Zarin Deborah A, Tse Tony, Ide Nicholas C
Lister Hill National Center for Biomedical Communications, National Library of Medicine, National Institutes of Health, Bethesda, Md 20894, USA.
N Engl J Med. 2005 Dec 29;353(26):2779-87. doi: 10.1056/NEJMsa053234.
Clinical trial registration allows interested parties to obtain information about ongoing and completed trials, but there are few data indicating the quality of the information provided during the registration process. We used information in the publicly available ClinicalTrials.gov database to describe patterns of trial registration before and after the implementation by journal editors of a new policy requiring registration as a prerequisite for publication.
We reviewed ClinicalTrials.gov records to determine patterns of completion of the "Intervention Name" and "Primary Outcome Measure" data fields for trials registered on May 20 and October 11, 2005, and for trials registered during the interval between these two dates, inclusively.
During the interval studied, the number of registrations in ClinicalTrials.gov increased by 73 percent from 13,153 to 22,714. The percentage of interventional trials registered by industry with nonspecific Intervention Name entries (attributable to four drug companies) decreased from 10 percent to 2 percent; all other industry and nonindustry records contained specific entries in this field. Of the 2670 studies registered by industry between the two dates, 76 percent provided information in the Primary Outcome Measure field, although these entries varied markedly in their degree of specificity. In the remaining 24 percent of the records, this field was blank.
During the summer of 2005, there were large increases in the number of clinical trial registrations. Overall, the data contained in records were more complete in October than they were in May, but there still is room for substantial improvement.
临床试验注册可让相关各方获取有关正在进行和已完成试验的信息,但几乎没有数据表明注册过程中所提供信息的质量。我们利用公开可用的ClinicalTrials.gov数据库中的信息,来描述在期刊编辑实施一项新政策(要求将注册作为发表的前提条件)之前和之后的试验注册模式。
我们查阅了ClinicalTrials.gov记录,以确定2005年5月20日和10月11日注册的试验以及在这两个日期之间(含这两个日期)注册的试验的“干预名称”和“主要结局指标”数据字段的填写情况。
在研究期间,ClinicalTrials.gov中的注册数量从13,153项增加了73%,达到22,714项。行业注册的干预性试验中,干预名称条目不具体(归因于四家制药公司)的比例从10%降至2%;所有其他行业和非行业记录在该字段中都有具体条目。在这两个日期之间行业注册的2670项研究中,76%在主要结局指标字段中提供了信息,不过这些条目的具体程度差异很大。在其余24%的记录中,该字段为空。
2005年夏季,临床试验注册数量大幅增加。总体而言,10月份记录中的数据比5月份更完整,但仍有很大的改进空间。