Publication of studies registered in Clinical Trials Registry of India: An audit of mood disorder research protocols from 2009-2019

Background: Selective publication of studies has important scientific, ethical, and public health implications. Aim: We studied selective publication among mood disorder research protocols registered in the Clinical Trials Registry of India (CTRI) database. We also examined the frequency and nature...

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Main Authors: Vikas Menon, Natarajan Varadharajan, Rini Joseph, Samir Kumar Praharaj, Chittaranjan Andrade
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Psychiatry
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Online Access:https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_366_22
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author Vikas Menon
Natarajan Varadharajan
Rini Joseph
Samir Kumar Praharaj
Chittaranjan Andrade
author_facet Vikas Menon
Natarajan Varadharajan
Rini Joseph
Samir Kumar Praharaj
Chittaranjan Andrade
author_sort Vikas Menon
collection DOAJ
description Background: Selective publication of studies has important scientific, ethical, and public health implications. Aim: We studied selective publication among mood disorder research protocols registered in the Clinical Trials Registry of India (CTRI) database. We also examined the frequency and nature of protocol deviations among the published articles. Methods: Using a systematic search strategy, we examined the publication status of all mood disorder-related research protocols registered in the CTRI database from inception till December 31, 2019. Logistic regression analysis was used to identify variables associated with selective publication. Results: Of 129 eligible protocols identified, only a third (n = 43, 33.3%) were published in literature; among those published, only 28 (21.7%) were placed in MEDLINE indexed journals. Protocol deviations were observed in more than half of the published papers (n = 25, 58.1%); many of these (41.9%) were related to sample size deviations, though, importantly, deviations in primary and secondary outcomes were also noted (16.2%). Retrospective registration of trials (odds ratio, 2.98, 95% confidence interval, 1.32–6.71) was significantly associated with publication; other variables, such as funding status or multicentric sampling, were not associated with eventual publication. Conclusions: Two out of three mood disorder research protocols registered in India do not translate into published research. These findings from a low- and middle-income country with limited spending on health care research and development represent wastage of resources and raise scientific and ethical concerns about unpublished data and futile patient participation in research.
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institution Kabale University
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1998-3794
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publishDate 2023-01-01
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spelling doaj-art-ee2c2b02be444a59866a49bfd1af50422025-01-20T10:57:57ZengWolters Kluwer Medknow PublicationsIndian Journal of Psychiatry0019-55451998-37942023-01-01651687410.4103/indianjpsychiatry.indianjpsychiatry_366_22Publication of studies registered in Clinical Trials Registry of India: An audit of mood disorder research protocols from 2009-2019Vikas MenonNatarajan VaradharajanRini JosephSamir Kumar PraharajChittaranjan AndradeBackground: Selective publication of studies has important scientific, ethical, and public health implications. Aim: We studied selective publication among mood disorder research protocols registered in the Clinical Trials Registry of India (CTRI) database. We also examined the frequency and nature of protocol deviations among the published articles. Methods: Using a systematic search strategy, we examined the publication status of all mood disorder-related research protocols registered in the CTRI database from inception till December 31, 2019. Logistic regression analysis was used to identify variables associated with selective publication. Results: Of 129 eligible protocols identified, only a third (n = 43, 33.3%) were published in literature; among those published, only 28 (21.7%) were placed in MEDLINE indexed journals. Protocol deviations were observed in more than half of the published papers (n = 25, 58.1%); many of these (41.9%) were related to sample size deviations, though, importantly, deviations in primary and secondary outcomes were also noted (16.2%). Retrospective registration of trials (odds ratio, 2.98, 95% confidence interval, 1.32–6.71) was significantly associated with publication; other variables, such as funding status or multicentric sampling, were not associated with eventual publication. Conclusions: Two out of three mood disorder research protocols registered in India do not translate into published research. These findings from a low- and middle-income country with limited spending on health care research and development represent wastage of resources and raise scientific and ethical concerns about unpublished data and futile patient participation in research.https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_366_22clinical trial registryclinical trialspsychiatrypublication biasrandomized controlled trialsselective publication
spellingShingle Vikas Menon
Natarajan Varadharajan
Rini Joseph
Samir Kumar Praharaj
Chittaranjan Andrade
Publication of studies registered in Clinical Trials Registry of India: An audit of mood disorder research protocols from 2009-2019
Indian Journal of Psychiatry
clinical trial registry
clinical trials
psychiatry
publication bias
randomized controlled trials
selective publication
title Publication of studies registered in Clinical Trials Registry of India: An audit of mood disorder research protocols from 2009-2019
title_full Publication of studies registered in Clinical Trials Registry of India: An audit of mood disorder research protocols from 2009-2019
title_fullStr Publication of studies registered in Clinical Trials Registry of India: An audit of mood disorder research protocols from 2009-2019
title_full_unstemmed Publication of studies registered in Clinical Trials Registry of India: An audit of mood disorder research protocols from 2009-2019
title_short Publication of studies registered in Clinical Trials Registry of India: An audit of mood disorder research protocols from 2009-2019
title_sort publication of studies registered in clinical trials registry of india an audit of mood disorder research protocols from 2009 2019
topic clinical trial registry
clinical trials
psychiatry
publication bias
randomized controlled trials
selective publication
url https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_366_22
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AT rinijoseph publicationofstudiesregisteredinclinicaltrialsregistryofindiaanauditofmooddisorderresearchprotocolsfrom20092019
AT samirkumarpraharaj publicationofstudiesregisteredinclinicaltrialsregistryofindiaanauditofmooddisorderresearchprotocolsfrom20092019
AT chittaranjanandrade publicationofstudiesregisteredinclinicaltrialsregistryofindiaanauditofmooddisorderresearchprotocolsfrom20092019