Trials: review time and acceptance speed

ISSN 1745-6215 · Springer Science+Business Media · Medicine

Half of the articles Trials accepted in 2025 were accepted within 212 days of submission (n = 676); the middle half took 145–305 days.

Submission → acceptance (2025)
212 days median
middle half 145–305 · n = 676
Acceptance → online
27 days median
middle half 17–45 · n = 676
Change since 2023
Slower than 2023: the median rose from 118 to 212 days (90% CI +80 to +108 days).
Open access · fees
Open access (DOAJ) · $2,890

Accepted articles only · dates deposited by the publisher in PubMed · data as of Sep 15, 2026

Plan submissions to a deadline — free

How long does Trials take to accept a paper?

days0901802703602020: middle half 98–223 days1532020n=7752021: middle half 134–254 days1902021n=8492022: middle half 88–273 days1772022n=9972023: middle half 65–204 days1182023n=7672024: middle half 98–207 days1322024n=7422025: middle half 145–305 days2122025n=676
Line = median; shaded box = middle half of articles (25th–75th percentile). Year of acceptance.
Days from submission to acceptance, by year of acceptance
YearArticles (n)25th pctMedian75th pct90th pctAccepted <14 daysHave a revised date
20256761452123054150.0%0%
2024742981322072960.7%0%
2023767651182043200.3%0%
2022997881772733860.6%0%
20218491341902543360.1%0%
2020775981532232921.4%0%

Distribution in 2025

0–29 days: 1% (4 articles)030–59 days: 3% (22 articles)3060–89 days: 6% (40 articles)6090–119 days: 8% (53 articles)90120–149 days: 9% (64 articles)120150–179 days: 11% (76 articles)150180–209 days: 11% (72 articles)180210–239 days: 9% (64 articles)210240–269 days: 8% (56 articles)240270–299 days: 7% (48 articles)270300–329 days: 6% (42 articles)300330–359 days: 3% (23 articles)330360+ days: 17% (112 articles)360+days from submission to acceptance (30-day bins)
Show as a table
DaysArticlesShare
0–2940.6%
30–59223.3%
60–89405.9%
90–119537.8%
120–149649.5%
150–1797611.2%
180–2097210.7%
210–239649.5%
240–269568.3%
270–299487.1%
300–329426.2%
330–359233.4%
360+11216.6%

From acceptance to online publication

After acceptance, half of the 2025 articles appeared online within 27 days (middle half 17–45 days, n = 676).

From submission to online publication, the median was 249 days (middle half 175–341 days, n = 676).

Read these numbers carefully

  • These times describe articles the journal accepted. Rejected manuscripts never appear in public data, so they cannot tell you how long a rejection takes.
  • Dates are the ones the publisher deposited with PubMed. Some publishers record the date a revised manuscript arrived as the submission date, which makes review look faster.
  • Invited articles and special issues can move faster than regular submissions.

Open access status and publishing fees

Open access (listed in DOAJ). Listed APC: $2,890 (DOAJ).

Institutions reported paying a median of about $2,398 per article (2023–2025, 39 reported payments in OpenAPC; converted from euros at yearly ECB average rates).

Many journals waive or reduce fees for authors from eligible countries or institutions with publishing agreements — check with the journal and your library.

Integrity and indexing signals

Facts from public records, shown without judgement. See the methodology for why each can be worth a closer look.

Listed in DOAJYes (DOAJ record)
Articles indexed for MEDLINE in 2025Yes
Retractions1 retracted article among 4,033 added to PubMed in 2021–2025 (0.25 per 1,000), per the Retraction Watch Database.
Accepted within 14 days of submission0.0% of 2025 articles
Publication volume652 articles added to PubMed in 2025 (-17% vs 2024).

Topics and scope

Medicine journals

Similar journals — faster or cheaper, side by side

Journals publishing on the most similar topics (OpenAlex), ordered by similarity. Only 2025 figures are compared with the 2025 median of Trials, 212 days.

Paid APC medianDOAJMEDLINE
Contemporary Clinical Trials Communications128 (2025, n = 145)$2,540$2,242 (5 payments)YesNo
Journal of Clinical Epidemiology137 (2025, n = 272)≈$4,210NoYes
Contemporary Clinical Trials141 (2025, n = 290)≈$3,140NoYes
Systematic Reviews236 (2025, n = 293)$3,190$2,619 (15 payments)YesYes
BMC Medical Research Methodology169 (2025, n = 293)$3,090$2,863 (15 payments)YesYes
Journal of Evidence-Based Medicine140 (2025, n = 97)≈$2,550NoYes
Therapeutic Innovation & Regulatory Science136 (2025, n = 159)≈$4,090NoYes
Pilot and Feasibility Studies357 (2025, n = 161)$2,590YesNo

Frequently asked questions

How long does Trials take to accept a paper?

Half of the articles Trials accepted in 2025 were accepted within 212 days of submission (n = 676); the middle half took 145–305 days. Based on dates in PubMed for accepted articles only.

How long after acceptance are Trials articles published online?

Half of the articles accepted in 2025 appeared online within 27 days of acceptance (n = 676).

Does Trials charge an article processing charge (APC)?

Listed APC: $2,890 (DOAJ).

Sources and method

Journal identity: ISSN-L 1745-6215; NLM ID 101263253; OpenAlex record. Speed figures use 676 articles accepted in 2025 with valid dates; excluded records for that year: none.

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Data sources. Submission, acceptance and publication dates: Courtesy of the U.S. National Library of Medicine (PubMed, entries through Sep 15, 2026). NLM does not endorse Journal Clock, and these figures may not reflect the most current PubMed data. Journal fees and open-access listing: DOAJ (CC0, retrieved Sep 16, 2026). Fees paid by institutions: OpenAPC (Open Database License, retrieved Sep 16, 2026). Retractions: Retraction Watch Database via Crossref (retrieved Sep 16, 2026). Journal identifiers and topics: OpenAlex (CC0). Currency conversion: ECB reference rates (Sep 15, 2026). How these numbers are calculated · For organisations.