What are the penalties for failing to register?
According to the ICMJE: Unregistered trials will not be considered for publication in journals that adhere to ICMJE standards. This penalty has not changed over time. According to the FDA/NIH (Food and Drug Amendments Act of 2007): Penalties may include civil monetary penalties up to $10,000 fine for failing to submit or for submitting fraudulent information to ClinicalTrials.gov. After notification of noncompliance, the fine may go up to $10,000 per day until resolved. For federally funded grants, penalties may include the withholding or recovery of grant funds.