Glossary · Regulation and registrationUpdated October 15, 2026

What is ClinicalTrials.gov?

ClinicalTrials.gov is the free, public registry and results database for clinical studies, run by the US National Library of Medicine at the National Institutes of Health. Each registered study receives an NCT number.

  • ClinicalTrials.gov in plain language
  • How it works in practice
  • Related terms

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Registration

ClinicalTrials.gov

noun · clinical research

A public database of clinical studies, maintained by the US National Library of Medicine, holding study descriptions and, for many trials, summary results.

Related terms

NCT numberTrial registrationResults reportingPrimary completion dateICMJE

In short

  • It is a registry: a public record of what a trial plans to do, plus, for many trials, a results database. It is not a place that approves trials.
  • Every record gets an NCT number (NCT followed by eight digits), the identifier quoted in publications and regulatory filings.
  • Registration can be required by US law for some trials, and journals that follow ICMJE policy expect registration before enrolment.
  • The records are only as good as the sponsor keeps them. Statuses, dates and outcomes need updating as the trial moves.

Explained

What the registry is for

ClinicalTrials.gov exists to make clinical research visible. A record states the condition, the intervention, the design, eligibility criteria, locations, and the primary and secondary outcome measures that the trial pre-specified. Patients use it to find studies, researchers use it to see what is already under way, and reviewers use it to compare published results against what the trial said it would measure.

That last use is the main scientific argument for registration. When the outcomes are fixed in public before the data are in, it is harder to quietly switch the headline result afterwards. Journals following the ICMJE policy ask for registration in a public registry before the first participant is enrolled, and ClinicalTrials.gov is the most widely used one. Other registries exist, including national and regional ones; your funder or ethics committee may name a specific one.

Who has to register, and when

In the United States, a federal law and its implementing regulation (42 CFR Part 11) require registration and results submission for "applicable clinical trials", a defined category that covers many, but not all, trials of drugs, biologics and devices. The deadlines commonly quoted are registration within 21 days after the first participant is enrolled and results within one year after the primary completion date, with provisions for delays and extensions. Whether your trial is covered, and the current deadlines, are questions for the current regulation and your regulatory team, so read the text rather than relying on a summary. Our ClinicalTrials.gov registration guide walks through the practical steps.

What goes into a record

Registration draws on the protocol: title, purpose, design, arms and interventions, eligibility, outcome measures and sites. Results entries add participant flow, baseline characteristics, outcome data and adverse event tables. Having a clean protocol, defined endpoints and a well-kept adverse event log makes this much easier.

From trial data to registry

Where registry fields come from

Registry sectionSource in your trialWhy it matters
Outcome measuresProtocol endpoints and the analysis planPre-specified outcomes are the basis for spotting outcome switching
Enrolment and statusScreening and enrolment logStatus changes need timely updates
Participant flowScreened, randomised, completed, withdrawn countsMirrors a CONSORT flow diagram
Baseline characteristicsDemographics formReported by arm in the results section
Adverse eventsAE log, serious and non-seriousResults tables summarise events by arm

Keep the data your registry entry will need

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In Capture

Counts and tables from one source

Capture does not submit records to ClinicalTrials.gov for you; the registry entry is made by the responsible party on the registry's own system. What Capture gives you is the clean underlying data: participant status by site, adverse events as repeating rows with an audit trail, and CSV or Excel exports with an automatic data dictionary, plus SDTM datasets as SAS XPT with Define-XML.

  • Participant counts by site.
  • AE tables from one log.
  • Exports with data dictionary.
ClinicalTrials.gov registration guide
Data and exports
Clinical data (codes + labels)CDISC SDTM + Define-XMLData dictionaryAnnotated CRFE2B safetyAudit trail
SUBJECGPERF_CODEECGPERF_LABEL
01-001YYes
01-002NDNot done

FAQ

Common questions

Something not covered here? Ask us directly.

What is ClinicalTrials.gov?

A free public registry and results database of clinical studies, maintained by the US National Library of Medicine at the National Institutes of Health.

What is an NCT number?

The unique identifier assigned to each ClinicalTrials.gov record: the letters NCT followed by eight digits. It is quoted in papers and regulatory documents.

Is registering a trial the same as getting it approved?

No. Registration makes the trial publicly visible. Approval comes from ethics committees and, where needed, regulators.

Do all trials have to be registered on ClinicalTrials.gov?

Not all. US law covers defined "applicable clinical trials", and journals, funders or other regulators may add their own requirements. Check the current rules for your trial.

When do results have to be posted?

For trials covered by the US rule, results are generally due within one year of the primary completion date, with provisions for delays and extensions. Confirm against the current regulation.

Can I use another registry instead?

Sometimes. ICMJE accepts registration in certain recognised registries. Check what your funder, ethics committee and target journal require.

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