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Just 3% of more than 3,700 studies run exclusively in Canada over a recent 10-year period were registered prospectively, reported results, and published the findings, underscoring ongoing concerns about clinical trial transparency, according to a new analysis.

More specifically, 47% of those trials, or more than 1,770, were registered in advance, while only 12% reported results in a registry, and only 48% published their findings. The analysis, which examined trials that were completed between 2009 and 2019, were published in Facets, a medical journal that examines research conducted in Canada and internationally (university and industry performances can be seen here).

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The study also found disclosure was much higher when looking at trials simultaneously conducted in Canada and at least one other country. Of more than 2,900 such trials, 74% were registered in advance, 75% reported results in a registry, and 65% published the results. In all, 42% took all three of those steps concurrently. Overall, the analysis found the odds of adhering to transparency standards in Canada drop by 95% when compared with international trials.

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