Clinical trials face challenges from complex therapies, staffing issues, and tech integration. Despite this, Parexel, under CEO Peyton Howell, highlights DEI initiatives and tech advancements like AI for study startup and patient recruitment. Howell acknowledges the tech burden on sites and the need for better training. Staffing remains competitive, but Parexel's APEX program aims to streamline onboarding. Walgreens' entry into clinical trials, with patient-centric approaches and partnerships, offers potential benefits for research organizations.