so render every remaining requested
+    // leaf at full length — silently dropping or clipping any of them is the wrong
+    // default. Lift both caps: maxLines so no leaf is omitted, maxValueLen so a long
+    // primitive (e.g. a 543-char BriefSummary) reaches content[] intact, matching
+    // structuredContent (#89).
+    lines.push(...formatRemainingStudyFields(study, SEARCH_RENDERED, {
+        maxLines: Number.POSITIVE_INFINITY,
+        maxValueLen: Number.POSITIVE_INFINITY,
+    }));
+    return lines;
+}
 export const searchStudies = tool('clinicaltrials_search_studies', {
-    description: `Search for clinical trial studies from ClinicalTrials.gov. Supports full-text and field-specific queries, status/phase/geographic filters, pagination, sorting, and field selection. Use the fields parameter to reduce payload size — full study records are ~70KB each.`,
+    description: `Search for clinical trial studies from ClinicalTrials.gov. Supports full-text and field-specific queries, status/phase/geographic filters, pagination, sorting, and field selection. Returns a compact per-study index by default; pass the fields parameter to get specific leaves at full fidelity — full study records are ~70KB each.`,
     annotations: {
         readOnlyHint: true,
         idempotentHint: true,
@@ -171,7 +324,7 @@ export const searchStudies = tool('clinicaltrials_search_studies', {
     output: z.object({
         studies: z
             .array(z.record(z.string(), z.unknown()))
-            .describe('Matching studies. Each entry is a nested ClinicalTrials.gov study record — top-level keys: protocolSection, derivedSection, hasResults, resultsSection, documentSection. Use clinicaltrials_get_field_definitions to explore the schema.'),
+            .describe('Matching studies. By default each entry is a COMPACT index projection — nctId, briefTitle, overallStatus, phases, enrollmentCount, leadSponsor, conditions, and a bounded locations summary ({ total, nearest }) — mirroring the rendered result, NOT the full ~70KB record. Pass the fields parameter to receive exactly the requested leaves at full fidelity instead (e.g. all locations). Fetch a full single record with clinicaltrials_get_study_record.'),
         totalCount: z
             .number()
             .optional()
@@ -180,7 +333,7 @@ export const searchStudies = tool('clinicaltrials_search_studies', {
         requestedFields: z
             .array(z.string())
             .optional()
-            .describe('Echo of the explicit fields parameter — present only when the caller passed fields. Lifts the default truncation cap so all requested leaves render in full.'),
+            .describe('Echo of the explicit fields parameter — present only when the caller passed fields. Signals that studies carry the requested leaves at full fidelity (not the default compact index) and that the rendered truncation cap is lifted so all of them appear.'),
     }),
     // Agent-facing context — query echo and empty-result guidance, disjoint from output.
     enrichment: {
@@ -296,8 +449,20 @@ export const searchStudies = tool('clinicaltrials_search_studies', {
             if (noticeParts.length > 0)
                 ctx.enrich.notice(noticeParts.join(' '));
         }
+        // Bound structuredContent to what format() renders. Without explicit fields,
+        // search is an index: project each study to the compact entry (rendered
+        // summary + a bounded nearest-site/total-count locations summary) so a
+        // content[]-only client and a structuredContent client see the same data,
+        // not a full ~70KB record in one channel and a summary in the other. With
+        // explicit fields the caller opted into a projection — upstream already
+        // trimmed each record to the requested leaves, so those flow through at full
+        // fidelity and format() renders all of them.
+        const studies = input.fields?.length
+            ? result.studies
+            : result.studies.map(projectStudyIndex);
         return {
             ...result,
+            studies,
             ...(input.fields?.length ? { requestedFields: input.fields } : {}),
         };
     },
@@ -316,59 +481,14 @@ export const searchStudies = tool('clinicaltrials_search_studies', {
         if (result.requestedFields?.length) {
             lines.push(`Requested fields: ${result.requestedFields.join(', ')}`);
         }
-        // Lift the per-study truncation cap when the caller asked for explicit
-        // fields — they've already opted into payload control, so silently dropping
-        // any of them is the wrong default.
-        const overflowOpts = result.requestedFields?.length
-            ? { maxLines: Number.POSITIVE_INFINITY }
-            : undefined;
+        // Two render modes, matching the two structuredContent shapes the handler
+        // produces. Default: each study is a compact index entry. Explicit fields:
+        // each study is the upstream-trimmed record, rendered leaf-for-leaf.
+        const explicitFields = Boolean(result.requestedFields?.length);
         for (const study of result.studies) {
-            const s = study;
-            const nctId = s.protocolSection?.identificationModule?.nctId ?? 'Unknown';
-            const title = s.protocolSection?.identificationModule?.briefTitle;
-            const status = s.protocolSection?.statusModule?.overallStatus ?? '';
-            const phases = s.protocolSection?.designModule?.phases;
-            const enrollment = s.protocolSection?.designModule?.enrollmentInfo?.count;
-            const sponsor = s.protocolSection?.sponsorCollaboratorsModule?.leadSponsor?.name;
-            const conditions = s.protocolSection?.conditionsModule?.conditions;
-            const meta = [];
-            if (phases?.length)
-                meta.push(phases.join('/'));
-            if (enrollment != null)
-                meta.push(`N=${enrollment}`);
-            if (sponsor)
-                meta.push(sponsor);
-            if (conditions?.length)
-                meta.push(conditions.join(', '));
-            const titleStr = title ? `: ${title}` : '';
-            const statusStr = status ? ` [${status}]` : '';
-            const metaStr = meta.length ? `\n  ${meta.join(' | ')}` : '';
-            lines.push(`- **${nctId}**${titleStr}${statusStr}${metaStr}`);
-            // Surface the study's site so a result row always shows where the trial
-            // runs — the headline carries no location, and locations[] is otherwise
-            // suppressed from the field dump below. With an active geoFilter the handler
-            // re-ranked locations by proximity, so locations[0] is the nearest matched
-            // site: lead with it and its distanceMi. Without one, show the first
-            // registered site. Either way the full locations[] is preserved.
-            const locations = s.protocolSection?.contactsLocationsModule?.locations;
-            const lead = locations?.[0];
-            if (lead) {
-                const place = [lead.facility, lead.city, lead.state, lead.country]
-                    .filter(Boolean)
-                    .join(', ');
-                if (place) {
-                    const siteCount = locations?.length ?? 0;
-                    if (lead.distanceMi != null) {
-                        const totalStr = siteCount > 1 ? ` of ${siteCount} sites` : '';
-                        lines.push(`  Nearest site: ${place} (${lead.distanceMi.toFixed(1)} mi from geoFilter center${totalStr})`);
-                    }
-                    else {
-                        const totalStr = siteCount > 1 ? ` (1 of ${siteCount} sites)` : '';
-                        lines.push(`  Site: ${place}${totalStr}`);
-                    }
-                }
-            }
-            lines.push(...formatRemainingStudyFields(study, SEARCH_RENDERED, overflowOpts));
+            lines.push(...(explicitFields
+                ? renderRequestedFieldsStudy(study)
+                : renderIndexEntry(study)));
         }
         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

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package/package.json CHANGED Viewed

@@ -1,6 +1,6 @@
 {
   "name": "clinicaltrialsgov-mcp-server",
-  "version": "2.7.4",
+  "version": "2.8.1",
   "mcpName": "io.github.cyanheads/clinicaltrialsgov-mcp-server",
   "description": "Search ClinicalTrials.gov trials, retrieve study details and results, and match patients to eligible trials via MCP. STDIO or Streamable HTTP.",
   "main": "dist/index.js",
@@ -46,7 +46,7 @@
     "fetch-spec": "bun run scripts/fetch-openapi-spec.ts",
     "format": "bunx biome check --write",
     "format:unsafe": "bunx biome check --write --unsafe",
-    "prepare": "bunx husky",
+    "prepare": "git config core.hooksPath .husky || exit 0",
     "inspector": "bunx mcp-inspector --config mcp.json --server clinicaltrialsgov-mcp-server",
     "test": "bunx vitest run",
     "test:conformance": "bunx vitest run --config vitest.conformance.ts",
@@ -83,7 +83,7 @@
     "stdio",
     "streamable-http"
   ],
-  "author": "cyanheads <casey@caseyjhand.com> (https://github.com/cyanheads/clinicaltrialsgov-mcp-server#readme)",
+  "author": "Casey Hand <casey@caseyjhand.com> (https://caseyjhand.com)",
   "license": "Apache-2.0",
   "funding": [
     {
@@ -95,31 +95,31 @@
       "url": "https://www.buymeacoffee.com/cyanheads"
     }
   ],
-  "packageManager": "bun@1.3.2",
+  "packageManager": "bun@1.3.14",
   "engines": {
     "bun": ">=1.3.0",
     "node": ">=24.0.0"
   },
   "dependencies": {
-    "@cyanheads/mcp-ts-core": "^0.10.9",
+    "@cyanheads/mcp-ts-core": "^0.10.14",
     "pino-pretty": "^13.1.3",
     "zod": "^4.4.3"
   },
   "devDependencies": {
-    "@biomejs/biome": "^2.5.0",
+    "@biomejs/biome": "^2.5.3",
     "@cloudflare/workers-types": "4.20260620.1",
+    "@socketsecurity/bun-security-scanner": "^1.1.2",
     "@types/bun": "^1.3.14",
-    "@types/node": "26.0.0",
-    "@vitest/coverage-istanbul": "^4.1.9",
+    "@types/node": "26.1.1",
+    "@vitest/coverage-istanbul": "^4.1.10",
     "depcheck": "^1.4.7",
-    "fast-check": "^4.8.0",
-    "husky": "^9.1.7",
+    "fast-check": "^4.9.0",
     "ignore": "^7.0.5",
-    "tsc-alias": "^1.8.17",
-    "typedoc": "^0.28.19",
+    "tsc-alias": "^1.9.0",
+    "typedoc": "^0.28.20",
     "typescript": "^6.0.3",
-    "vite": "^8.0.16",
-    "vitest": "^4.1.9"
+    "vite": "^8.1.4",
+    "vitest": "^4.1.10"
   },
   "publishConfig": {
     "access": "public"