The Null Result Problem: How Clinical Trials That Fail to Publish Are Quietly Corrupting the Scientific Record
Tens of thousands of clinical trials complete every year in the United States, yet a substantial fraction of their findings never reach the scientific literature. When negative and inconclusive results disappear into institutional archives, the evidence base guiding future research becomes systematically distorted — and the consequences for patients, funding bodies, and drug development pipelines are far more serious than most stakeholders acknowledge.