Zombie trials are often monocentric and cluster within fabricated evidence factories: a cohort study of 236 retracted randomized controlled trials with confirmed data fabrication
This cohort study of 236 retracted randomized controlled trials reveals that "zombie" trials with confirmed data fabrication are predominantly monocentric, concentrated in specific countries like Japan, and generated by a small number of repeat offenders operating in localized "factories" that cause long-delayed retraction cascades.