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Transparency in ovarian cancer clinical trial results: ClinicalTrials.gov versus PubMed, Embase and Google scholar
Anna Roberto1, Silvia Radrezza2, Paola Mosconi2
1Laboratory for medical research and consumer involvement, IRCCS Istituto di Ricerche Farmacologiche Mario Negri, Via G. La Masa 19, 20156, Milan, Italy. anna.roberto@marionegri.it.
Background:
In recent years the question of the lack of transparency in clinical research has been debated by clinicians, researchers, citizens and their representatives, authors and publishers. This is particularly important for infrequent cancers such as ovarian cancer, where treatment still gives disappointing results in the majority of cases. Our aim was to assess the availability to the public of results in ClinicalTrials.gov, and the frequency of non-publication of results in ClinicalTrials.gov and in PubMed, Embase and Google Scholar. We collected all trials on ovarian cancer identified as "completed status" in the ClinicalTrials.gov registry on 17 January 2017. We checked the availability of the results in ClinicalTrials.gov and systematically identified published manuscripts on results.
Results:
Out of 2725 trials on ovarian cancer identified, 752 were classified as "completed status". In those closed between 2008 and 2015, excluding phase I, the frequency of results in ClinicalTrials.gov was 35%. Of the 752 completed studies the frequency of published results in PubMed, Embase or Google Scholar ranged from 57.9% to 69.7% in the last years.
Conclusions:
These findings show a lack of transparency and credibility of research. Citizens or patients' representatives, with the medical community, should continuously support initiatives to improve the publication and dissemination of clinical study results.
Insights
Transparency in clinical research is lacking, especially for ovarian cancer trials. Results from completed studies were often not published, impacting research credibility and patient trust.
Area of Science:
- Oncology
- Clinical Research
- Medical Informatics
Background:
- Transparency in clinical research is a growing concern among stakeholders.
- Ovarian cancer research faces challenges due to disappointing treatment outcomes.
- Assessing the availability and publication of clinical trial results is crucial.
Purpose of the Study:
- To evaluate the public availability of results for ovarian cancer clinical trials on ClinicalTrials.gov.
- To determine the frequency of non-publication of results in ClinicalTrials.gov, PubMed, Embase, and Google Scholar.
Main Methods:
- Identified "completed status" ovarian cancer trials from ClinicalTrials.gov as of January 17, 2017.
- Collected 752 completed trials, focusing on those closed between 2008 and 2015 (excluding Phase I).
- Checked for result availability on ClinicalTrials.gov and searched major databases for published manuscripts.
Main Results:
- Only 35% of eligible completed ovarian cancer trials had results posted on ClinicalTrials.gov.
- Publication rates in PubMed, Embase, or Google Scholar ranged from 57.9% to 69.7% for completed studies.
- A significant proportion of clinical trial results remain inaccessible to the public.
Conclusions:
- The study highlights a concerning lack of transparency and credibility in clinical research.
- Improved publication and dissemination of clinical study results are essential.
- Patient representatives and the medical community should advocate for greater research transparency.
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