Center for Evidence-Based Medicine Odense and Cochrane Denmark, Department of Clinical Research, University of Southern Denmark, JB Winsløwsvej 9b, 3rd floor, 5000, Odence, Denmark.
Open Patient data Exploratory Network (OPEN), Odense University Hospital, Odense, Denmark.
BMC Med Ethics. 2021 Aug 28;22(1):115. doi: 10.1186/s12910-021-00681-9.
To determine to which degree industry partners in randomised clinical trials own the data and can constrain publication rights of academic investigators.
Cohort study of trial protocols, publication agreements and other documents obtained through Freedom of Information requests, for a sample of 42 trials with industry involvement approved by ethics committees in Denmark. The main outcome measures used were: proportion of trials where data was owned by the industry partner, where the investigators right to publish were constrained and if this was mentioned in informed consent documents, and where the industry partner could review data while the trial was ongoing and stop the trial early.
The industry partner owned all data in 20 trials (48%) and in 16 trials (38%) it was unclear. Publication constraints were described for 30 trials (71%) and this was not communicated to trial participants in informed consent documents in any of the trials. In eight trials (19%) the industry partner could review data during the trial, for 20 trials (48%) it was unclear. The industry partner could stop the trial early without any specific reason in 23 trials (55%).
Publication constraints are common, and data is often owned by industry partners. This is rarely communicated to trial participants. Such constraints might contribute to problems with selective outcome reporting. Patients should be fully informed about these aspects of trial conduct.
确定在随机临床试验中,工业合作伙伴在何种程度上拥有数据,并能够限制学术研究者的发表权利。
对丹麦伦理委员会批准的 42 个具有工业参与的试验方案、出版协议和其他通过信息自由请求获得的文件进行队列研究。主要观察指标为:数据由工业合作伙伴拥有的试验比例、研究者发表权利受到限制的试验比例,以及知情同意文件中是否提及这些限制,以及工业合作伙伴是否可以在试验进行时审查数据并提前终止试验。
20 项试验(48%)中工业合作伙伴拥有全部数据,16 项试验(38%)数据所有权不明确。30 项试验(71%)描述了发表限制,但在任何一项试验中,知情同意文件均未向试验参与者传达这些限制。在 8 项试验(19%)中,工业合作伙伴可以在试验期间审查数据,20 项试验(48%)的数据所有权不明确。在 23 项试验(55%)中,工业合作伙伴可以在没有任何具体原因的情况下提前终止试验。
发表限制很常见,数据通常由工业合作伙伴拥有。这很少向试验参与者传达。这些限制可能导致选择性结果报告的问题。患者应充分了解试验实施的这些方面。