Evidence map›Paper›PMID 42573835›Full record

Observational studyEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2026

Discontinuation and nonpublication of osteosarcoma clinical trials: a cross-sectional analysis of ClinicalTrials.gov data.

Mohammad Wadah Khriesat, Miqdad Qandeel, Abdullah Elrefae, Ahmad Alhalawani

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Mohammad Wadah KhriesatDepartment of Trauma and Orthopaedic Surgery, University Hospitals Plymouth NHS Trust, Plymouth, UK. Mohammad.khriesat@nhs.net.
Miqdad QandeelTrauma and Orthopaedic Surgery, Northwick Park Hospital, London, UK. Miqdad.97@hotmail.com.
Abdullah ElrefaeTrauma and Orthopaedic Surgery, Northwick Park Hospital, London, UK. Abdullahelrefae@hotmail.com.
Ahmad AlhalawaniVascular Suregry, University Hospitals Plymouth NHS Trust, Plymouth, UK. A.alhalawani@nhs.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteosarcoma is a rare and aggressive malignancy with limited therapeutic advances despite extensive clinical research. Discontinuation and failure to publish trial results contribute to research waste and may delay progress in patient care. We aimed to characterize osteosarcoma clinical trials registered on ClinicalTrials.gov and evaluate factors associated with trial discontinuation and nonpublication.

methodsWe performed a cross-sectional analysis of interventional osteosarcoma trials registered on ClinicalTrials.gov as of July 1, 2025. Trial characteristics, including completion status, publication status, study design, funding source, trial phase, and enrollment size, were extracted. Multivariable logistic regression was performed to identify factors associated with trial discontinuation and nonpublication.

resultsAmong 210 eligible trials, 62 (29.5%) were discontinued before completion, and only 26 (17.6%) had published results. Smaller trials were more frequently discontinued and unpublished compared with larger trials. Multicenter trials demonstrated higher publication rates and were independently associated with lower odds of nonpublication (OR = 0.291, 95% CI 0.098-0.859; p = 0.025). No significant associations were observed between funding source, intervention type, or trial phase and trial outcomes.

conclusionsNearly one-third of osteosarcoma clinical trials are discontinued, and most completed trials lack published results, highlighting substantial research waste and limitations in evidence generation. Strengthening trial completion strategies, promoting multicenter collaboration, and improving transparency through mandatory results reporting may enhance the efficiency and impact of osteosarcoma research.

Indexed as

Bone NeoplasmsClinical Trials as TopicEarly Termination of Clinical TrialsOsteosarcomaCross-Sectional StudiesHumansClinical trialsClinicalTrials.govNonpublicationOsteosarcomaResearch transparencyTrial discontinuation

Identifiers

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.