Clinical Silence

A study has shown that less than half of the outcomes of some clinical trials are publicly available.

Written byAbby Olena, PhD
| 2 min read

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FLICKR, E-MAGINE ARTIt’s already known that much clinical trial data doesn’t see the light of day—particularly when the outcomes of the trial do not reflect positively on the drug in question. In a study published this week (October 8) in PLOS Medicine, researchers have shown that, even for studies where results are publicly accessible, less than half of the relevant patient outcomes (positive or negative) are available, as compared to more complete information found in unreleased clinical study reports (CSRs).

Researchers from the Institute for Quality and Efficiency in Healthcare in Germany analyzed a group of 101 clinical trials completed between 2006 and 2011. Eighty-six of the trials had publicly available sources, like registry reports or publications, and the researchers obtained CSRs for each trial from the sponsoring drug companies. The research team compared the benefit and harm outcomes reported in the available materials and the CSRs and found that “the CSRs provided complete information on a considerably higher proportion of outcomes (86%) than the combined publicly available sources (39%),” they wrote.

Carl Heneghan, director of the Centre for Evidence-Based Medicine at the University of Oxford in the U.K., told Nature that he was not surprised by the paper’s findings. “It’s becoming obvious that what’s ...

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  • abby olena

    As a freelancer for The Scientist, Abby reports on new developments in life science for the website. She has a PhD from Vanderbilt University and got her start in science journalism as the Chicago Tribune’s AAAS Mass Media Fellow in 2013. Following a stint as an intern for The Scientist, Abby was a postdoc in science communication at Duke University, where she developed and taught courses to help scientists share their research. In addition to her work as a science journalist, she leads science writing and communication workshops and co-produces a conversational podcast. She is based in Alabama.  

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