Do null results stay preprints?

design
oa
reg
Whether medRxiv preprints reporting a null primary result reach journal publication more slowly, or not at all.
Published

September 22, 2026

ImportantStatus: design. No probe has run.

Written against the design standard. The review of P06 found that a preprint-to-journal link must be constructed, not inferred from any repository location; this design uses medRxiv’s own published-version field for that reason (S4).

1. The question

Publication bias is usually measured as studies that never appear. Preprints make a new measurement possible: a study that did appear, publicly, and then did or did not make it into a journal. If null results reach journals less often or more slowly, the preprint server is holding part of the file drawer in public, and the journal literature is biased by exactly the mechanism meta-research documents in trials.

2. Prior work, and the search behind the novelty claim

Log key P24.

corpus regex: preprint.{0,100}(null|negative|non.significant|positive) (result|finding)
PubMed:       preprint*[tiab] AND ("null results"[tiab] OR "negative results"[tiab]
              OR "non-significant"[tiab] OR "positive results"[tiab])
              AND (publication[tiab] OR published[tiab])

Sixteen PubMed records. The relevant ones concern delays in publishing important oncology trial findings (PMID 29710325), a tool to move unpublished results out of the file drawer (PMID 33111948), and unfinished registered reports in the cancer biology replication project (PMID 34874009). None follows preprints to publication by result direction.

3. Hypothesis

Preprints reporting a null primary result have a lower hazard of journal publication within 36 months than preprints reporting a statistically significant primary result.

Null. The hazard ratio, null against significant, is 1.

What would falsify it. A hazard ratio at or above 1.

4. Design and unit

Retrospective cohort. One preprint is one unit, followed from its first posting date.

5. Sample

medRxiv preprints first posted 2019 to 2023, so that each has at least 36 months of follow-up by the data snapshot, whose abstract reports a primary hypothesis test in a clinical or epidemiological study. Preprints on COVID-19 are a stratum, not an exclusion, because they were published under different pressures.

6. Exposure

Result direction of the primary finding: statistically significant in the stated direction, null, or unclassifiable. Classified from the abstract by a model gated on the author’s labels (section 8).

7. Outcome

Time to journal publication, from medRxiv’s own published-DOI field, confirmed in Crossref. Where medRxiv records no published version, OpenAlex is searched for a work with the same title and overlapping authors; matches found that way are flagged and the analysis is repeated without them. Withdrawal is a competing event.

8. Validation gate

The author labels 250 abstracts against a rubric that defines the primary finding and what counts as null (a confidence interval including the null value, or a stated non-significant result), with worked examples. Kappa on the null-versus-significant contrast; below 0.75 the study runs on the author-labeled subsample and is labeled underpowered.

9. Analysis

In R.

coxph(Surv(months, published) ~ direction + strata(covid, category) + posted_year, data = d)

Preregistered alongside: a Fine-Gray model with withdrawal as a competing risk, and the same analysis restricted to medRxiv-recorded publications only.

10. Threats

threat handling removed or disclosed standard
Pairs inferred from repository locations Uses medRxiv’s own published field; inferred matches flagged Removed S4
Classifier error on direction Gated on the analyzed contrast Disclosed S8
Null studies may be smaller and weaker Sample size extracted and entered where reported Disclosed
Follow-up differs by posting date Fixed 36-month window Removed S10
Authors may not submit null results at all Indistinguishable from rejection here; the outcome is publication, not submission Disclosed

11. Probes

probe computes goes to what would change the design status
PA medRxiv API reachability and published-field coverage by posting year 7 a published field missing for most preprints forces OpenAlex matching as primary not run
PB share of abstracts reporting a primary hypothesis test, on an author-labeled pilot of 100 removed from the sample 5 under 30 percent shrinks the eligible cohort sharply not run
PC the author’s 250 direction labels 8 below 0.75 the study shrinks to the labeled subsample needs the author

12. What this cannot show

  • Whether journals rejected null results or authors never sent them.
  • Anything about bioRxiv, whose basic-science results rarely take the form of a single primary test.