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Trials, tricks and transparency: How disclosure rules affect clinical knowledge

Matthias Dahm, Paula González and Nicolás Porteiro

Journal of Health Economics, 2009, vol. 28, issue 6, 1141-1153

Abstract: Scandals of selective reporting of clinical trial results by pharmaceutical firms have underlined the need for more transparency in clinical trials. We provide a theoretical framework which reproduces incentives for selective reporting and yields three key implications concerning regulation. First, a compulsory clinical trial registry complemented through a voluntary clinical trial results database can implement full transparency (the existence of all trials as well as their results is known). Second, full transparency comes at a price. It has a deterrence effect on the incentives to conduct clinical trials, as it reduces the firms' gains from trials. Third, in principle, a voluntary clinical trial results database without a compulsory registry is a superior regulatory tool; but we provide some qualified support for additional compulsory registries when medical decision-makers cannot anticipate correctly the drug companies' decisions whether to conduct trials.

Keywords: Pharmaceutical; firms; Strategic; information; transmission; Incentives; Clinical; trials; Registries; Results; databases; Scientific; knowledge (search for similar items in EconPapers)
Date: 2009
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (11)

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