Clinical Study Report – Report Level Publishing

Clinical Study Report - Report Level Publishing

Clinical study reports (CSRs) are critical documents that summarize the results of clinical trials. They provide an in-depth analysis of the study’s objectives, design, methodology, statistical analyses, and results. The quality of a CSR has a significant impact on regulatory submissions, scientific publications, and product labeling. Report level publishing of CSRs refers to the process of making these reports publicly available, either voluntarily or through regulatory requirements.

Why Report Level Publishing Matters

Report level publishing of CSRs is essential to promote transparency and scientific integrity. It allows the wider scientific community and the public to access the results of clinical trials, regardless of the outcome. This helps avoid publication bias and selective reporting of favorable outcomes. Report level publishing also facilitates the development of new treatments and the improvement of existing ones. It enables researchers to build upon the results of previous studies and to identify potential safety concerns or adverse events.

Challenges in Report Level Publishing

Report level publishing of CSRs presents several challenges. One of the primary challenges is ensuring patient confidentiality and privacy. CSRs contain sensitive information about study participants, such as their medical histories and treatment regimens. Therefore, publishing these reports requires careful consideration of data privacy laws and ethical considerations. Another challenge is the need to standardize the format and content of CSRs to facilitate their interpretation and comparison across studies.

Regulatory Requirements for Report Level Publishing

Regulatory agencies worldwide have recognized the importance of report level publishing of CSRs. The European Medicines Agency (EMA) has implemented a policy requiring the publication of CSRs for all clinical trials in the European Union (EU). The policy applies to new marketing authorization applications submitted after January 1, 2015, and requires the publication of CSRs within 12 months of the marketing authorization. The EMA also requires the submission of anonymized patient-level data to external researchers upon request.

In the United States, the Food and Drug Administration (FDA) has issued guidance on the voluntary submission of CSRs to the agency’s online database, The FDA encourages sponsors to include a link to the CSR in the trial record of The agency also recommends the submission of anonymized patient-level data to the clinical study data request (CSDR) portal.

Advantages of Report Level Publishing

Report level publishing of CSRs has several advantages. It promotes transparency and accountability in clinical research and provides a valuable resource for future research. Report level publishing also helps to reduce publication bias and selective reporting, which can distort the scientific evidence base. Furthermore, it enhances the credibility and trustworthiness of clinical research and can improve public confidence in the safety and efficacy of new treatments.

Role of Technology

Advances in technology have facilitated report level publishing of CSRs. Electronic submission and archiving systems have made it easier to access and share CSRs. Some systems also allow for the standardized formatting of CSRs, making them easier to interpret and compare across studies. Technology has also enabled the anonymization of patient-level data, which is essential for protecting patient confidentiality and privacy.

Report level publishing of CSRs is critical to promoting transparency and scientific integrity in clinical research. Regulatory agencies worldwide have recognized the importance of report level publishing and have implemented policies to facilitate it. While report level publishing presents several challenges, advances in technology have made it easier to address them. The standardized formatting of CSRs, the anonymization of patient-level data, and the use of electronic submission and archiving systems have all contributed to the success of report level publishing. Overall, report level publishing of CSRs plays a vital role in advancing scientific knowledge and improving patient care.

Under 21 CFR 314.50, the information on clinical investigations required should be submitted in one of the following three (03) formats:

  • Full study report (Complete E3 report)
  • Abbreviated reports
  • Synopses

Templarpharma’s dedicated publishing and submission team for CSR Reports is specialized both in Document Level Publishing (DLP) and Report Level Publishing (RLP) and assists organizations with end-to-end CSR Report Level Publishing and Clinical Study Report (CSR) submissions.

Expertise in Clinical Study Report

  • Publishing CSR reports in compliance with HA specifications and recommendations through RLP activities within specified timelines
  • Conducting RLP activities proactively within a short period
  • Ensuring multilevel quality control review of CSR reports post RLP activity
  • Adhering to best practices for CSR publishing
  • Collaborating with regulatory authorities to ensure compliance
  • Maximizing the quality and accuracy of CSR reports
  • Ensuring timely submission of CSR reports to regulatory authorities
  • Streamlining processes for RLP activities and QC review
  • Maintaining open communication with study team members and regulatory authorities
  • Ensuring optimal outcomes for CSR publishing and submission.


  • Maintaining complete confidentiality of client information in clinical study reports
  • Providing expedited support for requests
  • Designating a single point of contact (SPOC) for updating training documents and providing special training on new regulatory changes
  • Developing and defining delivery plans to accommodate last-minute updates
  • Ensuring compliance with regulatory requirements and guidelines
  • Maximizing the quality and accuracy of clinical study reports
  • Streamlining processes for handling requests and updates
  • Collaborating with clients to ensure satisfaction and success
  • Maintaining open communication and transparency with clients
  • Enhancing overall performance and outcomes through continuous improvement.