Clinical Trials Landscape

Clinical Trials Landscape

How do we know if we are getting better at designing and running clinical trials? To fulfill our vision of efficient, meaningful clinical trials, creating a baseline and tracking changes over time is crucial. CTTI maintains the database for the Aggregate Analysis of ClinicalTrials.gov (AACT), facilitating easier access and analysis of data submitted to ClinicalTrials.gov. Key publications from CTTI using AACT characterize the state of clinical trials. 

In collaboration with the FDA, CTTI has identified barriers to timely, accurate, and complete trial information submission on ClinicalTrials.gov, releasing a report with strategies and recommendations for improvement. 

CTTI’s Transforming Trials 2030 vision outlines five key pillars for how clinical trials should be by the year 2030. The Measuring Trials Transformation project aims to establish key milestones and measures to monitor and assess progress towards this vision. 

Topic Resources

Site Planning | Expert Meetings

Assessing U.S. Clinical Trials Site Capacity and Readiness for Public Health Emergencies​

View materials from the July 2025 expert meeting.

Clinical Trials Landscape | Expert Meetings

The State of Clinical Trials: Charting the Path to 2030

On May 22, 2025, CTTI convened 150 clinical trials leaders, patients, policy influencers, and trialists in Washington, D.C., for a dynamic meeting focused on the state of clinical trials.

Clinical Trials Landscape | CTTI News

New CTTI Project Aims to Develop Framework for Assessing U.S. Clinical Trial Site Capacity and Readiness for Public Health Emergencies

In recent years, concerns have been raised about the limited real-time awareness of U.S. clinical trial sites’ capacity and capabilities, including their ability to support a coordinated and effective response...

Clinical Trials Landscape

Watchtower

CTTI’s Watchtower Project addresses growing concerns about the readiness and capacity of U.S. clinical trials sites to generate timely and impactful clinical evidence, particularly during public health emergencies (PHEs).

Clinical Trials Landscape | CTTI News

Measuring Trials Transformation (MTT) Project Update: Tracking Progress Toward Transforming Clinical Trials

In September 2023, CTTI launched the Measuring Trials Transformation (MTT) Project to track progress toward CTTI’s Transforming Trials 2030 (TT2030) vision. Introduced in 2021, this vision outlines how clinical trials...

Clinical Trials Landscape | Poster Presentations

The State of the Oncology Clinical Trials Portfolio: Insights from ClinicalTrials.gov

SCT Annual Meeting CTTI Project: State of Clinical Trials Download Presentation (785.09 KB)

Clinical Trials Landscape | Poster Presentations

Preparing the Study Dataset from ClinicalTrials.Gov for analysis using disease conditions to re-group trials by clinical speciality

ACRT/SCTS/AFMR Joint Annual Meeting CTTI Project: State of Clinical Trials Download Presentation (785.09 KB)

Clinical Trials Landscape | Poster Presentations

The State of Clinical Trials in Rheumatology: A review of the clinicaltrials.gov dataset

ACR/ARHP Annual Meeting CTTI Project: State of Clinical Trials Download Presentation (785.09 KB)

Clinical Trials Landscape | Poster Presentations

The State of Infectious Disease Clinical Trials: A Systematic Analysis of ClinicalTrials.gov

IDSA Annual Meeting CTTI Project: State of Clinical Trials Download Presentation (785.09 KB)

Clinical Trials Landscape | Poster Presentations

State of Diabetes-Related Trials in the ClinicalTrials.gov Dataset

EASD Annual Meeting CTTI Project: State of Clinical Trials Download Presentation (785.09 KB)

DHT sub topics

Formats

CTTI Project

Stage of Trial