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Trial Publication after Registration in ClinicalTrials.Gov: A Cross-Sectional Analysis

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  • Joseph S Ross
  • Gregory K Mulvey
  • Elizabeth M Hines
  • Steven E Nissen
  • Harlan M Krumholz

Abstract

Joseph Ross and colleagues examine publication rates of clinical trials and find low rates of publication even following registration in Clinicaltrials.gov.Background: ClinicalTrials.gov is a publicly accessible, Internet-based registry of clinical trials managed by the US National Library of Medicine that has the potential to address selective trial publication. Our objectives were to examine completeness of registration within ClinicalTrials.gov and to determine the extent and correlates of selective publication. Methods and Findings: We examined reporting of registration information among a cross-section of trials that had been registered at ClinicalTrials.gov after December 31, 1999 and updated as having been completed by June 8, 2007, excluding phase I trials. We then determined publication status among a random 10% subsample by searching MEDLINE using a systematic protocol, after excluding trials completed after December 31, 2005 to allow at least 2 y for publication following completion. Among the full sample of completed trials (n = 7,515), nearly 100% reported all data elements mandated by ClinicalTrials.gov, such as intervention and sponsorship. Optional data element reporting varied, with 53% reporting trial end date, 66% reporting primary outcome, and 87% reporting trial start date. Among the 10% subsample, less than half (311 of 677, 46%) of trials were published, among which 96 (31%) provided a citation within ClinicalTrials.gov of a publication describing trial results. Trials primarily sponsored by industry (40%, 144 of 357) were less likely to be published when compared with nonindustry/nongovernment sponsored trials (56%, 110 of 198; p

Suggested Citation

  • Joseph S Ross & Gregory K Mulvey & Elizabeth M Hines & Steven E Nissen & Harlan M Krumholz, 2009. "Trial Publication after Registration in ClinicalTrials.Gov: A Cross-Sectional Analysis," PLOS Medicine, Public Library of Science, vol. 6(9), pages 1-9, September.
  • Handle: RePEc:plo:pmed00:1000144
    DOI: 10.1371/journal.pmed.1000144
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    References listed on IDEAS

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    1. Kerry Dwan & Douglas G Altman & Juan A Arnaiz & Jill Bloom & An-Wen Chan & Eugenia Cronin & Evelyne Decullier & Philippa J Easterbrook & Erik Von Elm & Carrol Gamble & Davina Ghersi & John P A Ioannid, 2008. "Systematic Review of the Empirical Evidence of Study Publication Bias and Outcome Reporting Bias," PLOS ONE, Public Library of Science, vol. 3(8), pages 1-31, August.
    2. Kristin Rising & Peter Bacchetti & Lisa Bero, 2008. "Reporting Bias in Drug Trials Submitted to the Food and Drug Administration: Review of Publication and Presentation," PLOS Medicine, Public Library of Science, vol. 5(11), pages 1-10, November.
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    1. The PLoS Medicine Editors, 2011. "Best Practice in Systematic Reviews: The Importance of Protocols and Registration," PLOS Medicine, Public Library of Science, vol. 8(2), pages 1-2, February.
    2. Liu Xuemei & Li Youping & Yin Senlin & Song Shangqi, 2010. "Result Publication of Chinese Trials in World Health Organization Primary Registries," PLOS ONE, Public Library of Science, vol. 5(9), pages 1-7, September.
    3. Diana de la Iglesia & Miguel García-Remesal & Alberto Anguita & Miguel Muñoz-Mármol & Casimir Kulikowski & Víctor Maojo, 2014. "A Machine Learning Approach to Identify Clinical Trials Involving Nanodrugs and Nanodevices from ClinicalTrials.gov," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-15, October.
    4. The PLoS Medicine Editors, 2009. "Ensuring Integrity in Comparative Effectiveness Research: Accentuate the Negative," PLOS Medicine, Public Library of Science, vol. 6(9), pages 1-2, September.
    5. Sylvain Mathieu & An-Wen Chan & Philippe Ravaud, 2013. "Use of Trial Register Information during the Peer Review Process," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-4, April.
    6. Roberta W Scherer & Pamela C Sieving & Ann-Margret Ervin & Kay Dickersin, 2012. "Can We Depend on Investigators to Identify and Register Randomized Controlled Trials?," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-6, September.
    7. Hiroki Saito & Christopher J Gill, 2014. "How Frequently Do the Results from Completed US Clinical Trials Enter the Public Domain? - A Statistical Analysis of the ClinicalTrials.gov Database," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-9, July.

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