Before Starting: Ethics
1/27- 1. Before Starting: Ethics (5)
- 2. Before Starting: Trial Registration (5)
- 3. Publication Agreement (4)
- 4. Steering Committee (8)
- 5. Publication Working Group and Lead Author (3)
- 6. Authorship (16)
- 7. Author Payment (4)
- 8. Corresponding Author (6)
- 9. Professional Medical Writers (7)
- 10. Trial Data (5)
- 11. Journal Selection (6)
- 12. Primary and Secondary Publications (7)
- 13. PLS and Enhanced Content (4)
- 14. Reporting Standards (4)
- 15. Outline and Subsequent Drafts (6)
- 16. Final Draft (4)
- 17. Disclosure of AI Use (6)
- 18. Copyright (6)
- 19. Acknowledgements (6)
- 20. Conflicts of Interest/Disclosures (6)
- 21. Contributorship (4)
- 22. Preprints (10)
- 23. Journal Submission (4)
- 24. Responding to Peer Reviewers’ Comments (5)
- 25. Acceptance/Rejection (3)
- 26. Publication (4)
- 27. Embargoes/Social Media (4)
GPP
All research involving human participants should include a statement about the Institutional Review Board and/or Independent Ethics Committee review and informed consent procedure. Publications of laboratory or other nonclinical (e.g., animal) research should also contain an ethics statement
GPP
Anonymized surveys and other research that were legally exempt from full review should be identified as such and the specific regulation cited
GPP
Patient confidentiality should be protected
ICMJE
Trials in humans should follow the Declaration of Helsinki (see https://www.wma.net/policies-post/wma-declaration-of-helsinki/) and authors should seek approval for trial conduct from an independent local, regional or national review body (e.g., ethics committee, institutional review board)
ICMJE
If informed consent has been obtained, this should be indicated in the published article
GPP
Trial registration numbers should be included on all publications, even if not required by the journal, to facilitate automatic linking to registry information
GPP
Some journals encourage preregistration of protocols as registered reports before data collection
ICMJE
To be considered for publication in ICMJE member journals, ICMJE recommends that all medical journal editors require clinical trials are registered in a World Health Organization (WHO) approved registry (see www.who.int/clinical-trials-registry-platform) at, or before, the time of first patient consent for enrolment
ICMJE
Authors are responsible for ensuring they have met the requirements of funding and regulatory agencies regarding the reporting of results in clinical trial registries
ICMJE
The clinical trial registration number should be included at the end of the article abstract
GPP
Study sponsors should describe their obligations, and those of the authors, to ensure awareness of and adherence to ethical practices, in a written agreement before work on a publication begins; this should include agreements regarding confidentiality and any data embargoes
GPP
The agreement should:
• Disclose the sponsor’s role in the review of the publication or presentation (e.g., for medical accuracy, intellectual property protection, or other legal or regulatory review), and provide a reasonable timeline for review to be completed (30 days is the recommended maximum)
• Describe what, if any, editorial and other support may be available for publication development
• Commit authors to take responsibility for the content, accuracy, and completeness of the publication
ICMJE
For sponsored research, author access to supporting data should be provided for any research agreements
ICMJE
Authors should avoid entering into agreements with sponsors that interfere with their access to the trial data or their ability to analyze, interpret and publish the data independently
GPP
The creation of a publication steering committee is recommended to provide outside advice to authors and other contributors on publication planning in situations where multiple peer-reviewed outputs will be generated, for example for clinical/research programs or large-scale clinical trials
GPP
The criteria for membership should consider the needs and complexities of the research, as well as inclusivity across geographies, demographics, and job roles
GPP
The steering committee should be formed before results are available and all members should receive a charter outlining their responsibilities
GPP
In the event of a collaborative alliance between two or more organizations, the steering committee should have representation from all alliance partners, unless otherwise specified
GPP
Patients, caregivers, and patient advocates may be appropriate members of a steering committee and may serve as consultants, authors or contributors to publications, depending on journal/conference requirements
GPP
All investigators should be informed of the steering committee’s membership and its responsibilities
GPP
Membership of the steering committee does not automatically confer authorship
GPP
Steering committees should meet at least annually and be formally disbanded once all relevant deliverables are complete
GPP
A publication working group may be formed to manage the authorship, discuss data interpretation and publication content, and oversee the submission of abstracts, presentations and publications from a study or predefined analysis, or group of related studies or datasets
GPP
The publication working group should be initiated before data availability. Eligible authors and other contributors should be invited, but are not obliged, to participate. Membership does not automatically confer authorship
GPP
A lead author should be selected, based on their expertise and existing contributions to the intellectual work of the research being reported. The lead author should meet ICMJE criterion 1 at time of selection
GPP
Authorship criteria should be applied consistently to all contributors, including patients and professional medical writers, regardless of their affiliation, professional role, or level of educational attainment
GPP
The authors should agree on the order in which they will be listed; using a contributorship model or checklist, such as CRediT (see 'Contributorship' for more detail), will help to build consensus around questions of authorship and byline order. The lead author may settle disputes; however, in cases of equal contributions, deferring to a neutral criterion, such as alphabetical or reverse alphabetical order, is recommended. Joint authorship is increasingly common and acceptable if all authors agree
GPP
Paid employment related to trial conduct, analysis or publication development does not disqualify a person from authorship
GPP
Authors should provide their ORCiD number, if they have one, to ensure transparency in their identity
ICMJE
Authorship should be based on:
1. Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data; AND
2. Drafting the work or reviewing it critically for important intellectual content; AND
3. Final approval of the version to be published; AND
4. Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved
ICMJE
It is the collective responsibility of the authors to determine that all people named as authors meet all four criteria; this is not the role of journal editors
ICMJE
All individuals who meet the first criterion should have the opportunity to participate in the review, drafting, and final approval of the manuscript
ICMJE
Local investigators or researchers from low- and middle-income countries who qualify for authorship should be included to ensure that the authorship reflects the fairness, context and implications of the research
ICMJE
Authors should be accountable for their own work and be able to identify which co-authors are responsible for other parts
ICMJE
Authors should be able to take public responsibility for the work and should have confidence in the accuracy and integrity of the contributions of their co-authors
ICMJE
When a large multi-author group has conducted the work, the group should ideally decide who will be an author before the publication is initiated, and reconfirm prior to submission
ICMJE
AI or AI-assisted technologies, including chatbots such as ChatGPT, should not be listed as authors or co-authors
MPIP
A 5-step framework can be followed to determine authorship: (1) establish an authorship working group of core contributors before patient enrolment begins; (2) determine which authorship contributions will be deemed substantial; (3) implement a process to track progress towards substantial contributions; (4) assess the documented contributions to invite those with substantial contributions to be authors; and (5) ensure invited authors meet ICMJE criteria throughout the process
EMWA
Authors should be identified at an early stage
COPE
AI tools cannot be listed as an author of an article
WAME
Only humans can be authors; chatbots cannot be authors
GPP
Payment should never be made (or offered) simply to attract someone to be an author or influence an author’s opinion
GPP
Companies may reimburse reasonable out-of-pocket, publication-related expenses (e.g., travel and accommodation)
GPP
Reimbursement of patients, patient advocates and/or steering committee members for their time throughout publication development is permitted
GPP
Companies may pay for publication activities (e.g., statistical analysis, medical writing, editing); any payments should reflect the services provided and be at fair market value
GPP
The corresponding author is responsible for overseeing the submission process and managing communications with the journal
ICMJE
The corresponding author takes primary responsibility for communication with the journal during submission, review, and publication but duties may be delegated to one or more co-authors
ICMJE
The corresponding author should be available to respond to editorial queries in a timely way
ICMJE
The corresponding author typically ensures that all the journal’s administrative requirements, such as providing details of authorship, ethics committee approval, clinical trial registration documentation, and disclosures of relationships and activities, are properly completed and reported
MPIP
The corresponding author should function as the primary contact between the journal and the other authors
MPIP
The corresponding author does not need to be the lead author, but should be selected for their ability to help coordinate the review and revision process
GPP
Professional medical writers should have a good understanding of publication ethics and current publication guidelines
GPP
Professional medical writers should be in frequent contact with the authors during the development of the article
GPP
Documentation (e.g., author agreements, meeting minutes, drafts, comments, approvals) should be retained in an auditable format, in line with sponsor policies
EMWA
A professional medical writer facilitates the development of articles
EMWA
Unless they have made a substantial contribution to the analysis or interpretation of the data and feel able to take public responsibility for the work, professional medical writers generally do not meet authorship criteria
WAME
Professional medical writers are considered to be legitimate contributors to articles
ISMPP
Professional medical writers must follow GPP guidelines and ICMJE recommendations, consult appropriate reporting guidelines (e.g., CONSORT), ensure authors/sponsors are aware of their obligations, and keep up to date with advances in best practice
GPP
Sponsors must provide authors and other contributors with relevant aggregated study data, consistent with patient confidentiality, before work on a publication begins or as soon as data becomes available during publication development
GPP
Information necessary to appraise the quality and robustness of the findings (e.g., study protocol, statistical analysis plan, statistical report, and validated data tables, figures, listings) should be provided if needed
GPP
Authors and sponsors should establish a process based on honest scientific debate to resolve differences in interpretation of findings or data presentation
GPP
Authors should agree as to who will perform final checks for data accuracy. Authors should fulfil this responsibility as regards data; a professional medical writer, if not a byline author, should not perform the final data check
ICMJE
Manuscripts reporting clinical trial results, and that are to be submitted to ICMJE journals (see list of journals here, https://www.icmje.org/about-icmje/faqs/icmje-membership/), must contain a data sharing statement
GPP
Authors and sponsors should discuss practical issues such as the choice of journal and conferences, with suggestions from publication professionals, but recognize that the authors have the final decision
GPP
Open-access or free-to-access options for publications should be used whenever possible and funds for this purpose considered when planning budgets
GPP
Pre-submission enquiries to journal editors about specific datasets or publications should only be done with the agreement of the authors
ICMJE
Predatory or pseudo journals generally accept and publish almost all submissions; they may charge article processing fees and claim to perform peer review even if they do not
ICMJE
Authors must be aware that predatory journals exist and avoid submitting their work to them by evaluating the integrity of the journals they seek to publish in. Resources from associations such as WAME (https://wame.org/identifying-predatory-or-pseudo-journals) and the ThinkCheckSubmit website (https://thinkchecksubmit.org/journals/) can be used by authors to help identify trusted journals and publishers
MPIP
The journal choice should reflect the most appropriate means of disseminating the findings to the target audience
GPP
Author lists should remain consistent for a specific dataset, and encore presentations should list the same authors as the original presentation
GPP
If a colleague served as an author for a conference presentation and opts out of the byline for a subsequent manuscript, this earlier authorship should be either noted in an acknowledgement or cited
GPP
Care must be taken to avoid the appearance of duplicate or redundant publications
GPP
Encore publications and translations should be considered only to meet specific scientific needs and/or reach audiences who would otherwise lack access
ICMJE
Secondary analyses should cite any primary publication and clearly state that they contain secondary analyses
ICMJE
Secondary publication of materials already available in other journals or online may be justifiable when intended to disseminate important information to a wider audience, e.g., guidelines in a different language
MPIP
The primary article should always be accepted for publication before other articles reporting secondary analyses
GPP
Any publication might be augmented by enhanced content, including a plain language summary (PLS) or lay summary; these can be in text, video, audio, podcast, or infographic format
GPP
It is recommended that a text-based PLS be prepared for any clinical trial publication that follows CONSORT guidance, or any other publication of clinically relevant information about a currently marketed product; review by a lay person, patient or plain language expert may be helpful
GPP
A PLS follows plain language principles and may serve many audiences, while lay summaries of publications are intended for nonexperts. A well-designed PLS may serve both functions
ISMPP
A standalone PLS (or PLS of a publication [PLSP]) is regarded as a secondary publication as per the ICMJE guidelines and requires approval from the publisher of the original article, for courtesy and to avoid copyright issues
GPP
Results should be submitted for publication within 18 months of trial end for licensed products; for investigational products, results should be submitted within 12 months of product approval or 18 months of product discontinuation
GPP
Publications should follow established reporting standards for specific study types (e.g., those found on the EQUATOR Network, see https://www.equator-network.org/)
GPP
The manuscript should follow established reporting guidelines (e.g., CONSORT for randomized trials, PRISMA for systematic reviews, STROBE for observational trials, as found on the EQUATOR network)
ICMJE
Authors should consult guidelines for the reporting of specific trial types, e.g., CONSORT for randomized trials; this helps to describe trials in enough detail for effective evaluation
GPP
The authors control and direct the publication content. The professional medical writer must receive direction from the authors before they undertake any writing, including an outline
GPP
The authors should be fully involved at all stages of publication and comments should be documented and made available to all authors
GPP
If conflicting comments are received, consensus should be reached through discussion with all authors/contributors
GPP
The sponsor should have the right to review drafts in a timely manner to ensure accuracy, adherence to regulatory requirements, and protection of intellectual property
ISMPP
Authors remain responsible and accountable for the content of any publication that includes AI-powered outputs and for ensuring ethical use of AI
EMWA
Authors should have sufficient time to comment on the drafts of an article
GPP
Authors are responsible for the content, accuracy, and completeness of the manuscript and its final approval
GPP
Once authors are satisfied with the manuscript draft, the professional medical writer should manage the review and approval process through the sponsor, following applicable processes
GPP
Nonauthor contributors should not be expected to approve the final manuscript, but a courtesy copy may be provided before submission
GPP
Sponsor employees with commercial roles should not be involved in manuscript review or approval
ICMJE
At submission, the journal should require authors to disclose whether they used AI-assisted technology
ICMJE
Authors who use AI or AI-assisted technology should describe, in both the cover letter and in the appropriate section of the submitted work, how they used it
ICMJE
Use of AI for writing assistance should be reported in the acknowledgements
ICMJE
Nondisclosure of AI use may require corrective action and may be construed as misconduct in some circumstances
COPE
AI use in writing, analysis, or figures should be fully disclosed
ISMPP
Authors and medical publication professionals should disclose the active use of generative AI in the creation of content or assistance with writing or editing of publications, per the journal guidelines
GPP
Copyright of published content may be held by the publisher, so authors may need permission to reuse their own work
GPP
Copyright permissions for the reproduction of previously published materials should be retained in accordance with sponsor policies
ICMJE
Written permission should be obtained from the copyright holder to reproduce any previously published figures or tables; permission is required irrespective of authorship or publisher, except for documents in the public domain
ICMJE
AI tools may incorporate information from sources without proper attribution (including copyright material). Humans are responsible for citing appropriate sources, obtaining permissions where needed, and ensuring that plagiarism has not occurred when using AI tools
ICMJE
Referencing AI-generated material as the primary source is not acceptable. Authors are responsible for citing references accurately and should be able to attest that the references cited support the associated statement
ISMPP
Be aware that copyright rules apply to those who are using AI to generate content. The use of copyrighted information in training datasets for AI models or in any material created by AI models can lead to copyright infringement unless permissions are obtained
GPP
Nonauthor contributors who provided technical expertise, trial investigators or participants (often as a group), should be included in an acknowledgement statement. People who reviewed the publication and provided helpful advice may also be acknowledged
GPP
Each person named in the acknowledgements should review the wording and provide written permission to be included
GPP
The authors will disclose, at a minimum, the professional medical writer’s name, professional qualifications, affiliation, funding source, and any other information required by the journal or conference
ICMJE
Nonauthor contributors who are acknowledged must provide their written permission, as acknowledgement may imply endorsement of a trial’s data and conclusions
WAME
The precise roles and affiliations of professional medical writers must be disclosed
ISMPP
Authors should acknowledge professional medical writing support, including its nature; the names, highest relevant qualification, and affiliation of the writer accountable; and the funding source for the writing support
GPP
Authors and sponsors should disclose all sources of funding and other sources of support, as well as relevant financial and nonfinancial relationships that could be perceived to bias their work or influence professional judgement
GPP
If no time frame for disclosure is specified by the journal or conference, it is recommended to follow the ICMJE disclosure form and use a 36-month disclosure window
ICMJE
Articles should be published with statements declaring authors’ conflicts of interest, and sources of support for the work and details of the role of the sponsor in the trial design, the collection, analysis and interpretation of data, writing the report, and the decision to publish
ICMJE
Perceptions of conflicts of interest are as important as actual conflicts of interest; an author’s complete disclosure demonstrates a commitment to transparency and helps to maintain trust in the process
ICMJE
The ICMJE has developed a disclosure form (https://www.icmje.org/disclosure-of-interest/) to facilitate and standardize authors’ disclosures
ICMJE
Authors should declare whether they had access to the trial data
GPP
Clear, concise descriptions of the roles and affiliations of each author and any listed nonauthor contributors should be included within each publication or presentation
GPP
Authors should use a contributorship model, such as CRediT (https://credit.niso.org/), to describe each person’s role
ICMJE
Some journals request and publish information relating to the contributions of each named participant in the research
ICMJE
Individuals whose contributions do not justify authorship may be acknowledged individually or as part of a group (e.g., “Participating investigators”), and their contributions should be specified
GPP
Urgent public health needs may necessitate the use of preprints for clinical trial data in limited circumstances to collect feedback or share critical information
GPP
Since preprints generally are not peer reviewed, they should not be a routine element of publication planning or data dissemination for company-sponsored trial data
GPP
Preprints should meet the same standards for rigour, completeness, and ethics as peer-reviewed publications. All authors must agree to posting on a preprint server
GPP
Journal policies regarding preprints vary; some do not permit preprints as citations
ICMJE
Preprint servers should clearly identify preprints as not peer reviewed; require author disclosures and funding sources; have clear processes for users’ concerns; and document preprint withdrawals and publication in a peer-reviewed journal
ICMJE
It is the authors’ responsibility to ensure that preprints are amended to point readers to subsequent, peer-reviewed versions of the work
ISMPP
Preprints should be clearly distinguished from peer-reviewed publications, i.e., watermarked, and should clearly disclose the lack of formal peer review in the article
ISMPP
Pre-publication checks of preprints should be extensive, using a comprehensive checklist
ISMPP
Articles on preprint servers that have been subsequently fully published should be marked as such and linked via the DOI to the final published version
ISMPP
It is suggested that preprints are not used as references unless these are cited in the manner of a personal communication, as an in-text reference (using the preprint link, DOI, or both) rather than as bibliographic references. It should be clearly disclosed that the source is a preprint
GPP
Authors should approve the publication version to be submitted and state a commitment to take public responsibility for the work, which may be done via email
ICMJE
Authors should not submit the same manuscript, in the same or different languages, simultaneously to more than one journal
ICMJE
If the manuscript has been submitted previously to another journal, it is helpful to include the previous editor’s and reviewers’ comments with the submitted manuscript, along with the authors’ responses to those comments
MPIP
Articles should comply with the target journal’s requirements regarding:
• Format, style, language, length/word limit, graphic sizes, document format, etc.
• Cover letters
• Copyright transfer forms/licence agreements, and disclosures
GPP
Authors should evaluate peer-review comments before a professional medical writer undertakes any revisions; if applicable, a sponsor employee should be responsible for obtaining any necessary reviews (e.g., intellectual property) of the updated materials
GPP
Substantial revisions as a result of peer review may warrant the addition of new authors and/or acknowledgements, and should be approached in accordance with journal guidelines
ICMJE
A peer-reviewed journal is under no obligation to follow reviewer recommendations; the journal editor is ultimately responsible for the selection of all content
MPIP
All reviewer and journal editor comments should be addressed before the article is resubmitted
GRP
The journal editor should be advised if it is not possible to meet the original deadline for responding to reviewers’ comments (e.g., if extra analysis is required)
ISMPP
In the event of rejection comments, authors may consider submitting to a second-choice journal with itemized rebuttals and relevant updates (portable peer review)
MPIP
It is worthwhile addressing the suggestions of the peer reviewers if the article is rejected but will be resubmitted to a different journal
ICMJE
Articles that have been accepted but not yet published (and therefore, not yet available in its final form) should be designated as “in press” or “forthcoming”
GPP
The corresponding author should communicate with all authors before sending a correction (erratum) to the journal
ICMJE
Authors have a responsibility to respond appropriately and cooperate with any requests from the journal for data or additional information should questions about the article arise after publication
ICMJE
Authors also have a responsibility to respond to any substantial criticism of their work through a correspondence section or online forum, according to the journal’s preferred practice
COPE
Editors can decide to retract a publication if they no longer have confidence in the results and conclusions reported in the paper, due to:
• Clear evidence of major errors, irregularities in the data or images, or any form of misrepresentation (eg, fraud, identity theft or fictitious authorship)
• Findings published elsewhere without proper attribution, permission, or justification, or material or data have been used without proper authorisation
• Unethical research practices, compromised peer review, or undisclosed conflicts of interest
GPP
Social media postings about publications of company-sponsored research data are available to the general public and can therefore be perceived as promotional. In the context of regulated research, compliance must be maintained regarding label indications and pharmacovigilance obligations
GPP
Individual employees of sponsors, companies, or medical communications agencies should not use personal social media accounts to post information about specific products, company-sponsored research about those products, or biomedical publications of such research; requests regarding social media posts should be managed by the corresponding author, who should consult/inform the other authors
GPP
Embargoes must be respected, i.e. authors, sponsors, and institutions should not issue press releases about accepted articles without consulting the journal
ICMJE
Many journals embargo content before publication
