Global clinical trials activity increased by 0.9% in Q4 2021, when compared with the same quarter in 2020, according to GlobalData.
Industry sponsored trials accounted for a 57.5% share of overall activity in Q4 2021, an increase of 5.0% when compared with Q4 2020.
Non-industry sponsored trials accounted for a 42.5% share of all clinical trials in Q4 2021, marking a decrease of 5.0% when compared with the same period in 2020.
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Q4 2021 industry sponsored clinical trials activity by therapy areas
Oncology was the leading therapy area for industry sponsored clinical trials in Q4 2021, accounting for a 31.2% share of all trials.
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By GlobalDataThis was followed by Infectious Disease with a 15.0% share, Central Nervous System with 13.7%, Gastrointestinal with 7.2% and Cardiovascular with 6.3%.
In Q4 2020, Oncology led with a 27.2% share, followed by Infectious Disease with 19.3%, Central Nervous System with 13.2%, Metabolic Disorders with 8.3%, and Cardiovascular with 7.0%.
Industry sponsored trials: Q4 2021 vs Q4 2020 | |||
---|---|---|---|
Therapy Area | Q4 2020 | Q4 2021 | Activity |
Oncology | 27.2% | 31.2% | |
Infectious Disease | 19.3% | 15.0% | |
Central Nervous System | 13.2% | 13.7% | |
Gastrointestinal | 5.9% | 7.2% | |
Cardiovascular | 7.0% | 6.3% | |
Immunology | 5.7% | 6.3% | |
Metabolic Disorders | 8.3% | 6.0% | |
Respiratory | 6.7% | 5.3% | |
Dermatology | 4.4% | 4.7% | |
Musculoskeletal Disorders | 4.1% | 3.5% | |
Hematological Disorders | 3.0% | 3.4% | |
Ophthalmology | 3.2% | 3.1% | |
Genetic Disorders | 1.8% | 2.6% | |
Genito Urinary System And Sex Hormones | 2.5% | 2.4% | |
Women’s Health | 2.0% | 1.8% | |
Ear Nose Throat Disorders | 1.1% | 1.3% | |
Hormonal Disorders | 0.5% | 0.6% | |
Male Health | 0.7% | 0.5% | |
Mouth and Dental Disorders | 0.7% | 0.4% | |
Non Malignant Disorders | 0.2% | 0.2% | |
Nutritional Disorders | 0.5% | 0.1% |
Most active therapy areas in non-industry sponsored clinical trials
In Q4 2021 the leading therapy area for non-industry sponsored clinical trials was Oncology, accounting for a 25.5% share of all trials.
This was followed Central Nervous System with a 25.1% share, Infectious Disease with 12.7%, Cardiovascular with 9.0%, and Gastrointestinal with 6.3%.
In Q4 2020, Oncology held the lead in non-industry sponsored clinical trials with a 23.4% share, followed by Central Nervous System with 21.7%, Infectious Disease with 16.2%, Cardiovascular with 9.7%, and Gastrointestinal with 7.7%.
Non-Industry sponsored trials: Q4 2021 vs Q4 2020 | |||
---|---|---|---|
Therapy Area | Q4 2020 | Q4 2021 | Activity |
Oncology | 23.4% | 25.5% | |
Central Nervous System | 21.7% | 25.1% | |
Infectious Disease | 16.2% | 12.7% | |
Cardiovascular | 9.7% | 9.0% | |
Gastrointestinal | 7.7% | 6.3% | |
Metabolic Disorders | 6.1% | 5.1% | |
Musculoskeletal Disorders | 5.1% | 4.4% | |
Women’s Health | 4.5% | 4.4% | |
Respiratory | 5.0% | 4.3% | |
Hematological Disorders | 3.0% | 3.4% | |
Immunology | 2.9% | 3.4% | |
Dermatology | 3.1% | 2.5% | |
Genito Urinary System And Sex Hormones | 3.1% | 2.3% | |
Mouth and Dental Disorders | 2.1% | 2.2% | |
Ophthalmology | 1.8% | 1.9% | |
Ear Nose Throat Disorders | 0.9% | 1.0% | |
Genetic Disorders | 0.6% | 0.8% | |
Male Health | 0.5% | 0.6% | |
Hormonal Disorders | 0.9% | 0.5% | |
Nutritional Disorders | 0.8% | 0.5% | |
Non Malignant Disorders | 0.5% | 0.3% |
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 Q4 2021 with a 46.9% share, compared with 53.0% in Q4 2020.
North America was the second most active region with a 36.1% share in Q4 2021, up from 32.5% in Q4 2020, followed by Europe with a 30.4% share in Q4 2021, up from 28.8% in Q4 2020.
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Single country studies held an 84.0% share in industry sponsored clinical trials in Q4 2021, compared with 82.8% in Q4 2020. Multinational trials accounted for 16.0% in Q4 2021, against 17.2% in Q4 2020.
Regional activity for non-industry sponsored clinical trials
Asia-Pacific saw the most non-industry sponsored clinical trial activity in Q4 2021 with a 43.5% share, down from 52.0% in Q4 2020.
North America held the second position with a 25.2% share in Q4 2021, compared with 17.8% in Q4 2020. This was followed by Middle East and Africa with a 16.2% share in Q4 2021, as against 15.4% in Q4 2020.
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Single country studies accounted for 98.6% share of non-industry sponsored clinical trials in Q4 2021, compared with 98.7% in Q4 2020. Multinational trials accounted for a 1.4% share in Q4 2021, up from 1.3% in Q4 2020.
Clinical trials by phase in Q4 2021
Phase II trials outnumbered all other studies with a 38.6% share for industry sponsored trials in Q4 2021, compared with 34.2% in Q4 2020.
The share of Phase I trials stood at 33.4% in Q4 2021, down from 36.8% in Q4 2020. Phase III trials increased to 18.1% in Q4 2021, compared with 17.9% in Q4 2020, followed by Phase IV trials with a 9.8% share in Q4 2021, against 11.1% in Q4 2020.
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For non-industry sponsored clinical trials, Phase II activity decreased to a 41.7% share in Q4 2021, compared with 45.3% in Q4 2020.
Phase IV trials were the second most active with a 22.1% share in Q4 2021, compared with 19.5% in Q4 2020. Phase I trials held an 18.3% share in Q4 2021, against 16.5% in Q4 2020, followed by Phase III trials with a 17.9% share in Q4 2021, over 18.7% in Q4 2020.
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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.