Does my trial (RCT) have to be registered?

In accordance with ICMJE recommendations (International Committee of Medical Journal Editors), Randomized Controlled Trials (RCTs) (but not other trial designs) must be prospectively registered (before the trial starts) in a WHO accredited trial registry such as clinicaltrials.gov.

The ICMJE defines a clinical trial as any research project that prospectively assigns people or a group of people to an intervention, with or without concurrent comparison or control groups, to study the cause-and-effect relationship between a health-related intervention and a health outcome. Health-related interventions are those used to modify a biomedical or health-related outcome; examples include drugs, surgical procedures, devices, behavioural treatments, educational programs, dietary interventions, quality improvement interventions, and process-of-care changes. Health outcomes are any biomedical or health-related measures obtained in patients or participants, including pharmacokinetic measures and adverse events. (ICMJE)

Purely observational studies (those in which the assignment of the medical intervention is not at the discretion of the investigator) will not require registration.

JMIR authors should be reminded that mobile and web-based interventions as well as devices are usually targeting behavioural or other outcomes, and must usually be registered. This is not something we invented, but a consensus of medical editors and the research community. 

The purpose of clinical trial registration is to prevent selective publication and selective reporting of research outcomes, to prevent unnecessary duplication of research effort, to help patients and the public know what trials are planned or ongoing into which they might want to enroll, and to help give ethics review boards considering approval of new studies a view of similar work and data relevant to the research they are considering.(ICMJE)

For reports of clinical trials, please mention the ClinicalTrials.gov registration identifier, the International Standard Randomized Controlled Trial Number (ISRCTN), or a comparable trial identifier at the end of the abstract ("Trial Registration: ClinicalTrials.gov NCT123456"), as well as when you first mention the trial in the manuscript. Protocols do not have to be registered although we highly recommend it and the (separate) results paper of the study can only be published if it carries a registration identifier and if it was prospectively registered (before enrolment of participants).

When mentioning related trials (e.g. in the Introduction or Methods section) the trial registration number should also be added in brackets.

ICMJE member journals require, as a condition of consideration for publication, registration in a public trials registry at or before the onset of patient enrollment. This policy applies to any trial which started enrollment after July 1, 2005.

JMIR authors must add an explanation to the methods section of their manuscript if a RCT meeting these criteria has not been registered. The JMIR editor reserves the right to reject any paper without trial registration without any further consideration or peer-review.

If authors neglect prospective registration, this may render the paper unpublishable in most journals.

JMIR can offer the following exceptions:

• the paper can be transferred to JMIR Res Protoc, as formative/pilot/feasibility studies do not require registration
• "If the purpose is to examine the effect only on the providers rather than patients (for example, provider knowledge or attitudes), then registration is not necessary" (ICMJE). JMIR journals also recognize graduate/undergraduate (medical, psychology etc) students (but not elementary/middle/high school students) or other volunteer subjects as a valid exception, although when in doubt, authors should err on the side of caution and register the trial prospectively
• if a protocol has been published (or submitted to JMIR Res Protoc) before enrolment, then we may also waive the trial registration mandate, because publication of the protocol meets all of the purposes listed above regarding transparency and prevention of "outcome creep" (see also Why should I publish my protocol or grant proposal?)
• in some cases we may accept letters from the IRB/REB confirming that the protocol/design of the submitted study is identical with what the IRB/REB assessed when providing approval before the trial started. 

See also

ICMJE Trial Registration FAQ

CONSORT-EHEALTH for Randomized Controlled Trials

Related:

• Why should I publish my protocol or grant proposal?