The global clinical trials market size is estimated to reach USD 158.41 billion by 2033, registering a CAGR of 7.48% from 2025 to 2033, according to a new report by Grand View Research, Inc. An increase in the volume and complexity of clinical trials has been witnessed lately, which plays an important role in the R&D of new drugs and products. The market witnessed a decline of 6% in 2020 owing to the COVID-19 pandemic. However, the market is projected to recover from 2021 onwards. In addition, clinical trials have become increasingly costly, adding to the overall cost of developing a drug.
The increasing need for developing new drugs for chronic diseases, such as cancer, respiratory disorders, diabetes, cardiovascular diseases, and others, is creating immense pressure on the healthcare industry. The COVID-19 pandemic and the increasing demand for developing a suitable treatment are driving the market. The high number of people affected by the disease further depicts an increasing need for therapeutics & vaccines. Currently, there are 288 therapeutics and 106 vaccines under development, out of which, nearly 7.0% of therapeutics are in Phase IV, 21.0% in Phase III, and 43.0% & 13.0% in Phase II & Phase I, respectively.
The pandemic has resulted in the global disruption of traditional onsite clinical trials. Hence, regulatory bodies worldwide have undertaken various initiatives for fast-tracking clinical trials for the development of innovative solutions. One such instance is Solidarity, an international clinical trial launched by the WHO to find effective treatment against COVID-19. Although the pandemic has forced many medical device & drug developers to revise the approach to such crises, integrating best practices within clinical trial procedures & adapting to virtual trials, which can support the continuous development of therapeutics.
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Based on phase, the phase III clinical trials segment dominated the market with a 53.48% share in 2024. This can be attributed to the complexity of this phase.
Based on study design, the interventional studies segment dominated the market in 2024. It is one of the most prominent methods used in clinical trials in the study design segment owing to the increasing demand for the intervention for clinical trials by researchers.
Based on indication, oncology segment accounted for largest market revenue share in 2024.
Based on indication by study design, the autoimmune/inflammation segment accounted for largest market revenue share in 2024. This can be attributed to large number of interventional studies on autoimmune/inflammation worldwide.
Based on service, the patient recruitment and retention segment garnered significant market share in 2024, key reasons supporting the demand is the growing number of clinical studies globally.
Based on sponsor, the pharmaceutical & biopharmaceutical companies accounted for largest market revenue share in 2024.
North America held 50.9% of the market share in 2024. Favorable government initiatives and the presence of a large number of players in the U.S. that offer advanced services are responsible for market growth
Asia Pacific region is anticipated to grow at the fastest CAGR over the forecast period, owing to the increasing patient pool and cost-efficient services.
Grand View Research has segmented the global clinical trials market based on phase, study design, indication, indication by study design, service, sponsor, and region:
Clinical Trials Phase Outlook (Revenue, USD Million, 2021 - 2033)
Phase I
Phase II
Phase III
Phase IV
Clinical Trials Study Design Outlook (Revenue, USD Million, 2021 - 2033)
Interventional Trials
Observational Trials
Expanded Access Trials
Clinical Trials Indication Outlook (Revenue, USD Million, 2021 - 2033)
Autoimmune/Inflammation
Rheumatoid Arthritis
Multiple Sclerosis
Osteoarthritis
Irritable Bowel Syndrome (IBS)
Others
Pain Management
Chronic Pain
Acute Pain
Oncology
Blood Cancer
Solid Tumors
Others
CNS Conditions
Epilepsy
Parkinson's Disease (PD)
Huntington's Disease
Stroke
Traumatic Brain Injury (TBI)
Amyotrophic Lateral Sclerosis (ALS)
Muscle Regeneration
Others
Diabetes
Obesity
Cardiovascular Diseases
Others
Clinical Trials Indication by Study Design Outlook (Revenue, USD Million, 2021 - 2033)
Autoimmune/Inflammation
Interventional Trials
Observational Trials
Expanded Access Trials
Pain Management
Interventional Trials
Observational Trials
Expanded Access Trials
Oncology
Interventional Trials
Observational Trials
Expanded Access Trials
CNS Conditions
Interventional Trials
Observational Trials
Expanded Access Trials
Diabetes
Interventional Trials
Observational Trials
Expanded Access Trials
Obesity
Interventional Trials
Observational Trials
Expanded Access Trials
Cardiovascular Diseases
Interventional Trials
Observational Trials
Expanded Access Trials
Others
Interventional Trials
Observational Trials
Expanded Access Trials
Clinical Trials Service Outlook (Revenue, USD Million, 2021 - 2033)
Protocol Designing
Site Identification
Patient Recruitment
Laboratory Services
Analytical Testing Services
Clinical Trial Data Management Services
Others
Clinical Trials Sponsor Outlook (Revenue, USD Million, 2021 - 2033)
Pharmaceutical & Biopharmaceutical Companies
Medical Device Companies
Others
Clinical Trials Regional Outlook (Revenue, USD Million, 2021 - 2033)
North America
U.S.
Canada
Mexico
Europe
UK
Germany
France
Italy
Spain
Denmark
Sweden
Norway
Asia Pacific
India
China
Japan
South Korea
Australia
Thailand
Latin America
Brazil
Argentina
Columbia
Middle East and Africa (MEA)
South Africa
Saudi Arabia
UAE
Kuwait
Qatar
Oman
List of Key Players in the Clinical Trials Market
Pharmaceutical Product Development, INC. (Thermo Fisher Scientific, Inc.)
ICON plc
Charles River Laboratories International, Inc.
IQVIA
SYNEOS HEALTH
SGS SA
PAREXEL International Corporation
Wuxi AppTec, Inc
Chiltern International Ltd (Laboratory Corporation of America)
Eli Lilly and Company
Novo Nordisk A/S
Pfizer
Clinipace (Caidya)
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