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Clinical Trials

Chronological Events

Clinical Trials Registry

November 1997

FDA Modernization Act mandates registration
  • Studies of treatments of services or life-threatening diseases and conditions
  • Any funding source
  • NLM (National Library of Medicine) with FDA develop clinicaltrials.gov


February 2000

clinicaltrials.gov available on the Internet


March 2000

FDA issues initial draft guidance on registration


September 2000

Medicare NCD (National Coverage Decision) on routine costs of clinical trials allowed IF trial is registered in proposed HCFA registry


March 2002

FDA issues final guidance on registration


October 2003

WHO (World Health Organization) begins dialogue on registration


September 2004

ICMJE (International Committee of Medical Journal Editors) issues joint editorial – publication only if registered prior to first enrollment. ICMJE endorses WHO initiatives.


November 2004

WHO issues recommendation for ICTRP (International Clinical Trials Registry Platform) during the WHO Ministerial Summit on Health Research held in Mexico City


May 2005

WHO Trials Registry recommendations approved by the World Health Assembly


July 2005

ICMJE considers trials beginning on or after July 1, 2005 if registered prior to first enrollment


August 2005

FDA launches education campaign for sponsors


August 2005

WHO creates ICTRP, which draws on existing registries


January 2006

AAMC (Association of American Medical Colleges) calls for registration and formally endorses ICMJE definition


May 2006

WHO specifies 20 key data elements for clinical trials registries


July 2006

Medicare begins reconsideration of clinical trials policy, including HCFA registry which was never established


December 2006

Medicare Coverage Advisory Committee recommends using clinicaltrials.gov in lieu of proposed HCFA registry


June 2007

ICMJE, in a NEJM editorial, expands and clarifies definition of types of trials to be registered, adopting WHO’s definition for trials beginning on or after July 1, 2008


July 2007

Medicare calls for additional public comment


September 2007

Medicare CMS Transmittal clarifies routine costs, with no mention of clinicaltrials.gov


September 2007

FDAAA (Food & Drug Administration Amendments Act) of 2007 signed into law, including expansion of registration requirements for drug and device clinical trials


October 2007

NEJM (New England Journal of Medicine) publishes editorial reiterating ongoing support for clinical trials registration and the requirements of the FDAAA of 2007


December 2007

Registration deadline for applicable clinical trials.


September 2008

Results reporting implementation (due within 12 months of primary completion date of applicable clinical trials).


Future Related Dates


March 2009

Public meeting for input on 2010 rulemaking


September 2009

Adverse Event reporting implementation


September 2010

Rulemaking due for expanded results database
























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