The clinical trial workforce has declined dramatically, with investigators dropping from 128,303 to 116,948 globally and coordinators falling from 56,036 to 40,472 between 2017-2024.
Oncology trial costs have reached unsustainable levels, averaging $30 million for Phase 1 trials and nearly $60 million for Phase 3 studies, with total drug development costs hitting $2.3 billion.
Only 5-8% of eligible patients participate in clinical trials, while 60-70% of trial sites fail to meet enrollment targets, creating a bottleneck that threatens future drug development.
AI-driven platforms and decentralized trial models offer potential solutions to address recruitment inefficiencies and expand access to underserved rural communities.