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Research response to coronavirus disease 2019 needed better coordination and collaboration: a living mapping of registered trials

  • The COVID-NMA Consortium Team
  • Université Paris Descartes-Sorbonne Paris Cité
  • Mondor University Hospitals
  • VisionsCarto
  • Unité Propre de Recherche
  • Université Claude Bernard Lyon 1
  • 69621 Villeurbanne
  • Cochrane France
  • Université Paris-Saclay
  • Hôpital Hôtel Dieu
  • Université Paris Diderot
  • Epistemonikos Foundation
  • Cochrane Germany Foundation
  • Bordeaux Pharmacoepi
  • Université Clermont Auvergne
  • Université Toulouse 3 – Paul Sabatier - Institut de Recherche en Informatique de Toulouse – IRIT UMR 5505
  • Second Hospital of Lanzhou University
  • University of Southern Denmark
  • Institute of Ecology and Environmental Sciences of Paris
  • Hôpital d'Instruction des Armées Percy
  • University of Milan
  • Sanofi S.A.
  • South African Medical Research Council
  • University of Ioannina
  • University Hospital Freiburg
  • University of Galway
  • Pontificia Universidad Católica de Chile
  • The University of Nottingham Ningbo

Research output: Contribution to a Journal (Peer & Non Peer)Articlepeer-review

19 Citations (Scopus)

Abstract

Objectives: Researchers worldwide are actively engaging in research activities to search for preventive and therapeutic interventions against coronavirus disease 2019 (COVID-19). Our aim was to describe the planning of randomized controlled trials (RCTs) in terms of timing related to the course of the COVID-19 epidemic and research question evaluated. Study Design and Setting: We performed a living mapping of RCTs registered in the WHO International Clinical Trials Registry Platform. We systematically search the platform every week for all RCTs evaluating preventive interventions and treatments for COVID-19 and created a publicly available interactive mapping tool at https://covid-nma.com to visualize all trials registered. Results: By August 12, 2020, 1,568 trials for COVID-19 were registered worldwide. Overall, the median ([Q1–Q3]; range) delay between the first case recorded in each country and the first RCT registered was 47 days ([33–67]; 15–163). For the 9 countries with the highest number of trials registered, most trials were registered after the peak of the epidemic (from 100% trials in Italy to 38% in the United States). Most trials evaluated treatments (1,333 trials; 85%); only 223 (14%) evaluated preventive strategies and 12 postacute period intervention. A total of 254 trials were planned to assess different regimens of hydroxychloroquine with an expected sample size of 110,883 patients. Conclusion: This living mapping analysis showed that COVID-19 trials have relatively small sample size with certain redundancy in research questions. Most trials were registered when the first peak of the pandemic has passed.

Original languageEnglish
Pages (from-to)107-116
Number of pages10
JournalJournal of Clinical Epidemiology
Volume130
DOIs
Publication statusPublished - Feb 2021

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Clinical trial
  • COVID-19
  • Living mapping
  • Meta-analysis
  • Prevention
  • Systematic review
  • Treatment

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