CT.gov Geography-Scale Visibility
2026-03-29 | full-registry ct.gov audit | plots, figures, and e156 bundle
Series
Geography Project

Does a larger trial geography make CT.gov more visible?

A standalone public project on site and country footprint, showing how much older single-site trials differ from large multi-site and multinational studies.

Single-site 79.5%
20+ sites 31.7%
Phase III 76.3% to 25.7%
20+ countries 11.7%

Project

This page uses the footprint logic from your pathway and cohort work, but here the question is public visibility: whether broader operational scale leaves a clearer record behind.

Single-site trials are dramatically quieter than large multi-site studies, even within the same major phases.

Site-footprint comparison

A standalone E156 project on how site and country footprint map onto older-study visibility and phase-specific reporting gaps.

Single-site
159,940
Older studies
Single-site no results
79.5%
2-year no-results
20+ sites no results
31.7%
Large-footprint benchmark
20+ sites visible
45.9%
Results plus publication
Site footprint
SITE FOOTPRINT2-year no-results rate by recorded site footprintMissing80.9%Single-site79.5%2-4 sites69.3%5-19 sites56.0%20+ sites31.7%
The drop from single-site to 20-plus-site studies is one of the sharpest gradients in the atlas.
Geography scale is doing real analytic work here, not just describing trial logistics.
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.

Purpose
CT.gov Design-Purpose Hiddenness

Primary-purpose and allocation analysis showing which trial intents remain most obscured on CT.gov.

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.