RT Journal Article SR Electronic T1 Obstacles to the Reuse of Study Metadata in ClinicalTrials.gov JF bioRxiv FD Cold Spring Harbor Laboratory SP 850578 DO 10.1101/850578 A1 Laura Miron A1 Rafael S. Gonçalves A1 Mark A. Musen YR 2020 UL http://biorxiv.org/content/early/2020/08/16/850578.abstract AB Metadata that are structured using principled schemas and that use terms from ontologies are essential to making biomedical data findable and reusable for downstream analyses. The largest source of metadata that describes the experimental protocol, funding, and scientific leadership of clinical studies is ClinicalTrials.gov. We evaluated whether values in 302,091 trial records adhere to expected data types and use terms from biomedical ontologies, whether records contain fields required by government regulations, and whether structured elements could replace free-text elements. Contact information, outcome measures, and study design are frequently missing or underspecified. Important fields for search, such as condition and intervention, are not restricted to ontologies, and almost half of the conditions are not denoted by MeSH terms, as recommended. Eligibility criteria are stored as semi-structured free text. Enforcing the presence of all required elements, requiring values for certain fields to be drawn from ontologies, and creating a structured eligibility criteria element would improve the reusability of data from ClinicalTrials.gov in systematic reviews, metanalyses, and matching of eligible patients to trials.Competing Interest StatementThe authors have declared no competing interest.