12/06/2026
Only 5% of eligible patients ever enrol in a clinical trial.
Let that number sit for a moment.
Billions are spent on drug development every year.
Thousands of trials are running globally at any given time.
And yet — only 1 in 20 eligible patients ever participates.
The result?
Trials that take years longer than they should.
Drugs that are delayed.
Patients who wait.
And when you look at who does participate — it's often not representative of the population who will eventually use the medicine.
Older patients. Underrepresented communities. People with multiple conditions.
Frequently excluded. Rarely centred.
We have a clinical trial system that is extraordinarily good at generating data — and not always good at generating the right data, from the right people, at the right pace.
The industry knows this.
Decentralised trials, patient advocacy partnerships, digital recruitment — the solutions exist.
So why is 5% still the number?
I'd argue the real barrier isn't technology or funding.
It's that patient recruitment has never been treated as a strategic priority the way efficacy or safety data has.
That needs to change.
What's your experience with clinical trial recruitment — from either side of the process?