Registry Watch

An agent reads the trial registry, in the open

Every weekday a machine pulls one slice of ClinicalTrials.gov, compares it field by field against the copy it pulled last time, and commits the difference. This page is that output, unedited. No number on it was typed by a person.

Studies in the slice
7,945

Industry-sponsored interventional trials matching the modality query below.

Runs on record
20

Weekday harvests since 2026-08-18. The registry does not publish at weekends.

Registry snapshot
2026-09-24

ClinicalTrials.gov dataTimestamp 2026-09-24T09:00:05 -- the registry's own clock.

Retrieved
2026-09-25

Pulled 09:21:11 UTC, about twenty minutes after publication.

The slice, stated exactly

A watch over "biotech" would be a watch over nothing in particular. This one is a query, and the query is the definition -- industry-sponsored interventional trials of the modalities where a registry delta is usually a manufacturing story.

filter.advanced
AREA[LeadSponsorClass]INDUSTRY AND AREA[StudyType]INTERVENTIONAL
query.intr
cell therapy OR gene therapy OR CAR-T OR mRNA OR siRNA OR antisense OR oligonucleotide

Served by https://clinicaltrials.gov/api/v2/studies. The projection keeps 19 fields per study; everything else in the registry record is deliberately dropped, and the dropped part is where the blind spot below lives.

The run ledger

One bar per harvest, counting the studies whose projected fields moved. The tall early bars are not busier weeks; they are wider windows, from runs that spanned several registry days. A diff always compares the last committed corpus against now, so a missed night costs the intermediate state, never the delta.

Studies touched per run, 20 runs, zero baseline. Busiest run 133; the first is a seed and emitted nothing by construction.
Every recorded run, newest first. Dates are the upstream snapshot each run describes, not the morning it was pulled.
SnapshotStudiesTouchedChangesInOut
2026-09-247,945327901
2026-09-237,946316940
2026-09-227,942286820
2026-09-217,940287560
2026-09-187,9343611230
2026-09-177,931366160
2026-09-167,925215110
2026-09-157,924225710
2026-09-147,923286930
2026-09-117,9204812910
2026-09-107,919357431
2026-09-097,917498341
2026-09-087,914335851
2026-09-047,9107413341
2026-09-027,90710817791
2026-08-287,89913325172
2026-08-257,89412019870
2026-08-197,887448020
2026-08-187,8856211740

What is in the slice

Recruitment status

  • completed3,161
  • recruiting1,274
  • terminated1,079
  • unknown867
  • active not recruiting772
  • not yet recruiting400
  • withdrawn293
  • suspended55

One value per study, over 7,945. Bars scale to the largest row in this panel.

Phase

  • phase23,773
  • phase13,529
  • phase31,570
  • na424
  • phase4200
  • early phase1197

A trial registered as PHASE1/PHASE2 is counted under both, so these exceed the study count.

Lead sponsor

  • novartis pharmaceuticals216
  • merck sharp & dohme llc204
  • hoffmann-la roche189
  • astrazeneca176
  • pfizer145
  • eli lilly and company125
  • glaxosmithkline105
  • amgen98

Top eight of the industry sponsors in the slice; the tail is long and is not shown.

Country

  • united states4,174
  • china1,908
  • spain1,451
  • france1,313
  • germany1,289
  • united kingdom1,277
  • italy1,178
  • canada1,139

Locations are projected as a country SET, so a 40-site trial counts once per country.

The latest run, field by field

79 field changes across the snapshot published 2026-09-24, grouped by field in a fixed order that is the same every day. The order is the page’s one editorial act and it applies to fields, never to trials: nothing here decides that a particular study matters.

status

3
  • NCT05667649Regeneration Biomedical, Inc.

    Autologous Activated Adipose-derived Stem Cells (RB-ADSC) Injected Directly Into the Brain for Mild to Moderate Alzheimer's Disease

    RECRUITING -> COMPLETED

  • NCT06601504Hutchmed

    Study of HMPL-760 Plus R-GemOx Versus Placebo Plus R-GemOx in Relapsed/Refractory DLBCL

    ACTIVE_NOT_RECRUITING -> COMPLETED

  • NCT07368959Aurion Biotech

    AURN001 Efficacy in Participants With Corneal Edema Secondary to Corneal Endothelial Dysfunction

    RECRUITING -> ACTIVE_NOT_RECRUITING

enrollment

5
  • NCT05667649Regeneration Biomedical, Inc.

    Autologous Activated Adipose-derived Stem Cells (RB-ADSC) Injected Directly Into the Brain for Mild to Moderate Alzheimer's Disease

    count 18, type ESTIMATED -> count 7, type ACTUAL

  • NCT05949125AvenCell Europe GmbH

    Phase 1 Study of Allo-RevCAR01-T-CD123 in Patients With Selected CD123 Positive Hematologic Malignancies (1b Dose Expansion)

    count 80, type ESTIMATED -> count 37, type ESTIMATED

  • NCT06270316UniQure Biopharma B.V.

    Safety, PK/PD, and Exploratory Efficacy Study of AMT-191 in Classic Fabry Disease

    count 12, type ESTIMATED -> count 20, type ESTIMATED

  • NCT07368959Aurion Biotech

    AURN001 Efficacy in Participants With Corneal Edema Secondary to Corneal Endothelial Dysfunction

    count 120, type ESTIMATED -> count 130, type ACTUAL

  • NCT07482176Adverum Biotechnologies, Inc.

    Efficacy and Safety Study of Ixoberogene Soroparvovec (Ixo-vec) in Participants With Neovascular Age-related Macular Degeneration (AQUARIUS)

    count 284, type ESTIMATED -> count 534, type ESTIMATED

has results

1
  • NCT04669808Sirnaomics

    Open Label, Dose Escalation Study for the Safety and Efficacy of STP705 in Adult Patients With Basal Cell Carcinoma

    false -> true

endpoint hash

3
  • NCT04669808Sirnaomics

    Open Label, Dose Escalation Study for the Safety and Efficacy of STP705 in Adult Patients With Basal Cell Carcinoma

    sha256:2c17f8d3a82551be -> sha256:fc2e906cd466bb55

  • NCT05949125AvenCell Europe GmbH

    Phase 1 Study of Allo-RevCAR01-T-CD123 in Patients With Selected CD123 Positive Hematologic Malignancies (1b Dose Expansion)

    sha256:00313fe9f1b10e9e -> sha256:f1528eaf01709e59

  • NCT06270316UniQure Biopharma B.V.

    Safety, PK/PD, and Exploratory Efficacy Study of AMT-191 in Classic Fabry Disease

    sha256:9f37a8a286839034 -> sha256:a8145ef90c44f998

title

2
  • NCT04115761Ever Supreme Bio Technology Co., Ltd.

    Evaluate the Efficacy and Safety of ADCV01 as an Add-On Treatment for Primary Glioblastoma Multiforme (GBM) Patients

    Evaluate the Efficacy and Safety of ADCV01 As an Add-On Treatment for Primary Glioblastoma Multiforme (GBM) Patients -> Evaluate the Efficacy and Safety of ADCV01 as an Add-On Treatment for Primary Glioblastoma Multiforme (GBM) Patients

  • NCT05949125AvenCell Europe GmbH

    Phase 1 Study of Allo-RevCAR01-T-CD123 in Patients With Selected CD123 Positive Hematologic Malignancies (1b Dose Expansion)

    Phase 1 Study of Allo-RevCAR01-T-CD123 in Patients With Selected CD123 Positive Hematologic Malignancies -> Phase 1 Study of Allo-RevCAR01-T-CD123 in Patients With Selected CD123 Positive Hematologic Malignancies (1b Dose Expansion)

sponsor

1
  • NCT04671433MeiraGTx Ocular UK Ltd

    Gene Therapy Trial for the Treatment of X-linked Retinitis Pigmentosa Associated With Variants in the RPGR Gene

    Janssen Research & Development, LLC -> MeiraGTx Ocular UK Ltd

countries

1
  • A Study to Learn More About the Study Medicine Called Inotuzumab Ozogamicin (InO) in Children (1 to <18 Years) With First Relapse ALL

    Austria, Belgium, Czechia, Denmark, Finland, France, Germany, Israel, Italy, Netherlands, Norway, Poland, Slovakia, Spain, Sweden, Switzerland -> Austria, Belgium, Czechia, Denmark, Finland, France, Germany, Israel, Italy, Netherlands, Norway, Slovakia, Spain, Sweden, Switzerland

start date

1
  • NCT07654283AusperBio Therapeutics Inc.

    Study of AHB-137 in Chronic Hepatitis B (CHB) Participants in North America and Europe Regions

    2026-08-27 -> 2026-09-01

primary completion

4
  • NCT04115761Ever Supreme Bio Technology Co., Ltd.

    Evaluate the Efficacy and Safety of ADCV01 as an Add-On Treatment for Primary Glioblastoma Multiforme (GBM) Patients

    date 2026-12-30, type ESTIMATED -> date 2027-12-30, type ESTIMATED

  • NCT05667649Regeneration Biomedical, Inc.

    Autologous Activated Adipose-derived Stem Cells (RB-ADSC) Injected Directly Into the Brain for Mild to Moderate Alzheimer's Disease

    date 2026-08, type ESTIMATED -> date 2026-06-25, type ACTUAL

  • NCT06062420GlaxoSmithKline

    A Platform Study of Novel Immunotherapy Combinations as First-Line Treatment in Participants With PD-L1 Positive Recurrent/Metastatic Squamous Cell Carcinoma of the Head and Neck- GALAXIES H&N-202

    date 2026-09-01, type ESTIMATED -> date 2026-09-10, type ACTUAL

  • NCT06601504Hutchmed

    Study of HMPL-760 Plus R-GemOx Versus Placebo Plus R-GemOx in Relapsed/Refractory DLBCL

    date 2026-05-12, type ESTIMATED -> date 2026-05-23, type ACTUAL

completion

5
  • NCT04115761Ever Supreme Bio Technology Co., Ltd.

    Evaluate the Efficacy and Safety of ADCV01 as an Add-On Treatment for Primary Glioblastoma Multiforme (GBM) Patients

    date 2026-12-30, type ESTIMATED -> date 2027-12-30, type ESTIMATED

  • NCT04624204Merck Sharp & Dohme LLC

    Placebo-controlled, Study of Concurrent Chemoradiation Therapy With Pembrolizumab Followed by Pembrolizumab and Olaparib in Newly Diagnosed Treatment-Naïve Limited-Stage Small Cell Lung Cancer (LS-SCLC) (MK 7339-013/KEYLYNK-013)

    date 2027-10-28, type ESTIMATED -> date 2027-11-15, type ESTIMATED

  • NCT05667649Regeneration Biomedical, Inc.

    Autologous Activated Adipose-derived Stem Cells (RB-ADSC) Injected Directly Into the Brain for Mild to Moderate Alzheimer's Disease

    date 2026-08, type ESTIMATED -> date 2026-06-25, type ACTUAL

  • NCT06270316UniQure Biopharma B.V.

    Safety, PK/PD, and Exploratory Efficacy Study of AMT-191 in Classic Fabry Disease

    date 2031-04-30, type ESTIMATED -> date 2031-11-30, type ESTIMATED

  • NCT06601504Hutchmed

    Study of HMPL-760 Plus R-GemOx Versus Placebo Plus R-GemOx in Relapsed/Refractory DLBCL

    date 2026-11-12, type ESTIMATED -> date 2026-05-23, type ACTUAL

last update posted

32registry housekeeping -- a re-attestation, not a decision
  • NCT04042025Novartis Gene Therapies

    Long-term Follow-up Study of Patients Receiving Onasemnogene Abeparvovec-xioi

    2025-04-25 -> 2026-09-24

  • NCT04115761Ever Supreme Bio Technology Co., Ltd.

    Evaluate the Efficacy and Safety of ADCV01 as an Add-On Treatment for Primary Glioblastoma Multiforme (GBM) Patients

    2024-09-19 -> 2026-09-24

  • NCT04624204Merck Sharp & Dohme LLC

    Placebo-controlled, Study of Concurrent Chemoradiation Therapy With Pembrolizumab Followed by Pembrolizumab and Olaparib in Newly Diagnosed Treatment-Naïve Limited-Stage Small Cell Lung Cancer (LS-SCLC) (MK 7339-013/KEYLYNK-013)

    2026-09-10 -> 2026-09-24

  • NCT04669808Sirnaomics

    Open Label, Dose Escalation Study for the Safety and Efficacy of STP705 in Adult Patients With Basal Cell Carcinoma

    2024-03-18 -> 2026-09-24

  • NCT04671433MeiraGTx Ocular UK Ltd

    Gene Therapy Trial for the Treatment of X-linked Retinitis Pigmentosa Associated With Variants in the RPGR Gene

    2026-03-16 -> 2026-09-24

  • NCT05215340Daiichi Sankyo

    Study of Dato-DXd Plus Pembrolizumab vs Pembrolizumab Alone in the First-line Treatment of Subjects With Advanced or Metastatic NSCLC Without Actionable Genomic Alterations

    2026-08-19 -> 2026-09-24

  • NCT05667649Regeneration Biomedical, Inc.

    Autologous Activated Adipose-derived Stem Cells (RB-ADSC) Injected Directly Into the Brain for Mild to Moderate Alzheimer's Disease

    2025-04-04 -> 2026-09-24

  • NCT05727904Iovance Biotherapeutics, Inc.

    Study to Investigate Lifileucel Regimen Plus Pembrolizumab Compared With Pembrolizumab Alone in Participants With Untreated Advanced Melanoma.

    2026-06-26 -> 2026-09-24

  • A Study to Learn More About the Study Medicine Called Inotuzumab Ozogamicin (InO) in Children (1 to <18 Years) With First Relapse ALL

    2026-08-14 -> 2026-09-24

  • NCT05878860Atsena Therapeutics Inc.

    ATSN-201 Gene Therapy in RS1-Associated X-linked Retinoschisis

    2026-09-21 -> 2026-09-24

  • NCT05885555Novartis Pharmaceuticals

    A Study of Ianalumab (VAY736) in Patients With Primary Immune Thrombocytopenia (ITP) Previously Treated With at Least Two Lines of Therapies

    2026-09-11 -> 2026-09-24

  • NCT05949125AvenCell Europe GmbH

    Phase 1 Study of Allo-RevCAR01-T-CD123 in Patients With Selected CD123 Positive Hematologic Malignancies (1b Dose Expansion)

    2025-05-14 -> 2026-09-24

  • NCT06047379Neonc Technologies, Inc.

    Safety and Efficacy of NEO212 in Patients With Astrocytoma IDH-mutant, Glioblastoma IDH-wildtype or Brain Metastasis

    2026-09-15 -> 2026-09-24

  • NCT06062420GlaxoSmithKline

    A Platform Study of Novel Immunotherapy Combinations as First-Line Treatment in Participants With PD-L1 Positive Recurrent/Metastatic Squamous Cell Carcinoma of the Head and Neck- GALAXIES H&N-202

    2026-06-24 -> 2026-09-24

  • NCT06270316UniQure Biopharma B.V.

    Safety, PK/PD, and Exploratory Efficacy Study of AMT-191 in Classic Fabry Disease

    2025-10-23 -> 2026-09-24

  • NCT06439277Eli Lilly and Company

    A Study of Tirzepatide in Adolescents With Obesity and Weight-Related Comorbidities (SURMOUNT-ADOLESCENTS-2)

    2026-09-04 -> 2026-09-24

  • A Study to Learn About the Study Medicine PF-07934040 When Given Alone or With Other Anti-cancer Therapies in People With Advanced Solid Tumors That Have a Genetic Mutation.

    2026-07-22 -> 2026-09-24

  • NCT06496178Merus B.V.

    A Phase 3 Study to Evaluate Petosemtamab Compared With Investigator's Choice Monotherapy in Previously Treated Head and Neck Squamous Cell Carcinoma Patients (LiGeR-HN2)

    2026-08-31 -> 2026-09-24

  • NCT06601504Hutchmed

    Study of HMPL-760 Plus R-GemOx Versus Placebo Plus R-GemOx in Relapsed/Refractory DLBCL

    2025-06-06 -> 2026-09-24

  • NCT06693336ToLymph Inc.

    An Adjuvant Study to Evaluate SMS001 (Paclitaxel) in Non-Small Cell Lung Cancer

    2026-09-17 -> 2026-09-24

  • NCT06890598Eli Lilly and Company

    Study of Olomorasib (LY3537982) in Combination With Standard of Care in Participants With Resected or Unresectable KRAS G12C-mutant Non-Small Cell Lung Cancer

    2026-09-08 -> 2026-09-24

  • NCT07148089Solid Biosciences Inc.

    A Study of SGT-501 Gene Therapy in Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT)

    2026-08-10 -> 2026-09-24

  • NCT07197788Endogenex, Inc.

    Continued Access to the Endogenex System for Participants in the ReCET Pivotal Study

    2026-08-18 -> 2026-09-24

  • NCT07222267BeOne Medicines

    An Investigational Study of BG-75202 Alone and in Combination With Other Therapeutic Agents in Adults With Advanced Solid Tumors

    2026-08-14 -> 2026-09-24

  • NCT07368959Aurion Biotech

    AURN001 Efficacy in Participants With Corneal Edema Secondary to Corneal Endothelial Dysfunction

    2026-05-22 -> 2026-09-24

  • NCT07391670AstraZeneca

    A Phase I Dose Escalation and Dose Expansion Study to Investigate the Pharmacokinetics and Safety of Subcutaneous Durvalumab

    2026-08-25 -> 2026-09-24

  • NCT07468071Novartis Pharmaceuticals

    Rollover Study for Participants Who Have Been Treated With and Are Continuing to Benefit From Opnurasib as a Single Agent or in Combination With Other Study Treatments

    2026-09-23 -> 2026-09-24

  • NCT07482176Adverum Biotechnologies, Inc.

    Efficacy and Safety Study of Ixoberogene Soroparvovec (Ixo-vec) in Participants With Neovascular Age-related Macular Degeneration (AQUARIUS)

    2026-07-15 -> 2026-09-24

  • NCT07543055Regeneron Pharmaceuticals

    A Phase 1 Study of BPX-601 CAR T-Cell Therapy in Adult Participants With Prostate Cancer That Has Returned, is Resistant to Treatment and Has Spread

    2026-09-23 -> 2026-09-24

  • NCT07654283AusperBio Therapeutics Inc.

    Study of AHB-137 in Chronic Hepatitis B (CHB) Participants in North America and Europe Regions

    2026-08-26 -> 2026-09-24

  • NCT07828353Regend Therapeutics

    A Clinical Study of REGEND001 for the Treatment of Chronic Obstructive Pulmonary Disease (COPD)

    2026-09-18 -> 2026-09-24

  • NCT07833202Shanghai Jeyou Pharmaceutical Co., Ltd.

    A Phase 3 Study of Sosimerasib in Combination With IN10018 Versus Standard Therapy for First Line Non-squamous Non-small Cell Lung Cancer With KRAS G12C Mutation

    2026-09-22 -> 2026-09-24

status verified

21registry housekeeping -- a re-attestation, not a decision
  • NCT04042025Novartis Gene Therapies

    Long-term Follow-up Study of Patients Receiving Onasemnogene Abeparvovec-xioi

    2025-04 -> 2026-09

  • NCT04115761Ever Supreme Bio Technology Co., Ltd.

    Evaluate the Efficacy and Safety of ADCV01 as an Add-On Treatment for Primary Glioblastoma Multiforme (GBM) Patients

    2024-09 -> 2026-09

  • NCT04669808Sirnaomics

    Open Label, Dose Escalation Study for the Safety and Efficacy of STP705 in Adult Patients With Basal Cell Carcinoma

    2024-03 -> 2026-08

  • NCT04671433MeiraGTx Ocular UK Ltd

    Gene Therapy Trial for the Treatment of X-linked Retinitis Pigmentosa Associated With Variants in the RPGR Gene

    2026-03 -> 2026-09

  • NCT05215340Daiichi Sankyo

    Study of Dato-DXd Plus Pembrolizumab vs Pembrolizumab Alone in the First-line Treatment of Subjects With Advanced or Metastatic NSCLC Without Actionable Genomic Alterations

    2026-08 -> 2026-09

  • NCT05667649Regeneration Biomedical, Inc.

    Autologous Activated Adipose-derived Stem Cells (RB-ADSC) Injected Directly Into the Brain for Mild to Moderate Alzheimer's Disease

    2025-04 -> 2026-09

  • NCT05727904Iovance Biotherapeutics, Inc.

    Study to Investigate Lifileucel Regimen Plus Pembrolizumab Compared With Pembrolizumab Alone in Participants With Untreated Advanced Melanoma.

    2026-06 -> 2026-09

  • A Study to Learn More About the Study Medicine Called Inotuzumab Ozogamicin (InO) in Children (1 to <18 Years) With First Relapse ALL

    2026-08 -> 2026-09

  • NCT05949125AvenCell Europe GmbH

    Phase 1 Study of Allo-RevCAR01-T-CD123 in Patients With Selected CD123 Positive Hematologic Malignancies (1b Dose Expansion)

    2025-05 -> 2026-09

  • NCT06047379Neonc Technologies, Inc.

    Safety and Efficacy of NEO212 in Patients With Astrocytoma IDH-mutant, Glioblastoma IDH-wildtype or Brain Metastasis

    2026-07 -> 2026-09

  • NCT06062420GlaxoSmithKline

    A Platform Study of Novel Immunotherapy Combinations as First-Line Treatment in Participants With PD-L1 Positive Recurrent/Metastatic Squamous Cell Carcinoma of the Head and Neck- GALAXIES H&N-202

    2026-06 -> 2026-09

  • NCT06270316UniQure Biopharma B.V.

    Safety, PK/PD, and Exploratory Efficacy Study of AMT-191 in Classic Fabry Disease

    2025-10 -> 2026-09

  • A Study to Learn About the Study Medicine PF-07934040 When Given Alone or With Other Anti-cancer Therapies in People With Advanced Solid Tumors That Have a Genetic Mutation.

    2026-07 -> 2026-09

  • NCT06601504Hutchmed

    Study of HMPL-760 Plus R-GemOx Versus Placebo Plus R-GemOx in Relapsed/Refractory DLBCL

    2025-06 -> 2026-09

  • NCT07148089Solid Biosciences Inc.

    A Study of SGT-501 Gene Therapy in Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT)

    2026-08 -> 2026-09

  • NCT07197788Endogenex, Inc.

    Continued Access to the Endogenex System for Participants in the ReCET Pivotal Study

    2026-08 -> 2026-09

  • NCT07222267BeOne Medicines

    An Investigational Study of BG-75202 Alone and in Combination With Other Therapeutic Agents in Adults With Advanced Solid Tumors

    2026-08 -> 2026-09

  • NCT07368959Aurion Biotech

    AURN001 Efficacy in Participants With Corneal Edema Secondary to Corneal Endothelial Dysfunction

    2026-05 -> 2026-09

  • NCT07391670AstraZeneca

    A Phase I Dose Escalation and Dose Expansion Study to Investigate the Pharmacokinetics and Safety of Subcutaneous Durvalumab

    2026-08 -> 2026-09

  • NCT07482176Adverum Biotechnologies, Inc.

    Efficacy and Safety Study of Ixoberogene Soroparvovec (Ixo-vec) in Participants With Neovascular Age-related Macular Degeneration (AQUARIUS)

    2026-07 -> 2026-09

  • NCT07654283AusperBio Therapeutics Inc.

    Study of AHB-137 in Chronic Hepatitis B (CHB) Participants in North America and Europe Regions

    2026-08 -> 2026-09

Who joined, who left

Entered the slice (0)

None in this run.

Left the query (1)

Left the QUERY, never the registry. A sponsor edit can re-rank a study out of a free-text match, and so can ranking drift under a record nobody touched.

NCT04844073

Merged by the registry (0)

None in this run. A merge is a duplicate registration folded into a surviving id -- not a departure, though a diff that ignores aliases reports it as one.

What this instrument cannot see

A demo that showed only its successes would be the wrong demo. These are the standing limits, each one measured rather than guessed.

  • Most registry edits never reach this page. A one-time census on 2026-09-10 (documented in scripts/registry-watch/README.md, "What is projected") resolved 280 of 282 blind edits across 246 distinct studies via the registry’s per-study history API: 88% were site churn or re-verification, and 72% touched contacts and locations -- which the projection reduces to a country set by design. Adding one field, the sponsor’s re-attestation date, cut the blind spot from 56% to 17% in that run. A dated historical measurement, not a figure this page recomputes.
  • Run detail goes back 19 runs, recovered; run counts go back 20. Until 2026-09-25 this read the other way. Deltas are overwritten each morning, so detail lived only in git -- and three squash merges collapsed days one through sixteen into four commits, discarding the states between. The recovery worked because a merged pull request’s original commits stay reachable under refs/pull/<n>/head. Every run came back, and the check that the recovery is complete rather than merely large is arithmetic: each archived run’s touched count, recomputed from its own events, matches the ledger entry for entry. Runs are archived as they happen now.
  • A study leaving the query has not left the registry. A free-text match can be broken by a sponsor’s own edit or by ranking drift under an untouched record, and the two are not separable without asking the API about every departure. The field is named for what it observes.
  • An upstream schema change would look like registry-wide news. So a run that touches more than a fifth of the slice, or ten times the trailing median, halts and writes nothing rather than publishing the loudest possible false positive.

Method: scripts/registry-watch/build_feed.py reduces the committed corpus, deltas and history into the feed this page renders; no figure is hand-entered and the page performs no runtime fetch. Registry snapshot 2026-09-24T09:00:05 (ClinicalTrials.gov dataTimestamp), retrieved 2026-09-25T09:21:11.456Z, diffed 2026-09-25T09:21:25.111Z. Feed built 2026-09-25T09:21:25.111Z. Counts describe what the projection observes, which is narrower than the registry record itself.

This is the cheap version, run against a public registry so you can check it. The same discipline pointed at your pipeline reads the filings, the patents and the trial record together, and tells you which changes were decisions.

or email me directly:chris@bigbio.ai

Observations, not advice. No price target and no view on any security. Full terms on the disclaimer.

CONFIDENTIAL | NOT INVESTMENT ADVICE | AI-GENERATED -- SEE DISCLAIMER | DO NOT REDISTRIBUTE WITHOUT PERMISSION