Global clinical trials activity decreased by 9.4% in Q1 2022, when compared with the same quarter in 2021, according to GlobalData.

Industry sponsored trials accounted for a 48.3% share of overall activity in Q1 2022, an increase of 4.0% when compared with Q1 2021.

Non-industry sponsored trials accounted for a 51.7% share of all clinical trials in Q1 2022, marking a decrease of 4.0% when compared with the same period in 2021.

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Q1 2022 industry sponsored clinical trials activity by therapy areas

Oncology was the leading therapy area for industry sponsored clinical trials in Q1 2022, accounting for a 30.5% share of all trials.

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This was followed by Infectious Disease with a 15.1% share, Central Nervous System with 14.4%, Metabolic Disorders with 7.5% and Cardiovascular with 6.2%.

In Q1 2021, Oncology led with a 26.2% share, followed by Infectious Disease with 18.8%, Central Nervous System with 14.9%, Metabolic Disorders with 7.9%, and Cardiovascular with 7.2%.

Industry sponsored trials: Q1 2022 vs Q1 2021
Therapy Area Q1 2021 Q1 2022 Activity
Oncology 26.2% 30.5% Increase
Infectious Disease 18.8% 15.1% Decrease
Central Nervous System 14.9% 14.4% Decrease
Metabolic Disorders 7.9% 7.5% Decrease
Cardiovascular 7.2% 6.2% Decrease
Immunology 5.2% 5.7% Increase
Gastrointestinal 5.7% 5.3% Decrease
Respiratory 6.0% 4.7% Decrease
Dermatology 3.8% 4.3% Increase
Musculoskeletal Disorders 4.5% 4.1% Decrease
Hematological Disorders 2.7% 3.3% Increase
Ophthalmology 3.5% 3.1% Decrease
Genito Urinary System And Sex Hormones 2.6% 2.8% Increase
Genetic Disorders 1.5% 1.8% Increase
Women’s Health 1.7% 1.4% Decrease
Ear Nose Throat Disorders 1.6% 1.3% Decrease
Hormonal Disorders 0.6% 0.6% Decrease
Male Health 0.9% 0.4% Decrease
Mouth and Dental Disorders 0.7% 0.4% Decrease
Nutritional Disorders 0.6% 0.3% Decrease
Non Malignant Disorders 0.1% 0.2% Increase

Most active therapy areas in non-industry sponsored clinical trials

In Q1 2022 the leading therapy area for non-industry sponsored clinical trials was Central Nervous System, accounting for a 25.5% share of all trials.

This was followed Oncology with a 21.9% share, Infectious Disease with 12.5%, Cardiovascular with 9.7%, and Gastrointestinal with 6.3%.

In Q1 2021, Central Nervous System held the lead in non-industry sponsored clinical trials with a 23.8% share, followed by Oncology with 22.9%, Infectious Disease with 15.5%, Cardiovascular with 9.2%, and Gastrointestinal with 6.6%.

Non-Industry sponsored trials: Q1 2022 vs Q1 2021
Therapy Area Q1 2021 Q1 2022 Activity
Central Nervous System 23.8% 25.5% Increase
Oncology 22.9% 21.9% Decrease
Infectious Disease 15.5% 12.5% Decrease
Cardiovascular 9.2% 9.7% Increase
Gastrointestinal 6.6% 6.3% Decrease
Metabolic Disorders 5.3% 6.0% Increase
Musculoskeletal Disorders 5.7% 5.3% Decrease
Women’s Health 4.1% 4.3% Increase
Respiratory 4.3% 3.8% Decrease
Immunology 3.7% 3.4% Decrease
Hematological Disorders 2.7% 3.3% Increase
Genito Urinary System And Sex Hormones 2.6% 2.9% Increase
Dermatology 2.7% 2.4% Decrease
Mouth and Dental Disorders 2.8% 2.4% Decrease
Ophthalmology 2.0% 1.9% Decrease
Ear Nose Throat Disorders 1.2% 1.1% Decrease
Hormonal Disorders 1.0% 1.1% Increase
Genetic Disorders 0.6% 0.6% Decrease
Male Health 0.8% 0.6% Decrease
Nutritional Disorders 0.6% 0.5% Decrease
Non Malignant Disorders 0.3% 0.3% Decrease

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 Q1 2022 with a 47.9% share, compared with 53.7% in Q1 2021.

North America was the second most active region with a 36.3% share in Q1 2022, up from 32.9% in Q1 2021, followed by Europe with a 28.4% share in Q1 2022, up from 28.2% in Q1 2021.

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Single country studies held an 85.3% share in industry sponsored clinical trials in Q1 2022, compared with 83.5% in Q1 2021. Multinational trials accounted for 14.7% in Q1 2022, against 16.5% in Q1 2021.

Regional activity for non-industry sponsored clinical trials

Asia-Pacific saw the most non-industry sponsored clinical trial activity in Q1 2022 with a 49.9% share, down from 51.5% in Q1 2021.

North America held the second position with a 20.4% share in Q1 2022, compared with 15.9% in Q1 2021. This was followed by Europe with a 15.3% share in Q1 2022, as against 15.8% in Q1 2021.

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Single country studies accounted for 98.8% share of non-industry sponsored clinical trials in Q1 2022, compared with 99.0% in Q1 2021. Multinational trials accounted for a 1.2% share in Q1 2022, up from 1.0% in Q1 2021.

Clinical trials by phase in Q1 2022

Phase II trials outnumbered all other studies with a 39.4% share for industry sponsored trials in Q1 2022, compared with 35.0% in Q1 2021.

The share of Phase I trials stood at 31.6% in Q1 2022, down from 36.5% in Q1 2021. Phase III trials increased to 18.3% in Q1 2022, compared with 15.7% in Q1 2021, followed by Phase IV trials with a 10.8% share in Q1 2022, against 12.8% in Q1 2021.

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For non-industry sponsored clinical trials, Phase II activity decreased to a 47.6% share in Q1 2022, compared with 41.8% in Q1 2021.

Phase IV trials were the second most active with a 20.5% share in Q1 2022, compared with 24.9% in Q1 2021. Phase I trials held a 17.1% share in Q1 2022, against 16.7% in Q1 2021, followed by Phase III trials with a 14.9% share in Q1 2022, over 16.6% in Q1 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.