It appears the medical research field has forgotten this basic tenet of science:
It's almost as if it isn't science at all, but rather advertising, where the target audience is a government agency that gives the company permission to transfer the product to their other advertising division who then advertise it to doctors and the public. What percentage of these clinical trials are trials of something not destined to produce wealth for an organization if the results of the trial are positive? When a wealth generating organization approves expenditure of the large amount of money to do a clinical trial, I'm sure it also adds extra management, or transfers management of the research so as to help the results of the trial be more profitable than just doing science ever could be. I'm thankful that this requirement to register these trials exists.
A bug in the hand is better than one as yet undetected.