clinicaltrialsgov-mcp-server: Instructions file for Claude Code

AGENTS.md

clinicaltrialsgov-mcp-server AGENTS.md is an instructions file for Claude Code, Codex, OpenCode from cyanheads/clinicaltrialsgov-mcp-server. It costs 5,904 tokens per session, scanned A, a copy of obsidian-mcp-server AGENTS.md, Apache-2.0.

Instructions for an agent that connects to ClinicalTrials.gov, the US National Library of Medicine’s public registry of clinical studies.

In plain words
What is it for?
Use them to search studies, retrieve a study by its NCT identifier, and inspect results such as outcomes, side effects, participant flow, and starting characteristics.
Why use it?
They provide the rules and reference information needed to search the registry and retrieve study details consistently.

Instructions file for Claude CodeCodexOpenCode

Written for Claude Code and Codex and OpenCode: Claude Code plugin machinery, but also the file is AGENTS.md. Also seen: reads .claude/ paths; mentions CLAUDE.md; mentions subagents.

This is cyanheads/clinicaltrialsgov-mcp-server's own configuration. It tells Claude Code, Codex and OpenCode how to work on clinicaltrialsgov-mcp-server itself, so it is not a mod to install elsewhere. Copy it as a starting point and replace the rules that are about this project. Everything clinicaltrialsgov-mcp-server configures →

Reuse

Borrowing it

Nothing to install: this file belongs to cyanheads/clinicaltrialsgov-mcp-server. Take a copy, put it at the same path in your own repository, and replace the rules that are about this project with yours.

Copy the file
curl -O https://raw.githubusercontent.com/cyanheads/clinicaltrialsgov-mcp-server/main/AGENTS.md
Clone the repo
git clone --depth 1 https://github.com/cyanheads/clinicaltrialsgov-mcp-server

Made for: Claude Code, Codex, OpenCode.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

agentmods badge for clinicaltrialsgov-mcp-server AGENTS.md

README.md
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Your own site
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Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

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<a href="https://agentmods.dev/instructions/cyanheads/clinicaltrialsgov-mcp-server/agents-md"><img src="https://agentmods.dev/badge/instructions/cyanheads/clinicaltrialsgov-mcp-server/agents-md.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 5,904 This file is loaded in full into every session.
When invoked 5,904 The same file — it is already loaded in full.
Security scan A 0 findings. A grade says what 26 rules found in the file — not that it is safe.
Origin 73% copy Near-identical to another mod in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5.1 $0.05904 $0.05904
Opus 5 $0.02952 $0.02952
Sonnet 5 $0.01181 $0.01181
Haiku 4.5 $0.00590 $0.00590

Measured 6d ago against content hash 7ea25289f857, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-10, from the pricing page.

Security

Grade A, and why

clinicaltrialsgov-mcp-server AGENTS.md scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 6d ago.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

Origin

This is a copy

73% identical to obsidian-mcp-server AGENTS.md — 511 lines differ, which has more behind it and is treated as the original. This page carries a canonical link to it rather than competing with it.

AGENTS.md · 471 lines

How it starts

The opening of the file, as written. The whole thing — 471 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Agent Protocol

Server: clinicaltrialsgov-mcp-server Version: 2.9.3 Framework: @cyanheads/mcp-ts-core ^0.12.5 Engines: Bun ≥1.3.0, Node ≥24.0.0

Read the framework docs first: node_modules/@cyanheads/mcp-ts-core/CLAUDE.md contains the full API reference — builders, Context, error codes, exports, patterns. This file covers server-specific conventions only.


Overview

MCP server wrapping the ClinicalTrials.gov REST API v2 — the US National Library of Medicine's registry of ~577K clinical trial studies. Public, read-only, no auth required.

Design doc: docs/design.md — full MCP surface design, tool schemas, service plan, implementation checklist. API reference: docs/api-reference.md — complete ClinicalTrials.gov v2 endpoint reference.


MCP Surface

Tools (7)

Name Description
clinicaltrials_search_studies Search studies with queries, filters, pagination, field selection. Primary tool.
clinicaltrials_get_study_record Single study by NCT ID. Tool equivalent of the resource for resource-unaware clients.
clinicaltrials_get_study_results Extract outcomes, adverse events, participant flow, baseline for completed studies.
clinicaltrials_get_field_values Discover valid enum values for API fields with study counts.
clinicaltrials_get_field_definitions Browse the study data model field tree — piece names, types, nesting.
clinicaltrials_get_study_count Lightweight study count for a query (no data fetched).
clinicaltrials_find_eligible Match patient demographics to recruiting trials.

Read the full file on GitHub · 471 lines

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. 6d ago Changed 7ea25289f857
  2. 10d ago First seen · 471 lines · 5,904 tokens per session scan A 611da193c7ee

Subscribe to this mod's changes

clinicaltrialsgov-mcp-server AGENTS.md is an instructions file published in the GitHub repository cyanheads/clinicaltrialsgov-mcp-server (91 stars, last pushed 7d ago), licensed Apache-2.0. It adds 5,904 tokens to every session, about $0.0295 per session on Opus 5. A static security scan graded it A with 0 findings. It is 73% identical to obsidian-mcp-server AGENTS.md, differing in 511 lines, and is treated as a copy.

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