Open-Label Study: When Everyone Knows the Drug | Dose Track
[Glossary · Quality, storage and rules]

Open-label

Also called open-label study, open-label extension, nonblinded, unblinded · Reviewed

Definition: An open-label study is one in which both the health providers and the patients know which drug or treatment is being given. The NCI says it is also called nonblinded. Labels often report an open-label extension, where people keep taking the drug after the blinded part of a trial ends.

Open-label data on labels

Open-label studies on four current US labels
LabelWhat the label reports
AndroGel 1.62%Skin reactions at the application site in 2 of 234 men (0.9%) in the double-blind period and 3 of 219 (1.4%) in the open-label period that followed
AzmiroA randomized, single-dose, open-label study in 27 men compared with another testosterone shot; no placebo group
CialisIn the 1-year open-label extension, back pain in 5.5% and muscle aches in 1.3%
CrinoneIts side-effect tables come from open-label studies

Reading open-label numbers

Without a hidden comparison group, there is no placebo column to set the numbers against. The FDA labeling rule (21 CFR 201.57) says that when comparison rates cannot be reliably worked out, for example when reactions were seen only in the uncontrolled part of a trial, they are grouped into frequency ranges or described in words.

Why it matters for your log

An open-label extension often runs longer than the blinded part, so it is where labels report what happened over a year or more. Your own long-run log is open-label by nature: you know what you take, and the value is in the dates.

Read more on Dose Track: AndroGel side effects · Azmiro side effects · Cialis side effects · Crinone side effects

General education drawn from labels and published studies, not personal medical advice. Your prescriber, pharmacist and the label that came with your product are the final word.

Frequently asked questions

What is an open-label extension?+
It is a stretch after the main, often blinded, part of a trial in which people keep taking the drug and everyone knows it. Cialis reports back pain in 5.5% over a 1-year open-label extension.
Is an open-label study less reliable?+
It has no hidden comparison, so FDA labeling rules group side effects from uncontrolled parts of trials into frequency ranges instead of comparing them with placebo.