Abstract

BackgroundClinical trial (and other) data from the European Medicines Agency (EMA) offers the best available opportunity to address the extensive reporting bias in pharmaceutical trial literature. Data are requested via freedom of information requests, but 5 years on, little is known about how the system is working.MethodsCase series of 12 requests for regulatory data (clinical study reports and other regulatory data) relating to 29 different compounds. We logged start and end dates for correspondence with and data releases from the EMA, the need for additional correspondence and appeal of initial negative decisions, and inspected data releases for redaction. We measured: time from initial request to first substantive response from the EMA, to final decision from the EMA (in case of appeal), to initial receipt of documents, and to completion of request; number of data transmission batches generated; number of pages received for each request; average number of pages per batch over time (for releases in multiple batches); judgment as to whether the request was satisfied.ResultsWe found great variability in time to receive an initial decision from the EMA (1 to 13 weeks). Additional correspondence with the EMA was necessary in 10 of 12 requests. Four of 12 were initially refused but 3 of 4 were allowed on appeal after 3 to 33 additional weeks. One request was denied despite appeal. Time to final decision was 1 to 43 weeks. We received data for 11 of 12 requests in 98 batches. While two requests remain outstanding as at June 2015 the remaining nine requests took a median 43 weeks to completion (range: 17 to 186 weeks). Despite redaction in 10 of 11 releases (mainly of researcher and participant identifying information), 8 requested were wholly satisfied.ConclusionsThe EMA is the only regulator in the world that is routinely releasing original clinical trial data, but release can take considerable time to occur and often only after a lengthy correspondence. Given its importance for research and significance for transparency we suggest ways in which the process could be made more efficient.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-016-1194-7) contains supplementary material, which is available to authorized users.

Highlights

  • Clinical trial data from the European Medicines Agency (EMA) offers the best available opportunity to address the extensive reporting bias in pharmaceutical trial literature

  • Doshi and Jefferson Trials (2016) 17:78. For those engaged in research synthesis, regulatory data not traditionally publicly available are a crucial weapon to avoid or minimize the impact of reporting bias. These data, typified by clinical study reports ranging from hundreds to thousands of pages, provide a wealth of auditable details on clinical trials well beyond the most extensive journal publications [1]

  • Types of requests We examined all requests we submitted to the EMA between November 2010 and 30 May 2015, regardless of their fate

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Summary

Introduction

Clinical trial (and other) data from the European Medicines Agency (EMA) offers the best available opportunity to address the extensive reporting bias in pharmaceutical trial literature. Data are requested via freedom of information requests, but 5 years on, little is known about how the system is working For those engaged in research synthesis, regulatory data not traditionally publicly available are a crucial weapon to avoid or minimize the impact of reporting bias. These data, typified by clinical study reports ranging from hundreds to thousands of pages, provide a wealth of auditable details on clinical trials well beyond the most extensive journal publications [1]. The EMA has two distinct policies affecting public access to clinical trial data in its holdings, one on request [12, 13] and the second for data in marketing authorization applications (MAAs) regarding MAAs submitted on or after 1 January 2015 (with web data release to start in 2016) [14]

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