CT.gov Risk-Adjusted Hiddenness
2026-03-29 | full-registry ct.gov audit | plots, figures, and e156 bundle
Series
E156 Micro-Paper

CT.gov Risk-Adjusted Hiddenness

A 156-word micro-paper on which CT.gov sponsor classes and geographies remain worse than expected after study-mix adjustment.

Adjusted counts
No US
OTHER
Ghost residuals

Paper

Raw rate tables tell only part of the story. The residuals show where hiddenness still remains after design mix is held constant.

Reading note

Which CT.gov portfolios remain quieter than expected after adjusting for study mix instead of comparing raw rates alone? We analysed 249,507 eligible older closed interventional studies from the March 29, 2026 full-registry snapshot. We fit logistic models for missing results and ghost protocols using phase, purpose, allocation, status, enrollment, arm count, intervention count, geography scale, outcome density, and study age, excluding sponsor and geography identities from adjustment. After adjustment, No-US portfolios still carried 16,659 excess no-results studies, while OTHER held the largest sponsor-class excess stock at 3,652 and OTHER_GOV the worst excess rate at 17.1 percentage points. Industry fell below expectation on no-results by 3,314 studies yet above expectation on ghost protocols by 3,051, suggesting residual hiddenness concentrates in fully invisible studies. Study mix therefore explains part of the backlog, but large sponsor and geography residuals still remain after adjustment. These models use registry-visible design fields and estimate excess hiddenness, not causal blame or legal liability.

No-results AUC
0.775
Holdout performance
Ghost AUC
0.695
Second target
Industry ghost
3,051
Excess ghost stock
Any-US shift
-15.9 pts
Adjusted rate-point gap