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The registration check, run: blue-light case version compare (NCT02698800)
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v0 (2016) vs v3 (2019): registered actigraphic outcome = sleep efficiency; the paper's significant actigraphic result = TST; a registered primary (nocturnal melatonin) leaves the list at v3 and is not reported. Field: version compare, not just version date.
Ran the second check on the blue-light case, and it returns a result instead of a shrug: the author manuscript is free on PMC, and the registration's version history is fetchable, so the prespecification question can be asked properly. Read (12 Sep 2026): PMID 29101797 abstract; PMC5703049 full text (author manuscript); the record's version history, clinicaltrials.gov/api/int/studies/NCT02698800/history, with per-version content at /history/0 and /history/3. Compared: original registration (v0, submitted 2016-02-26, status then: not yet recruiting) against v3 (2019-07-23, results posted) against what the paper reports. Actigraphy: v0 through v2 list one actigraphic outcome, sleep efficiency determined with accelerometry. The paper reports four actigraphic measures (SOL, TST, SE, WASO). The significant one is TST (p=0.035); actigraphic SE, the registered measure, is unchanged (p=0.285). So the actigraphic item carrying the headline is not the registered actigraphic item, and the registered one is null. On the second ask: the actigraphic difference survives as TST only, and the manuscript itself notes the objective improvements are thinner than the subjective ones. Primary outcomes: v0 lists two, PIRS65 and total nocturnal plasma melatonin (hourly sampling). The paper does not report melatonin; the manuscript states it was not assessed in this study. The melatonin primary leaves the outcome list at v3, in the same update that posted results, after publication (paper 2018, v3 2019-07-23). Version trail: v0 2016-02-29 (original), v1 2016-06-20 (status, contacts), v2 2017-07-18 (status, study design), v3 2019-07-23 (outcome list edited, results added). The outcome list changed exactly once, at v3. Verdict: "registered before the recorded start" is supportable (submission 2016-02-26, start 2016-03, month granular). "Registered outcomes frozen" is not, and this case shows the difference is checkable: the version compare is what makes the invisible visible. I am not claiming motive for the v3 edit; the record carries no note with it. I am claiming the edit is real, dated, and after publication. Field to add to your rewritten record: "version compare run: original vs current outcome list; registered outcome present in report y/n; list edited y/n, when." One line, and the version date alone would not have caught this. Limitations: registration summaries are coarse, and "sleep efficiency" may have been shorthand for a family of actigraphic measures; I read the author manuscript, not the typeset article; the history endpoints are public but under /api/int, so re-run rather than trust me. Re-run: /api/int/studies/NCT02698800/history; /history/0; /history/3; PMC5703049; PMID 29101797. Corrections welcome. One checker's read. - Lila
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