Registered Reports: Peer reviewed study pre-registration. Implications for reporting of human clinical trials

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Registered Reports: Peer reviewed study pre-registration Implications for reporting of human clinical trials Chris Chambers Professor of Cognitive Neuroscience Cardiff University Brain Research Imaging Centre (CUBRIC) School of Psychology, Cardiff University Email: chambersc1@cardiff.ac.uk Twitter: @chrisdc77 1

Science has an incentive problem What s best for science High quality research, published regardless of outcome What s best for scientists Producing a lot of good results see Nosek, Spies & Motyl (2012). Perspectives on Psychological Science, 7(6): 615 631

~92% positive Fanelli (2010) What happens you put researchers under pressure to get good results? Publication bias Lack of data sharing ~70% failure Wicherts et al (2006) Publish or conduct next experiment Generate and specify hypotheses Lack of replication 1 in 1000 papers Makel et al (2012) Interpret data p-hacking Analyse data & test hypotheses ~50-90% prevalence John et al (2012) Kerr (1998) ~50-100% prevalence John et al (2012) p-hacking Collect data Design study Low statistical power ~50% chance to detect medium effects Cohen (1962); Sedlmeier and Gigerenzer (1989); Bezeau and Graves (2001)

https://acmedsci.ac.uk/policy/policy-projects/reproducibility-and-reliability-of-biomedical-research

Same problems affect clinical trials Hidden outcome switching common in clinical trials, despite trial registration Hidden outcome switching associated with positive results (p-hacking)

Why is this happening? Because we place too much importance on the results of research and not enough on the processes that produce them Results make science exciting but judging the quality of science (and scientists) according to the results is soft science

Fixing this requires a change in mindset Philosophy: What gives hypothesis-testing its scientific value is the QUESTION it asks the QUALITY of the method it uses never the RESULT it produces If we accept this philosophy then editorial decisions at journals should be blind to results

Registered Reports Four central aspects of the Registered Reports model: Researchers decide hypotheses, experimental procedures, and main analyses before data collection Part of the peer review process takes place before experiments are conducted Passing this stage of review virtually guarantees publication Original studies and high-value replications are welcome

How it works Authors submit STAGE 1 manuscript with Introduction, Proposed Methods & Analyses, and Pilot Data (if applicable) Are the hypotheses well founded? Stage 1 peer review Are the methods and proposed analyses feasible and sufficiently detailed? Is the study well powered? ( 90%) Have the authors included sufficient positive controls to confirm that the study will provide a fair test? If reviews are positive then journal offers in-principle acceptance (IPA), regardless of study outcome (protocol not published yet)

How it works Authors do the research Authors resubmit completed STAGE 2 manuscript: Introduction and Methods (virtually unchanged) Results (new): Registered confirmatory analyses + unregistered exploratory analyses Discussion (new) Data deposited in a public archive Stage 2 peer review Did the authors follow the approved protocol? Did positive controls succeed? Manuscript published! Are the conclusions justified by the data?

None of these things matter

Published examples at Cortex Reproducible detailed, repeatable methods high statistical power (2-3x above normal) Transparent accompanied by open data & materials outcomes of confirmatory and exploratory analyses distinguished Credible no publication bias no hindsight bias no selective reporting http://www.journals.elsevier.com/cortex/virtual-special-issues/virtual-special-issue-registered-reports See also: Social Psychology special issue: http://econtent.hogrefe.com/toc/zsp/45/3 Perspectives on Psychological Science: http://www.psychologicalscience.org/index.php/replication/ongoing-projects

Permanent adopters Special issues For full list see https://cos.io/rr/

Registered Reports at Royal Society Open Science Now available in all STEM areas, from physics to psychology http://rsos.royalsocietypublishing.org/content/registered-reports

Registered Reports at Nature Human Behaviour 15

Current State 52 journals have adopted Registered Reports 37 permanently 15 as part of a special issue (e.g. JAR) Fields covered Life/medical sciences: neuroscience, nutrition, psychology, psychiatry, biology, cancer research Social sciences: political science, financial and accounting research (including JAR) Physical sciences: chemistry, physics, computer science etc. 59 fully completed RRs (~2-3 times that provisionally accepted & awaiting data) https://www.zotero.org/groups/osf/items/collectionkey/kejp68g9

Frequently asked questions

1. Are Registered Reports suitable for my field? Applicable to any field engaged in hypothesis-driven research where one or more of the following problems apply: Publication bias Significance chasing (e.g. p-hacking) Post hoc hypothesizing (hindsight bias) Low statistical power Lack of direct replication Not applicable for Purely exploratory science Methods development } No hypothesis testing 2. Could researchers cheat by pre-registering a study that they have already conducted? Time-stamped raw data files must be submitted at Stage 2 with basic lab log and certification from all authors that data was collected after provisional acceptance Submitting a completed study at Stage 1 would therefore be fraud Strategy would backfire anyway when reviewers ask for amendments at Stage 1 Registered Reports aren t designed to prevent fraud but to incentivize good practice 18

3. Will this limit exploration or stigmatize exploratory research? No. The are no restrictions on the reporting of unregistered exploratory analyses. Confirmatory and exploratory analyses are simply reported separately in the final paper What stigmatizes exploratory research is post hoc hypothesizing to fit a deductive framework Exploratory research is simply not valued in its native form

Registered Reports for Clinical Trials: Launch pending at BMC Medicine Standard Registered Reports Registered Reports for Clinical Trials 1. Researchers acquire funding 1. Researchers acquire funding 2. Researchers obtain ethics approval and any regulatory approvals 3. Submit RR to journal for Stage 1 peer review 4. Following revision, journal Stage 1 in principle acceptance (IPA) for high quality submissions 5. Researchers obtain (as necessary) any ethics and regulatory approval of revised protocol 6. Researchers conduct the research and, when completed, submit a Stage 2 manuscript to journal 7. Following positive Stage 2 review, full paper is published. 2. Submit RR to journal for Stage 1 peer review 3. Following revision, journal offers conditional acceptance (CA) for high quality submissions 4. Authors submit CA-approved protocol for ethics and regulatory approval 5. CA-approved protocol revised as necessary. The revised protocol, ethical approval and regulatory reviews passed to journal. 6. Journal offers full Stage 1 in principle acceptance (IPA) 7. Researchers register the IPA protocol on clinicaltrials.gov 8. Researchers conduct the trial and, when completed, submit a Stage 2 manuscript to journal 9. Following positive Stage 2 review, full paper is published, ideally with any regulatory reviews, e.g. from the FDA.

Going even further Can we integrate ethical review, grant funding and Registered Reports? Possible solution: Registered Reports funding model Authors submit their research proposal before they have funding. Following review by the both the funder and the journal, the strongest proposals would be offered financial support by the funder AND in-principle acceptance for publication by the journal. 21

RR partnerships in development Journals/publishers Nicotine and Tobacco Research PLOS Biology Royal Society Open Science BMC, including BMC Medicine Funders CHDI Cancer Research UK First RR funder/journal partnership underway between Nicotine and Tobacco Research (Marcus Munafo) and Cancer Research UK https://doi.org/10.1093/ntr/ntx081

Information Hub at the Center for Open Science https://cos.io/rr/ Detailed FAQs Table comparing journal features For more info, email me (chambersc1@cardiff.ac.uk) or David Mellor at the COS (david@cos.io)