Study Faults Academic Center Trial Dissemination

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Despite the ethical mandate and expressed values and mission of academic institutions, there is poor performance and noticeable variation in disseminating clinical trial results across leading academic medical centers, according to research published online in the open-access BMJ. Researchers from Yale and several other major universities looked at 4,347 interventional clinical trials across 51 academic medical centers. They found that only 29% of completed clinical trials conducted by the faculty at major academic centers were published within two years of completion, and only 13% reported results on ClinicalTrials.gov.

“While seemingly axiomatic that the results of clinical trials led by the faculty at leading academic institutions will undergo peer-reviewed publication, our study found that 44% of such trials have not been published more than three, and up to seven, years after study completion,” the report says. “This is consistent with previous studies that have reported between 25% and 50% of clinical trials remain unpublished as much as several years after completion.”

The researchers conclude that the lack of timely reporting and publication fundamentally impairs the research enterprise, violates the commitment made by investigators to patients and funders, squanders precious time and resources, and threatens to compromise evidence-based clinical decision-making. They call for additional tools and mechanisms to rectify the lack of timely reporting and publication.

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