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Special Report
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Volume 360:824-830 February 19, 2009 Number 8
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Progress and Deficiencies in the Registration of Clinical Trials
Alastair J.J. Wood, M.D.

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Clinical trials are essential to understanding the efficacy of medical interventions. The ethical underpinnings of this type of research involving human subjects, codified in the Belmont Report1 and the Declaration of Helsinki,2 require that the results be publicly available to inform medical practice as well as future research. In addition, basic principles of evidence-based practice require the analysis of all data on a given topic; the practice of publishing only some results, but not others,3,4 undermines our collective ability to make rational decisions about medical care.

In Section 801 of the Food and Drug Administration (FDA) Amendments Act,5 enacted in . . . [Full Text of this Article]

Registration Requirements

Results-Reporting Requirements

Clinical Trials Results Databases

The Need for Additional Legislation

Conclusions


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Dr. Wood is managing director of Symphony Capital and a Professor of Medicine and Pharmacology at Weill Medical College of Cornell University — both in New York.


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