As the gold standard of health care evidence, clinical trials have great potential to improve health. Chan led a program of research, standards development, and global advocacy to improve the conduct, reporting, and appraisal of clinical trials internationally. He pioneered meta-research (‘research on research’) methods to complete landmark studies that characterized a new type of bias in trials: the selective reporting of positive outcomes and suppression of negative outcomes within published articles. These findings led to the widespread implementation of trial registration, which is now mandated around the world.
In response to the systemic gaps identified, Chan developed global standards to improve the conduct and reporting of clinical trials. His signature initiative is the 2013 Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) guidance that defines the key elements to address in trial protocols. Translated into eight languages, SPIRIT has become the global standard for developing trial protocols and has been widely implemented by over 2,900 trials and 150 medical journals, as well as graduate training programs internationally. Chan co-led a Lancet Series to increase value and reduce avoidable waste in research, securing commitment from research funders worldwide to adopt their recommendations. Chan also conducts clinical trials and epidemiological studies to find better ways of preventing and managing high-risk skin cancer, particularly in solid organ transplant recipients. He is the founding managing director of the Skin Investigation Network of Canada (SkIN Canada).
Chan’s program of work has led to a) high-impact productivity with 152 publications (34 in JAMA, Lancet, BMJ, Nature Medicine), an H-index of 54, over 74,000 citations, and $8.8 million in grants; b) sustainability with 1-3 publications in the top general medical journals every year since 2004; and c) global recognition with leadership roles in the World Health Organization and international initiatives.