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Grey Literature

What it is, its value, where to search for it, and how to evaluate it.

What is a clinical trial?

"A clinical trial is any research study that prospectively assigns human participants or groups of humans to one or more health-related interventions to evaluate the effects on health outcomes. Clinical trials may also be referred to as interventional trials. Interventions include but are not restricted to drugs, cells and other biological products, surgical procedures, radiologic procedures, devices, behavioural treatments, process-of-care changes, preventive care, etc. This definition includes Phase I to Phase IV trials." 

This definition comes from the World Health Organization's ICTRP Glossary page:

Glossary. (n.d.). Retrieved May 30, 2025, from https://www.who.int/tools/clinical-trials-registry-platform/about/glossary

Why include them in your search?

If you are exploring a topic that is looking at medical/health interventions, then you should consider searching for clinical trials. As the definition on this page explains, the intervention could by anything: drugs/pharmaceuticals, cells and other biological products, surgical procedures, radiologic procedures, devices, behavioural treatments, process-of-care changes, preventive care, etc.

Be aware, there will be challenges finding clinical trials and their outcomes

The AllTrials campaign website sums it up best: 

Approximately half of all the clinical trials ever conducted have never been reported, and even with a lot of improvement and advocacy over the past decade, the goal of having 100% of trials registered and reporting continues. 

Why this is important?

If only some of the results of clinical trials regarding specific health care interventions are published (those with positive results), then the evidence we have is distorted, because important results (like the negative ones) are missing. Additionally, if the results of these studies are not recorded then this effort is wasted: it results in poorly informed treatment decisions, lost opportunities to progress potentially life-saving research, and wasting resources on dead-end research and repeated trials.

Alltrials—Sense about science. (2020, February 12). https://senseaboutscience.org/alltrials/

Where to find clinical trials and registered research

Clinical trials can be found through searching clinical trial registers. These are listed alphabetically.

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