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Global clinical trials activity increases 5.9% in Q2 2021 over 4Q average

The global clinical trials activity saw an increase of 5.9% in Q2 2021, when compared with the rolling average of the last four quarters (Q2 2020 to Q1 2021), according to GlobalData.

Of the overall activity, industry sponsored trials accounted for a 51.6% share in Q2 2021, marking an increase of 2.0% in the total share when compared with the four-quarter average.

Non-industry sponsored trials accounted for a 48.4% share of all the clinical trials globally in Q2 2021, marking a decrease of 2.0% in the overall share when compared with the four-quarter average.

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Top therapy areas for industry and non-industry sponsored clinical trials in Q2 2021

Oncology was the leading therapy area for industry sponsored clinical trials in Q2 2021, accounting for a 30.9% share of all trials.

This was followed by the following therapy areas: Infectious Disease with a 17.6% share, Central Nervous System with a 12.9% share, Cardiovascular with a 7.3% share and Metabolic Disorders with a 7.0% share.

In the last four quarters, Oncology held a lead over other therapy areas for industry sponsored clinical trials with a 26.6% share, followed by Infectious Disease with a 21.5% share, Central Nervous System with a 13.1% share, Metabolic Disorders with a 7.8% share, and Cardiovascular with a 7.3% share.

Industry sponsored trials activity: 4-Quarter Avg. vs Q2 2021
Therapy Area 4-Quarter Avg. Q2 2021 Activity
Oncology 26.6% 30.9% Increase
Infectious Disease 21.5% 17.6% Decrease
Central Nervous System 13.1% 12.9% Decrease
Cardiovascular 7.3% 7.3% Decrease
Metabolic Disorders 7.8% 7.0% Decrease
Gastrointestinal 6.0% 5.6% Decrease
Immunology 5.1% 5.0% Decrease
Respiratory 7.0% 4.2% Decrease
Dermatology 4.2% 3.9% Decrease
Musculoskeletal Disorders 3.7% 3.4% Decrease
Ophthalmology 2.9% 2.9% Decrease
Hematological Disorders 2.8% 2.7% Decrease
Genito Urinary System And Sex Hormones 2.6% 2.5% Decrease
Women’s Health 1.6% 1.9% Increase
Genetic Disorders 1.5% 1.7% Increase
Ear Nose Throat Disorders 1.3% 0.8% Decrease
Mouth and Dental Disorders 0.5% 0.6% Increase
Male Health 0.9% 0.5% Decrease
Hormonal Disorders 0.5% 0.4% Decrease
Nutritional Disorders 0.4% 0.3% Decrease
Non Malignant Disorders 0.2% 0.1% Decrease

Oncology was the leading therapy area for non-industry sponsored clinical trials in Q2 2021, accounting for a 26.2% share of all trials.

This was followed by the following therapy areas: Central Nervous System with a 24.0% share, Infectious Disease with a 17.5% share, Cardiovascular with a 9.7% share, and Gastrointestinal with a 5.5% share.

In the last four quarters, Oncology System held a lead over others for non-industry sponsored clinical trials with an average share of 24.3%, followed by Infectious Disease with a 22.6% share, Central Nervous System with a 21.3% share, Cardiovascular with a 9.1% share, and Gastrointestinal with a 5.7% share.

Non-Industry sponsored trials activity: 4-Quarter Avg. vs Q2 2021
Therapy Area 4-Quarter Avg. Q2 2021 Activity
Oncology 24.3% 26.2% Increase
Central Nervous System 21.3% 24.0% Increase
Infectious Disease 22.6% 17.5% Decrease
Cardiovascular 9.1% 9.7% Increase
Gastrointestinal 5.7% 5.5% Decrease
Metabolic Disorders 4.5% 5.5% Increase
Musculoskeletal Disorders 4.2% 4.4% Increase
Respiratory 5.7% 4.1% Decrease
Immunology 2.9% 3.3% Increase
Women’s Health 3.9% 2.8% Decrease
Genito Urinary System And Sex Hormones 2.6% 2.7% Increase
Hematological Disorders 2.7% 2.2% Decrease
Dermatology 2.1% 2.1% Decrease
Ophthalmology 1.4% 2.1% Increase
Mouth and Dental Disorders 1.8% 1.5% Decrease
Hormonal Disorders 0.6% 0.9% Increase
Nutritional Disorders 0.6% 0.9% Increase
Ear Nose Throat Disorders 0.9% 0.8% Decrease
Genetic Disorders 0.6% 0.6% Decrease
Male Health 0.5% 0.3% Decrease
Non Malignant Disorders 0.4% 0.3% Decrease

Top regions in industry and non-industry sponsored clinical trials activity in Q2 2021

Asia-Pacific held the top position for industry sponsored clinical trials activity in Q2 2021 with a 48.0% share, compared to 53.6% in the last four quarters.

North America stood at second place with a 37.3% share in Q2 2021, over 31.9% in the last four quarters, followed by Europe with a 30.0% share in Q2 2021, as against 27.7% in the last four quarters.

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Single country studies held an 82.2% share in industry sponsored clinical trials in Q2 2021 when compared with 84.2% of the average recorded in the last four quarters. Multinational trials accounted for a 17.8% share in Q2 2021, as against the four-quarter average of 15.8%.

Asia-Pacific region held the top position in non-industry sponsored clinical trial activity in Q2 2021 with a 48.1% share, over 46.5% in the last four quarters.

North America held the second position with a 22.5% share in Q2 2021, over 18.6% in the last four quarters, followed by Europe with an 18.7% share in Q2 2021, as against 15.9% in the last four quarters.

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Single country studies held a 98.7% share for non-industry sponsored clinical trials in Q2 2021, compared to 98.6% in the last four quarters. Multinational trials accounted for a 1.3% share in Q2 2021, as against 1.4% in the last four quarters.

Industry and non-industry sponsored clinical trials by Phase in Q2 2021

Phase II trials outnumbered all other studies with a 41.1% share for industry sponsored trials in Q2 2021, compared to 34.9% average in the last four quarters.

The share of Phase I trials stood at 28.5% in Q2 2021, as against the four-quarter average of 36.8%. Phase III trials held an 18.3% share in Q2 2021, registering an increase of 1.4% over the last four quarters average, followed by Phase IV trials with a 12.1% share in Q2 2021, as against the four-quarter average of 11.4%.

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Phase II trials outnumbered all other trials with a 47.7% share for non-industry sponsored clinical trials in Q2 2021, compared to 45.0% in the last four quarters.

Phase IV trials stood at second place with a 21.3% share in Q2 2021, compared to 20.0% in the last four quarters. Phase III trials held a 16.6% share in Q2 2021, as against 19.7% in the last four quarters, followed by Phase I trials with a 14.4% share in Q2 2021 over 15.2% average recorded in the last four quarters.

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Methodology: The clinical trials data used for the analyses were extracted from the Clinical Trials Database of GlobalData’s Pharma Intelligence Center. Clinical Trials are sourced from numerous government, non-government and company clinical trial registries worldwide alongside clinical research publications, scientific conferences, company websites, SEC filings and more. The information is gathered by a combination of automation and secondary research to ensure accuracy and validity. A small number of Phase 0, Phase I/II, Phase II/III, and Phase III/IV trials were combined with Phase I, Phase II, Phase III, and Phase IV trials, respectively.

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