bioRxiv or medRxiv? Choose bioRxiv for basic, non-clinical life-sciences research such as genetics, microbiology or neuroscience, and medRxiv for clinical, epidemiological or public-health research that could influence patient care. The two preprint servers do not overlap: posting the same manuscript to both is prohibited and can result in withdrawal.
A preprint server is an open-access repository where researchers post a scientific manuscript publicly before it has completed formal peer review. bioRxiv and medRxiv are the two sibling servers operated by openRxiv for the life and health sciences respectively, and the correct choice between them depends on subject scope, not on which sounds more prestigious.
On this page:
- What is the difference between bioRxiv and medRxiv?
- Where should clinical trials and health research go?
- Where should microbiology, neuroscience and basic biology go?
- How do you decide when a study sits on the border?
- Questions authors ask
- What this means for authors and institutions
What is the difference between bioRxiv and medRxiv?
bioRxiv launched in 2013 at Cold Spring Harbor Laboratory (CSHL) as a preprint server for basic biology; medRxiv followed in 2019 as a dedicated server for clinical and health-sciences manuscripts. In March 2025, CSHL transferred governance of both platforms to openRxiv, a newly formed independent nonprofit, marking the most significant structural change since bioRxiv’s founding.
Neither server is a journal. medRxiv is not a journal — it is a repository, and nothing posted there has been peer reviewed or certified. Both platforms carry explicit caution notices stating that preprints should not guide clinical practice, inform health-related behaviour, or be reported as established findings.
The practical distinction authors need is scope, not scale: bioRxiv covers fundamental biological research with new data, while medRxiv is reserved for work that could plausibly influence a clinical decision, a public-health response, or patient behaviour.
Where should clinical trials and health research go?
Any manuscript reporting a clinical trial, an epidemiological study, or research with direct implications for diagnosis, treatment or public-health policy belongs on medRxiv. bioRxiv’s own submission guidance is explicit that new clinical trial reports and most epidemiology submissions must now go to medRxiv rather than bioRxiv.
medRxiv applies stricter screening than bioRxiv precisely because misinterpreted clinical claims carry public-harm risk. One detail authors frequently miss: medRxiv does not accept case reports or case series, so single-patient or small-series clinical write-ups need a different outlet even when the subject matter is unambiguously medical.
- Randomised controlled trials and other interventional studies
- Epidemiological and public-health surveillance research
- Studies involving patient-level clinical or health-behaviour data
- Infectious disease, oncology, cardiovascular medicine and psychiatry manuscripts
Where should microbiology, neuroscience and basic biology go?
bioRxiv is the correct venue when the research advances fundamental biological understanding without a direct clinical application. Its subject categories include microbiology, neuroscience, genetics, immunology, cell biology and bioinformatics, among others, and submissions are screened by volunteer bioRxiv Affiliates chiefly for scope, plagiarism and public-harm potential.
A microbiology paper characterising a novel bacteriophage, or a neuroscience paper mapping neural circuitry in a model organism, sits comfortably on bioRxiv provided it does not extend into patient data or treatment recommendations. The moment a microbiology study becomes an infectious-disease outbreak analysis, or a neuroscience study becomes a neurology or psychiatry treatment study, the correct server changes to medRxiv.
How do you decide when a study sits on the border?
Most submission confusion happens in a handful of predictable grey zones where a basic-science category on bioRxiv has a clinical counterpart on medRxiv. openRxiv’s own subject-category lists make the pairing explicit, and mapping them side by side is the fastest way to resolve a borderline decision.
| bioRxiv category (basic science) | medRxiv category (clinical counterpart) | Decision rule |
|---|---|---|
| Genetics / Genomics | Genetic and Genomic Medicine | Patient-directed diagnosis or therapy → medRxiv |
| Neuroscience | Neurology / Psychiatry and Clinical Psychology | Patient treatment or behaviour outcomes → medRxiv |
| Microbiology | Infectious Diseases | Outbreak, surveillance or patient-cohort data → medRxiv |
| Pharmacology and Toxicology | Pharmacology and Therapeutics | Human dosing, trial or therapeutic outcome data → medRxiv |
As a working test: if the manuscript’s conclusion could reasonably change what a clinician does at the bedside, or what a public-health body recommends, it belongs on medRxiv regardless of how “basic” the underlying technique feels. If it reports mechanism, model-organism data or method development with no direct patient or population-health claim, bioRxiv is the right home.
Under the International Committee of Medical Journal Editors’ recommendations, posting to a recognised preprint server does not count as prior or duplicate publication and does not preclude subsequent journal submission — but authors should still confirm the target journal’s own preprint policy before posting either version.
Questions authors ask
Is bioRxiv reputable?
Yes. bioRxiv is a well-established, widely used life-sciences preprint server operated by openRxiv, screened by volunteer affiliates for plagiarism, scope and biosafety concerns. It is not peer reviewed, but it is recognised across academic biology as a legitimate venue for early-stage research dissemination.
Is medRxiv trustworthy?
medRxiv applies a stricter, additional screening layer beyond bioRxiv’s because of the public-harm risk in clinical and health content. Every posted manuscript carries a prominent caution notice stating it has not been certified by peer review and should not guide clinical practice, making its scope and limitations transparent to readers.
What is the difference between bioRxiv and medRxiv?
bioRxiv covers basic, non-clinical life sciences; medRxiv is reserved for clinical, epidemiological and health-sciences research with potential patient or public-health impact. Screening intensity, disclaimer wording and accepted article types differ accordingly, and a single manuscript cannot be posted to both servers simultaneously.
What are the alternatives to bioRxiv?
Depending on field, authors also use arXiv for quantitative and computational biology work, Research Square or journal-integrated “In Review” services, and discipline-specific repositories such as ChemRxiv. None of these substitute for medRxiv when a manuscript is clinically actionable.
What this means for authors and institutions
For individual authors, the server choice is a compliance decision, not a branding one: submitting a clinical manuscript to the wrong server risks a request to withdraw and resubmit, delaying the timestamp priority a preprint is meant to secure. Research administrators tracking institutional preprint activity — an increasingly routine part of research administration workflows — should build the bioRxiv/medRxiv scope test into pre-submission checklists rather than leaving it to individual author judgement.
For institutions and publishers, the March 2025 move to independent openRxiv governance is worth tracking: it signals that preprint infrastructure for biology and medicine is now managed as permanent scholarly-communication infrastructure rather than a single laboratory’s side project, with implications for long-term archival stability and policy planning. Definitions of related terms, including preprint, postprint and version of record, are maintained in the CASRAI Research Administration Dictionary.
The practical rule holds regardless of field: match the manuscript’s real-world consequence, not its disciplinary label, to the server’s scope, and treat the bioRxiv/medRxiv boundary as a public-harm question rather than a prestige one.
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