Shamliyan Tatyana
Division of Health Policy and Management, University of Minnesota School of Public Health, MN, USA.
Clin Pharmacol. 2010;2:169-76. doi: 10.2147/CPAA.S12398. Epub 2010 Sep 10.
The Food and Drug Administration Amendments Act of 2007 mandated that sponsors of applicable studies must provide results within one year of study completion. We aimed to analyze the factors associated with reporting of results from interventional studies registered on ClinicalTrials.gov. On May 20, 2010, we retrieved 20 available fields from 57,233 closed studies on the website and identified 31,161 interventional studies that were required to post results. We compared the proportion of studies with results versus studies without results by age, gender, and disease status of participants, by interventions, sponsors, phase of clinical trials, and completion dates. The results of studies were reported for 4.7% of applicable studies, 8% of industry-sponsored studies, 7.5% of Phase II and 6.5% of Phase IV clinical trials, 4.9% of drug studies, and 0% of genetic studies. Withdrawn (n = 486) and suspended (n = 414) interventions did not provide results. The percentage of studies with results varied from 0% to 21% among different sponsors. The first studies with results were completed in 1992. The proportion of studies with results increased over time. Completion dates were not available for 7446 studies. The database does not have fields available to facilitate routine analysis of the rate of compliance with federal law for posting results. The analysis of accuracy of the protocols in relation to the results and publications is not possible without time-consuming evaluation of individual postings and individual publications.
2007年的《食品药品管理局修订法案》规定,适用研究的申办者必须在研究完成后的一年内提供研究结果。我们旨在分析与在ClinicalTrials.gov上注册的干预性研究结果报告相关的因素。2010年5月20日,我们从该网站上的57233项已结束研究中检索了20个可用字段,并确定了31161项需要公布结果的干预性研究。我们根据参与者的年龄、性别和疾病状态、干预措施、申办者、临床试验阶段以及完成日期,比较了有结果的研究与无结果的研究的比例。在适用研究中,有4.7%的研究报告了结果;在行业资助的研究中,这一比例为8%;在II期临床试验中为7.5%,在IV期临床试验中为6.5%;在药物研究中为4.9%,而在基因研究中为0%。撤回的干预措施(n = 486)和暂停的干预措施(n = 414)均未提供结果。不同申办者之间,有结果的研究比例从0%到21%不等。最早有结果的研究于1992年完成。有结果的研究比例随时间推移而增加。7446项研究没有提供完成日期。该数据库没有便于对遵守联邦法律公布结果的比率进行常规分析的可用字段。如果不耗时对每项记录和每份出版物进行评估,就无法分析方案与结果及出版物之间的准确性。