CT.gov Trial-Architecture Gap
2026-03-29 | full-registry ct.gov audit | plots, figures, and e156 bundle
Series
Architecture Dashboard

Simpler-looking trial architectures often sit in the quietest registry segments

Older one-arm and one-intervention studies remain much quieter than more elaborate architectures, and the pattern persists within major phases.

Arm counts
Interventions
Phase contrast
Hiddenness score

Dashboard

Arm counts and intervention counts expose a structural quiet zone that would be invisible in a sponsor-only reading.

How to read the dashboard
1-arm no results
72.8%
Smallest architecture
10+ arms no results
55.3%
Largest architecture
1-intervention ghosts
47.5%
Single intervention
PHASE1 one-arm
88.5%
Within-phase architecture
Arm-group architecture
ARM BUCKETS2-year no-results rate by arm-group count1 arm72.8%2 arms74.5%3-4 arms69.8%5-9 arms60.9%10+ arms55.3%
One-arm studies are not the clean edge case of the registry. They are one of its quietest structural segments.
The architecture page starts with arm count because it is the clearest public marker of protocol simplicity.
Intervention count
INTERVENTION BUCKETS2-year no-results rate by intervention count1 intervention78.7%2 interventions71.5%3-4 interventions64.7%5-9 interventions59.0%10+ interventions58.7%
Single-intervention studies are also much quieter than more complex intervention structures.
The intervention count chart keeps the architecture story from depending on arm groups alone.
Within-phase architecture
PHASE AND ARM COUNTSelected within-phase no-results rates for one-arm and 10-plus-arm studiesPHASE1 | 1 arm88.5%PHASE1 | 10+ arms65.6%PHASE3 | 1 arm61.0%PHASE3 | 10+ arms35.6%
The architecture gap remains visible inside both early and later phases rather than collapsing into pure phase mix.
That makes the architecture signal a real structural layer in the registry rather than just a side effect of phase.
Read Across Projects

Across The Series

Each project isolates a different dimension of registry opacity, but the point is the contrast between them, not a single 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.

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.