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临床试验注册中科学领导信息报告不足。

Poor reporting of scientific leadership information in clinical trial registers.

作者信息

Sekeres Melanie, Gold Jennifer L, Chan An-Wen, Lexchin Joel, Moher David, Van Laethem Marleen L P, Maskalyk James, Ferris Lorraine, Taback Nathan, Rochon Paula A

机构信息

Kunin-Lunenfeld Applied Research Unit, Baycrest, Toronto, Ontario, Canada.

出版信息

PLoS One. 2008 Feb 20;3(2):e1610. doi: 10.1371/journal.pone.0001610.

Abstract

BACKGROUND

In September 2004, the International Committee of Medical Journal Editors (ICMJE) issued a Statement requiring that all clinical trials be registered at inception in a public register in order to be considered for publication. The World Health Organization (WHO) and ICMJE have identified 20 items that should be provided before a trial is considered registered, including contact information. Identifying those scientifically responsible for trial conduct increases accountability. The objective is to examine the proportion of registered clinical trials providing valid scientific leadership information.

METHODOLOGY/PRINCIPAL FINDINGS: We reviewed clinical trial entries listing Canadian investigators in the two largest international and public trial registers, the International Standard Randomized Controlled Trial Number (ISRCTN) register, and ClinicalTrials.gov. The main outcome measures were the proportion of clinical trials reporting valid contact information for the trials' Principal Investigator (PI)/Co-ordinating Investigator/Study Chair/Site PI, and trial e-mail contact address, stratified by funding source, recruiting status, and register. A total of 1388 entries (142 from ISRCTN and 1246 from ClinicalTrials.gov) comprised our sample. We found non-compliance with mandatory registration requirements regarding scientific leadership and trial contact information. Non-industry and partial industry funded trials were significantly more likely to identify the individual responsible for scientific leadership (OR = 259, 95% CI: 95-701) and to provide a contact e-mail address (OR = 9.6, 95% CI: 6.6-14) than were solely industry funded trials.

CONCLUSIONS/SIGNIFICANCE: Despite the requirements set by WHO and ICMJE, data on scientific leadership and contact e-mail addresses are frequently omitted from clinical trials registered in the two leading public clinical trial registers. To promote accountability and transparency in clinical trials research, public clinical trials registers should ensure adequate monitoring of trial registration to ensure completion of mandatory contact information fields identifying scientific leadership.

摘要

背景

2004年9月,国际医学期刊编辑委员会(ICMJE)发布了一项声明,要求所有临床试验在启动时即在公共登记处注册,以便考虑发表。世界卫生组织(WHO)和ICMJE确定了在试验被视为注册之前应提供的20项内容,包括联系信息。确定那些对试验实施负有科学责任的人员可提高问责制。目的是检查提供有效科学领导信息的注册临床试验的比例。

方法/主要发现:我们审查了两个最大的国际公共试验注册库(国际标准随机对照试验编号(ISRCTN)注册库和ClinicalTrials.gov)中列出加拿大研究人员的临床试验条目。主要结局指标是按资金来源、招募状态和注册库分层的临床试验报告试验主要研究者(PI)/协调研究者/研究主席/研究点PI的有效联系信息以及试验电子邮件联系地址的比例。我们的样本共有1388条记录(142条来自ISRCTN,1246条来自ClinicalTrials.gov)。我们发现,在科学领导和试验联系信息方面不符合强制注册要求。与完全由行业资助的试验相比,非行业资助和部分行业资助的试验更有可能确定负责科学领导的个人(OR = 259,95%CI:95 - 701)并提供联系电子邮件地址(OR = 9.6,95%CI:6.6 - 14)。

结论/意义:尽管有WHO和ICMJE规定的要求,但在两个主要的公共临床试验注册库中注册的临床试验经常遗漏有关科学领导和联系电子邮件地址的数据。为了提高临床试验研究的问责制和透明度,公共临床试验注册库应确保对试验注册进行充分监督,以确保完成识别科学领导的强制联系信息字段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/845a/2229844/347cf4de6cf1/pone.0001610.g001.jpg

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