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

How much metabolic trial evidence stays hidden on CT.gov?

A standalone public project on metabolic trial hiddenness across diabetes, obesity, and related portfolios.

Rank #6 by stock
76.2% no results
41.9% ghost
14.1% fully visible

Project

This metabolic project isolates one of the quietest large disease families in the registry and tracks which sponsors and phases contribute most to the unresolved stock.

Metabolic trials sit above cardiovascular trials on the main no-results metric and remain heavily obscured in the NA bucket.

Metabolic portfolio

A standalone E156 project on metabolic trial hiddenness across sponsor classes, phases, and leading sponsors.

Eligible older
17,294
Metabolic studies
No-results rate
76.2%
2-year no-results
Ghost rate
41.9%
Neither visible
Fully visible
14.1%
Results plus publication
Sponsor-class mix
METABOLIC SPONSOR CLASSES2-year no-results rate by sponsor class inside the metabolic familyOTHER_GOV95.6%OTHER82.4%NIH63.1%INDUSTRY62.5%FED51.2%
Metabolic splits sharply by sponsor class rather than behaving like one uniform disease portfolio.
The disease-specific view matters because a family can look moderate overall while hiding strong internal sponsor-class contrasts.
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.