“…Notwithstanding this scenario, there are important practical aspects that will need to be addressed if the sharing of the IPD after the clinical trial publication becomes truly open and widely accessible as envisioned by the ICMJE. First, the survey findings of the United Kingdom publically funded Clinical Trials Units have highlighted significant concerns for sharing data including the misuse of data/incorrect secondary analysis, resource requirements/implications, loss of ability to publish, additional consent requirements, and identification of patients (3). Second, even in journals that require data to be shared at the time of publication, such as the PLOS journals (4), there can be wide variation and expectation of the actual data available when the article is published.…”