Global clinical trials activity decreased by 15.3% in Q3 2022, when compared with the same quarter in 2021, according to GlobalData.

Industry sponsored trials accounted for a 51.8% share of overall activity in Q3 2022, an increase of 3.7% when compared with Q3 2021.

Non-industry sponsored trials accounted for a 48.2% share of all clinical trials in Q3 2022, marking a decrease of 3.7% when compared with the same period in 2021.

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Q3 2022 industry sponsored clinical trials activity by therapy areas

Oncology was the leading therapy area for industry sponsored clinical trials in Q3 2022, accounting for a 28.9% share of all trials.

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This was followed by Central Nervous System with a 13.9% share, Infectious Disease with 13.6%, Metabolic Disorders with 8.5% and Gastrointestinal with 6.7%.

In Q3 2021, Oncology led with a 26.4% share, followed by Infectious Disease with 16.5%, Central Nervous System with 15.3%, Cardiovascular with 8.3%, and Metabolic Disorders with 8.3%.

Industry sponsored trials: Q3 2022 vs Q3 2021
Therapy Area Q3 2021 Q3 2022 Activity
Oncology 26.4% 28.9% Increase
Central Nervous System 15.3% 13.9% Decrease
Infectious Disease 16.5% 13.6% Decrease
Metabolic Disorders 8.3% 8.5% Increase
Gastrointestinal 7.5% 6.7% Decrease
Cardiovascular 8.3% 6.6% Decrease
Dermatology 4.8% 5.5% Increase
Respiratory 5.9% 4.9% Decrease
Immunology 5.2% 4.4% Decrease
Musculoskeletal Disorders 4.4% 3.8% Decrease
Hematological Disorders 2.7% 3.1% Increase
Ophthalmology 2.9% 3.0% Increase
Women’s Health 2.1% 2.4% Increase
Genito Urinary System And Sex Hormones 3.1% 2.3% Decrease
Genetic Disorders 1.5% 1.9% Increase
Ear Nose Throat Disorders 1.6% 1.2% Decrease
Male Health 1.3% 0.6% Decrease
Mouth and Dental Disorders 0.6% 0.6% Decrease
Hormonal Disorders 0.8% 0.5% Decrease
Non Malignant Disorders 0.4% 0.4% Decrease
Nutritional Disorders 0.3% 0.2% Decrease

Most active therapy areas in non-industry sponsored clinical trials

In Q3 2022 the leading therapy area for non-industry sponsored clinical trials was Central Nervous System, accounting for a 26.2% share of all trials.

This was followed Oncology with a 25.8% share, Cardiovascular with 9.7%, Infectious Disease with 9.5%, and Gastrointestinal with 6.5%.

In Q3 2021, Central Nervous System held the lead in non-industry sponsored clinical trials with a 24.3% share, followed by Oncology with 23.2%, Infectious Disease with 13.7%, Cardiovascular with 8.7%, and Gastrointestinal with 6.8%.

Non-Industry sponsored trials: Q3 2022 vs Q3 2021
Therapy Area Q3 2021 Q3 2022 Activity
Central Nervous System 24.3% 26.2% Increase
Oncology 23.2% 25.8% Increase
Cardiovascular 8.7% 9.7% Increase
Infectious Disease 13.7% 9.5% Decrease
Gastrointestinal 6.8% 6.5% Decrease
Metabolic Disorders 5.4% 6.5% Increase
Musculoskeletal Disorders 5.7% 5.4% Decrease
Dermatology 3.0% 3.7% Increase
Respiratory 3.7% 3.7% Decrease
Women’s Health 4.4% 3.6% Decrease
Genito Urinary System And Sex Hormones 3.1% 3.4% Increase
Hematological Disorders 3.1% 2.9% Decrease
Immunology 3.0% 2.9% Decrease
Mouth and Dental Disorders 3.0% 2.9% Decrease
Ophthalmology 2.0% 2.2% Increase
Genetic Disorders 0.6% 1.3% Increase
Ear Nose Throat Disorders 1.2% 0.8% Decrease
Nutritional Disorders 0.8% 0.8% Decrease
Hormonal Disorders 0.9% 0.7% Decrease
Male Health 0.7% 0.6% Decrease
Non Malignant Disorders 0.1% 0.4% Increase

Asia-Pacific region has the most activity for industry sponsored clinical trials

Asia-Pacific was the most active region for industry sponsored clinical trials activity in Q3 2022 with a 54.3% share, compared with 58.3% in Q3 2021.

North America was the second most active region with a 32.3% share in Q3 2022, up from 27.8% in Q3 2021, followed by Europe with a 25.6% share in Q3 2022, down from 27.5% in Q3 2021.

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Single country studies held an 85.6% share in industry sponsored clinical trials in Q3 2022, compared with 84.5% in Q3 2021. Multinational trials accounted for 14.4% in Q3 2022, against 15.5% in Q3 2021.

Regional activity for non-industry sponsored clinical trials

Asia-Pacific saw the most non-industry sponsored clinical trial activity in Q3 2022 with a 58.9% share, up from 55.6% in Q3 2021.

North America held the second position with a 22.5% share in Q3 2022, compared with 15.3% in Q3 2021. This was followed by Europe with a 13.3% share in Q3 2022, as against 11.3% in Q3 2021.

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Single country studies accounted for 98.8% share of non-industry sponsored clinical trials in Q3 2022, compared with 99.2% in Q3 2021. Multinational trials accounted for a 1.2% share in Q3 2022, up from 0.8% in Q3 2021.

Clinical trials by phase in Q3 2022

Phase I trials outnumbered all other studies with a 36.2% share for industry sponsored trials in Q3 2022, compared with 40.6% in Q3 2021.

The share of Phase II trials stood at 35.8% in Q3 2022, up from 32.6% in Q3 2021. Phase III trials increased to 17.1% in Q3 2022, compared with 15.4% in Q3 2021, followed by Phase IV trials with an 11.0% share in Q3 2022, against 11.3% in Q3 2021.

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For non-industry sponsored clinical trials, Phase II activity increased to a 50.7% share in Q3 2022, compared with 40.7% in Q3 2021.

Phase IV trials were the second most active with a 20.6% share in Q3 2022, compared with 23.3% in Q3 2021. Phase I trials held a 17.7% share in Q3 2022, against 16.8% in Q3 2021, followed by Phase III trials with an 11.1% share in Q3 2022, over 19.2% in Q3 2021.

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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.