Medical device trials and terminated/suspended trials were excluded. ROW includes LATAM, Middle East & Africa. Rest of Europe includes Russia. Trial with sites in multiple regions were counted once for each region.
EEA = European Economic Area.
Sums may not add up to 100 percent due to rounding effects.
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Share of commercial clinical trial starts worldwide 2013-2023, by region
In 2023, the region associated with the highest share of commercial clinical trial starts worldwide was North America, accounting for ** percent of all commercial trials. China ranked second, contributing ** percent of global commercial clinical trial starts in the same year.
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EFPIA, & IQVIA, & Vaccines Europe. (October 29, 2024). Share of commercial clinical trial starts worldwide from 2013 to 2023, by region [Graph]. In ÌÇÐÄÆÆ½â°æ. Retrieved August 03, 2026, from /statistics/1624743/global-commercial-clinical-trial-starts-by-region/
EFPIA, und IQVIA, und Vaccines Europe. "Share of commercial clinical trial starts worldwide from 2013 to 2023, by region." Chart. October 29, 2024. ÌÇÐÄÆÆ½â°æ. Accessed August 03, 2026. /statistics/1624743/global-commercial-clinical-trial-starts-by-region/
EFPIA, IQVIA, Vaccines Europe. (2024). Share of commercial clinical trial starts worldwide from 2013 to 2023, by region. ÌÇÐÄÆÆ½â°æ. ÌÇÐÄÆÆ½â°æ Inc.. Accessed: August 03, 2026. /statistics/1624743/global-commercial-clinical-trial-starts-by-region/
EFPIA, and IQVIA, and Vaccines Europe. "Share of Commercial Clinical Trial Starts Worldwide from 2013 to 2023, by Region." ÌÇÐÄÆÆ½â°æ, ÌÇÐÄÆÆ½â°æ Inc., 29 Oct 2024, /statistics/1624743/global-commercial-clinical-trial-starts-by-region/
EFPIA & IQVIA & Vaccines Europe, Share of commercial clinical trial starts worldwide from 2013 to 2023, by region ÌÇÐÄÆÆ½â°æ, /statistics/1624743/global-commercial-clinical-trial-starts-by-region/ (last visited August 03, 2026)
Share of commercial clinical trial starts worldwide from 2013 to 2023, by region [Graph], EFPIA, & IQVIA, & Vaccines Europe, October 29, 2024. [Online]. Available: /statistics/1624743/global-commercial-clinical-trial-starts-by-region/