CT.gov Design-Purpose Hiddenness
2026-03-29 | full-registry ct.gov audit | plots, figures, and e156 bundle
Series
Purpose Project

Which kinds of trials stay quietest on CT.gov?

A standalone public project on design purpose and allocation, showing which trial intents remain most hidden in older ClinicalTrials.gov records.

Treatment 68.3%
NA 86.4%
Device 84.1%
Non-randomized ghosts 47.3%

Project

This project applies the classification logic from your broader methods work to a simple registry question: which sponsor-entered trial purposes correspond to the quietest public record.

Treatment trials are quieter than they should be, but unlabeled and device-feasibility studies are quieter still.

Purpose comparison

A standalone E156 project on which trial purposes and allocation labels remain most obscured in older CT.gov studies.

Treatment no results
68.3%
Largest purpose group
Treatment ghosts
40.5%
Neither visible
NA no results
86.4%
No recorded purpose
Device ghosts
59.4%
Device-feasibility ghost rate
No-results by purpose
PRIMARY PURPOSE2-year no-results rate by sponsor-entered primary purposeTREATMENT68.3%PREVENTION77.1%OTHER79.1%SUPPORTIVE_CARE83.2%BASIC_SCIENCE80.4%DIAGNOSTIC80.8%HEALTH_SERVICES_RESEARCH79.2%SCREENING84.1%DEVICE_FEASIBILITY84.1%NA86.4%
Treatment dominates by stock, but several less-common purpose buckets look visibly quieter on rate.
The unlabeled NA bucket matters because it marks both weak design labeling and very poor visibility at the same time.
Read Across Projects

Across The Series

The split projects are meant to be read together because each isolates a different dimension of registry opacity rather than forcing every question into one leaderboard.

Industry
CT.gov Industry Disclosure Gap

Industry-focused missing-results stock, sponsor backlogs, and structural sparsity inside CT.gov.

Sponsor Classes
CT.gov Sponsor-Class Hiddenness

Sponsor-class comparisons on rate, stock, and structural hiddenness rather than one flattened ranking.

Phases
CT.gov Phase Reporting Gap

Phase-by-phase disclosure gaps showing how silence changes along the development pathway.

Structural
CT.gov Structural Missingness

Field-level missingness across publication links, IPD statements, descriptions, and locations.

Visibility
CT.gov Evidence Visibility Gap

Results-plus-publication visibility states showing how many older trials are fully visible, partly visible, or ghosted.

Cohorts
CT.gov Completion Cohort Debt

Completion-era reporting debt showing how older eligible cohorts drift on no-results and ghost-protocol rates.

Conditions
CT.gov Condition Hiddenness Map

Keyword-classified therapeutic-area hiddenness mapping across common condition families.

Concentration
CT.gov Sponsor Backlog Concentration

Concentration and inequality analysis showing how much unresolved stock sits inside a thin sponsor slice.

Rule Eras
CT.gov Rule-Era Reporting Gap

Policy-era comparisons across pre-FDAAA, FDAAA, and later CT.gov completion cohorts.

PubMed Audit
CT.gov Publication Undercount Audit

Sample-based external PubMed NCT audit testing how often CT.gov no-link records hide an external paper trail.

Oncology
CT.gov Oncology Hiddenness

Oncology-specific CT.gov hiddenness showing where cancer-trial stock, phases, and sponsors still go quiet.

Cardiovascular
CT.gov Cardiovascular Hiddenness

Cardiovascular CT.gov hiddenness showing how heart and vascular studies remain quiet across major phases and sponsors.

Metabolic
CT.gov Metabolic Hiddenness

Metabolic CT.gov hiddenness across obesity, diabetes, and related trial portfolios with large late-phase and NA stock.

Size
CT.gov Enrollment-Size Gap

Enrollment-size gradients showing how older small trials remain much quieter than larger registered studies.

Geography
CT.gov Geography-Scale Visibility

Site and country footprint analysis showing how larger trial geographies map onto much better public visibility.

Delay
CT.gov Completion-Delay Debt

Registration-to-completion delay analysis showing short-cycle studies carry the heaviest reporting debt.

Architecture
CT.gov Trial-Architecture Gap

Arm-count and intervention-count analysis showing simpler trial architectures are often the quietest.