| Contents | 4 |
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| List of contributors | 6 |
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| Preface | 8 |
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| Clinical trial registries and publication of results – a primer | 13 |
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| Introduction | 13 |
| Regulatory agency actions Europe | 16 |
| USA | 17 |
| Journal editor actions | 18 |
| International pharmaceutical industry association actions | 19 |
| Discussion | 20 |
| Acknowledgements | 22 |
| References | 22 |
| The journal editor’s perspective | 25 |
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| Introduction | 25 |
| Why did ICMJE call for mandatory clinical trial registration? | 26 |
| How did ICMJE develop a trial registration policy? | 26 |
| The future clinical trials and medical journals | 28 |
| Which trials should be registered? | 30 |
| Which registration database can be used? | 31 |
| What data should be entered in the registration database? | 32 |
| Which journals subscribe to the trial registration policy? | 33 |
| Discussion | 35 |
| References | 37 |
| Industry perspective on public clinical trial registries and results databases | 39 |
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| Introduction | 39 |
| Clinical trial registries | 40 |
| Clinical trial results databases | 50 |
| Future directions | 54 |
| Acknowledgements | 56 |
| References | 56 |
| Public and patient usage and expectations for clinical trial registries | 59 |
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| Introduction | 59 |
| Methdology to assess public and patient usage | 61 |
| Profile of respondents | 61 |
| Usage of registries | 62 |
| Assessment of information quality, scope and usefulness | 63 |
| How registry information is being used | 65 |
| Conclusions | 66 |
| References | 70 |
| Building a global culture of trial registration | 71 |
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| Introduction | 71 |
| Perspectives from the Canadian Institutes of Health Research | 73 |
| Internal oversight: The need for increased accountabil-ity, quality control, and transparency in CIHR- funded trials | 74 |
| Randomized controlled trial database | 75 |
| Registration of CIHR-funded trials in an international register | 76 |
| CIHR vision regarding trial registration | 78 |
| The Ottawa Group and Ottawa Statement | 79 |
| The Ottawa Statement Part 1 | 80 |
| The Ottawa Statement Part 2 | 82 |
| The impact of the Ottawa Group and the Ottawa Statement | 84 |
| The WHO International Clinical Trials Registry Platform | 84 |
| Interactions between CIHR, Ottawa Group, and the WHO trial registration project | 89 |
| Conclusion | 91 |
| References | 92 |
| The Japanese perspective on registries and a review of clinical trial process in Japan | 95 |
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| Introduction | 95 |
| Regulations for clinical trials in Japan | 95 |
| Clinical trials for NDA submission | 96 |
| Clinical trials not for NDA submission | 104 |
| Number of clinical trials conducted in Japan | 104 |
| Publication of clinical trials in Japan Clinical trials for NDA submission | 107 |
| Clinical trials not for NDA submission | 109 |
| Status of clinical trial registration | 110 |
| Clinical Trial Registries in Japan | 111 |
| UMIN-CTR | 112 |
| Issues in clinical trial registration in Japan | 113 |
| Necessity of mandatory registration | 113 |
| Reinforcing education on clinical trials | 114 |
| Future of Japanese clinical trial registration scheme | 115 |
| References | 116 |
| Transparency and validity of pharmaceutical research | 119 |
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| Introduction | 119 |
| The process of drug development in the United States | 120 |
| Clinical trial registration | 123 |
| Obtaining transparency | 125 |
| Clinicalstudyresults.org | 125 |
| The data set element issue | 126 |
| Summary | 129 |
| References | 129 |
| A project management approach to the planning and execution of clinical trial registries | 131 |
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| Introduction | 131 |
| Defining a project | 132 |
| Lilly’s approach | 133 |
| Project phases | 133 |
| Initiation | 133 |
| Planning | 135 |
| Execution | 140 |
| Monitoring and control | 141 |
| Closeout | 142 |
| Conclusions | 143 |
| References | 144 |
| Biopharmaceutical companies tackle clinical trial transparency | 146 |
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| Introduction | 146 |
| Demand for transparency grows | 149 |
| Transparency increases | 151 |
| Industry response divided | 151 |
| Resources applied | 155 |
| Challenges for the future | 157 |
| References | 159 |
| In search of “Clinical Trial Register – Version 2.0” | 161 |
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| Introduction | 161 |
| The difference between register and registry | 162 |
| The case for registering information from concluded trials | 163 |
| Increasing stakeholder and government interest | 163 |
| Highlights of key websites that aggregate clinical trial data ClinicalStudyResults. org | 165 |
| ClinicalTrials.gov | 166 |
| Current controlled trials (ControlledTrials.com) | 166 |
| The Clinical Trial Registry Platform (http://www.who. int/ ictrp/ en/) | 166 |
| Thomson CenterWatch (centerwatch.com) | 167 |
| From attributes to content to benefits: It’s all about the user | 167 |
| Assessing user needs and the competitive environment | 169 |
| Capturing eyeballs, contending for time | 171 |
| Driving clinical trial register use and reliance | 173 |
| References | 175 |
| Appendix | 177 |
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| Clinical trial registries and study results databases | 178 |
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| Annotated bibliography of important papers | 185 |
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| Index | 199 |