In the past year, CTTI has made great strides in identifying and promoting practices to improve the quality and efficiency of clinical trials. As a result, 6 sets of recommendations were released in 2015 on the following topics:

1. Increase understanding of research participants
2. Involve patient groups as equal partners in clinical trials
3. Create better protocols
4. Facilitate the use of a single IRB of record
5. Reduce inefficiencies of investigator training
6. Develop a better safety reporting system

This could not have been done without the enthusiasm, support and engagement of CTTI members and others pursuing transformation in the clinical trials enterprise. We would like to express our gratitude for the effort that went into these recommendations and invite you to share these gifts with your colleagues. Together, we can achieve innovation through collaboration.