MCP server health, State of MCP census

Clinicaltrialsgov Mcp Server

io.github.cyanheads/clinicaltrialsgov-mcp-server

Search ClinicalTrials.gov — find studies, retrieve results, match patients to eligible trials.

healthy checked 2026-08-03 · 11/12 checks passed · keyless

Checks

The exact rows akashi check io.github.cyanheads/clinicaltrialsgov-mcp-server prints, from the 2026-08-03 census.

CheckStatusDetail
registry statuspassactive
server.json validpassvalidates against its declared JSON Schema
repo reachablepassexists
repo freshnesspasspushed 7d ago
package npmpasspublished (2.8.5)
package npmpasspublished (2.8.5)
remote reachablepassHTTP 200 via initialize
MCP conformancepassinitialize handshake ok
tools/listpass7 tools: clinicaltrials_search_studies, clinicaltrials_get_study_record, clinicaltrials_get_study_count, clinicaltrials_get_field_values, clinicaltrials_get_field_definitions, clinicaltrials_get_study_results, clinicaltrials_find_eligible
at least one live entrypointpass4 alive
license presentpassApache-2.0
spec 2026-07-28warnneeds-migration: no server/discover, routing headers not enforced

Spec 2026-07-28 readiness

Verdict: needs-migration(no server/discover; routing headers not enforced). Measured against the 2026-07-28 specification (ruleset 2026-07-28-rc, compiled from the draft and re-diffed against the final text with no verdict-bearing rule changed) with read-only, keyless calls; see the ecosystem readiness report for how this server compares.

Accepts handshake-free callsyes
server/discover implementedno
Session independenceyes
Routing headers enforcedignored

Advisory: no resultType on results; no cache metadata on list results; declares the deprecated logging capability; negotiates 2025-06-18.

Evidence

Packages

  • npm clinicaltrialsgov-mcp-server · published(2.8.5)
  • npm clinicaltrialsgov-mcp-server · published(2.8.5)

Remote endpoints

  • https://clinicaltrials.caseyjhand.com/mcp

    streamable-http · reachable· HTTP 200· initialize_ok

    7 tools: clinicaltrials_search_studies, clinicaltrials_get_study_record, clinicaltrials_get_study_count, clinicaltrials_get_field_values, clinicaltrials_get_field_definitions, clinicaltrials_get_study_results, clinicaltrials_find_eligible

server.json

validagainst its declared schema

One of 19804 servers in the 2026-08-03 State of MCP census: 15974 healthy (80.7%), 2792 degraded (14.1%), 851 dead (4.3%), 187 unknown (0.9%).

Verify it yourself

This page is a static read of one dated probe. Run the same check locally, any time, with no key:

$ akashi check io.github.cyanheads/clinicaltrialsgov-mcp-server

Install Akashi - single Go binary, zero keys, MIT licensed.

Is this your server?

Claiming a server (an auto-refreshing badge and a verified publisher profile) is coming soon. Until then, embed the verified-on-date badge yourself with akashi check io.github.cyanheads/clinicaltrialsgov-mcp-server --badge.

Open data, CC BY 4.0. How this census works - denominator, tiers, and what each check does.