Clinical study reports of randomised controlled trials: an exploratory review of previously confidential industry reports

dc.contributor.authorDoshi, Peter
dc.contributor.authorJefferson, Tom
dc.description.abstractOBJECTIVE: To explore the structure and content of a non-random sample of clinical study reports (CSRs) to guide clinicians and systematic reviewers. SEARCH STRATEGY: We searched public sources and lodged Freedom of Information requests for previously confidential CSRs primarily written by the industry for regulators. SELECTION CRITERIA: CSRs reporting sufficient information for extraction ('adequate'). PRIMARY OUTCOME MEASURES: Presence and length of essential elements of trial design and reporting and compression factor (ratio of page length for CSRs compared to its published counterpart in a scientific journal). DATA EXTRACTION: Data were extracted on standard forms and crosschecked for accuracy. RESULTS: We assembled a population of 78 CSRs (covering 90 randomised controlled trials; 144 610 pages total) dated 1991-2011 of 14 pharmaceuticals. Report synopses had a median length of 5 pages, efficacy evaluation 13.5 pages, safety evaluation 17 pages, attached tables 337 pages, trial protocol 62 pages, statistical analysis plan 15 pages and individual efficacy and safety listings had a median length of 447 and 109.5 pages, respectively. While 16 (21%) of CSRs contained completed case report forms, these were accessible to us in only one case (765 pages representing 16 individuals). Compression factors ranged between 1 and 8805. CONCLUSIONS: Clinical study reports represent a hitherto mostly hidden and untapped source of detailed and exhaustive data on each trial. They should be consulted by independent parties interested in a detailed record of a clinical trial, and should form the basic unit for evidence synthesis as their use is likely to minimise the problem of reporting bias. We cannot say whether our sample is representative and whether our conclusions are generalisable to an undefined and undefinable population of CSRs.en_US
dc.description.sponsorshipJH Libraries Open Access Funden_US
dc.identifier.citationdoi: 10.1136/bmjopen-2012-002496en_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.ispartofseriesBMJ Open.;v.3 no.2 p. e002496 2013
dc.subjectInternal Medicineen_US
dc.subjectMedical Journalismen_US
dc.subjectMedical Ethicsen_US
dc.titleClinical study reports of randomised controlled trials: an exploratory review of previously confidential industry reportsen_US
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
2013 Doshi Clinical Study Reports.pdf
432.33 KB
Adobe Portable Document Format
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
2.81 KB
Item-specific license agreed upon to submission