Evidence map›Paper›PMID 40540193›Full record

Observational studyTherapeutic innovation & regulatory science2025

Incidence and Characterization of Important Protocol Deviations in Clinical Trials in Argentina.

F Ibelli, R Bozzo, J Pezzi, I Moledous, G Ojanguren, R Iannantuono

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Therapeutic innovation & regulatory science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

F IbelliFundación de Estudios Farmacológicos y Medicamentos (FEFyM) Luis M. Zieher, Buenos Aires, Argentina. fabiana.ibelli@fefym.org.ar.
R BozzoIC-PROJECTS SRL, Buenos Aires, Argentina.
J PezziFundación de Estudios Farmacológicos y Medicamentos (FEFyM) Luis M. Zieher, Buenos Aires, Argentina.
I MoledousFundación de Estudios Farmacológicos y Medicamentos (FEFyM) Luis M. Zieher, Buenos Aires, Argentina.
G OjangurenFundación de Estudios Farmacológicos y Medicamentos (FEFyM) Luis M. Zieher, Buenos Aires, Argentina.
R IannantuonoFundación de Estudios Farmacológicos y Medicamentos (FEFyM) Luis M. Zieher, Buenos Aires, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImportant protocol deviations (PDs) are those that may significantly impact the completeness, accuracy, or reliability of study data, or that may significantly affect a subject’s rights, safety, or well-being. There is limited international evidence about the incidence and characterization of important PDs, with a lack of data specific to Latin America.

methodsThis was a non-interventional, secondary data, observational study based on important PDs reported in phase 2–3 clinical trials. Data were collected from electronic reports submitted between 2014 and 2024 to the Independent Ethics Committee (IEC). The main objective was to assess the incidence and characterize important PDs. A secondary objective was to evaluate possible factors associated with the incidence of important PDs.

resultsA total of 343 clinical trials, involving 7047 randomized participants, were included in the observational period. The overall proportion of patients with important PDs was 9.2% (95% CI: 8.54–9.9%). The primary factor associated with the number of important PDs was the number of randomized patients (Incidence Rate Ratio [IRR]: 1.01; 95% CI: 1–1.02; p < 0.05). A trend was observed for the disease category, with oncology studies tending toward a higher incidence compared to non-oncology studies (IRR: 1.81; 95% CI: 0.92–3.84; p = 0.09).

conclusionsThe overall incidence of important PDs in this study was low, with the highest proportion observed in oncology studies. Important PDs were significantly associated with the number of randomized patients and showed a trend toward association with more complex oncology studies.

Indexed as

Clinical ProtocolsRandomized Controlled Trials as TopicResearch DesignArgentinaHumansIncidenceClinical trialGood clinical practice (GCP)Protocol deviations

Identifiers

PMID40540193

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.