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This report summarizes the views expressed by workshop participants and includes background information to provide the context for workshop discussion based on the committee´s planning work. It includes information and perspectives gathered prior to and at the workshop, describing progress made toward a national registry for clinical trials and points for further consideration. Chapter 1 is a summary of the issues surrounding creation of a clinical trial registry and the contributions of this project. Chapter 2 describes the importance of a national clinical trial registry, drawing together views expressed throughout this project. Chapter 3 describes diverse perspectives and activities toward creating a national clinical trial registry. Chapter 4, describing potential elements of a registry, intersperses background material with comments made by workshop participants. Chapter 5, on implementation issues, also includes background material interspersed with comments made by participants.