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In the United States, where it is mandatory to register clinical
trials for serious or life threatening diseases, many such trials are
not listed in any publicly available trials register. Manheimer and
Anderson (p 528) used major US trial registers to search for
information on 33 phase III trials of drugs known to be under
investigation for prostate and colon cancer: about 34% were not
identified in any of the registers. The authors conclude that, despite
the existence of hundreds of predominantly online registers of drug
trials, information is incomplete, with non-standardised language, and
is unlikely to meet the needs of clinicians and others.