clinical research company names

Top 17 Clinical Research Organizations (CRO) in 2023

In clinical research and treatment development, clinical research organizations (CROs) are frequently a sponsor’s most important partner and ally.

Depending on the nature of the clinical trial, and your existing capabilities as a sponsor to run the trial, the CRO company of your choice will typically be responsible for facilitating most of the micro and macro processes that go into designing and running a successful clinical trial.

When contracting a CRO to help you with your trial, you are transferring over a large portion of responsibility into the hands of your clinical research partner. The CRO of your choice will have the responsibility to control a variety of factors and processes of a clinical trial, and depending on their expertise, team structures, service offerings, internal resources and many other capabilities.

Your ability to find and contract a top CRO company that is the right fit for your unique trial will be a determinant of whether or not you will be able to operate a high-quality clinical trial that meets your expected timelines, budget and delivers a top-notch patient experience.

At ClaraHealth (a patient-centric recruitment acceleration platform) , we have put together an extensive list of the top CRO companies in the US and around the world.

This is not a cro rankings list, but rather a compiled list of some of the top clinical research organizations around the world. We have highlighted their strengths and core service offerings to make it easier for you to find the right fit clinical research partner.

In addition, we’ve put together a list of 9 fundamental questions to ask the prospective clinical research organization , which will help you to save time and ensure a right fit in picking the CRO.

Formerly known as Quintiles and IMS Health, IQVIA is one of the largest CROs in the world, with a large range of service offerings to help advance clinical research.

The company was founded in North Carolina in 1982, and has since grown to over 88,000 employees in more than 100 countries.

Some clinical trial solutions offered by IQVIA include:

• Assistance with protocol design
• Design of phase 1 clinical trials
• Assessment and improvement of phase 2 and 3 clinical trials
• Site identification & selection
• Patient recruitment
• Access to global laboratories via their wholly owned subsidiary Q2 Solutions

Parexel is a global clinical research organization that was founded in 1982, and specializes in conducting clinical studies on behalf of its pharmaceutical partners in order to accelerate and ensure the drug approval process of up-and-coming potential treatments. It currently operates in more than 50 countries, and is run by more than 18,000 employees around the world.

The company has a wide range of service offerings, covering nearly every type of clinical trial service to assist sponsors in running successful clinical studies.

Some clinical trial solutions offered by Parexel include:

• Clinical trial design and development for early phase, phase 2 & 3, and late phase clinical trials
• Clinical data management
• Decentralized clinical trials
• Clinical supply chain management
• Medical writing
• Regulatory affairs consulting
• Pharmacovigilance

3. PRA Health Sciences

PRA Health Sciences is one of the largest contract research organizations in the world. Founded in 1976 under the name “Anti-Inflammatory Drug Study Group”, the company was renamed to PRA in 1982. PRA Health Sciences employees more than 17,000 people, and provides coverage to more than 90 countries.

In 2021, PRA Health Sciences was acquired by the Ireland-headquartered global CRO leader ICON, which is also reviewed in this list.

Some clinical trial solutions offered by PRA Health Sciences include:

• Decentralized Clinical Trials Platform
• Protocol Consultation & Study Design
• Onsite Support services
• Customized Solutions for Biotech (such as asset valuation, regulatory strategy, engagement and support, drug development strategy and funding solutions)
• Clinical Diagnostics
• Site Commercial Solutions
• PRA’s Laboratories for Drug Development

Headquartered in Ireland, ICON was founded in 1990 in Dublin by co-founders John Climax and Ronan Lambre. The company has since grown to be one of the largest CROs in the world. As of September 2020, the company employs more than 15,000 people in 94 locations and across 40 countries.

ICON offers clinical research services which include consulting, clinical development and commercialization across a wide range of therapeutic areas.

In 2021, ICON acquired PRA Health Sciences, which is another CRO and global leader in clinical research services.

Some clinical trial solutions offered by ICON:

• Commercial Positioning
• Early Phase
• Functional Services Provision
• Laboratories
• Language Services
• Medical Imaging
• Real World Intelligence
• Site & Patient Solutions
• COVID-19 Clinical Operations

5. Syneos Health

Formerly known as InVentiv Health Incorporated and INC Research, Syneos Health is a publicly listed and global contract research organization. The company is based in Morrisville, North Carolina, and specializes in assisting companies with late-stage clinical trials. Syneos Health currently employs more than 25,000 people, and has offices across 91 locations.

In early 2018, INC Research was acquired inVentiv Health, and the merged company was named Syneos Health.

Some clinical trial solutions offered by Syneos Health include:

• Decentralized Clinical Trials Solutions
• Bioanalytical Solutions
• Phase II-III/Phase IIIb-IIIV
• Medical Device Diagnostics
• Clinical Data Management
• Clinical Project Management
• Clinical Monitoring
• Drug Safety & Pharmacovigilance
• Site and Patient Access

6. Labcorp Drug Development (Formerly Covance)

Formerly known as Covance and renamed to Labcorp Drug Development in early 2021, this CRO is one of the largest contract research organizations in the world. The company claims to provide the world’s largest central laboratory network, and has been rated as one of the best places to work for LGBTQ+ equality by the Human Rights Campaign organization in 2018 to 2021. Currently, Labcorp employs over 70,000 people and is able to support clinical research efforts in almost 100 countries around the world.

Some clinical trial solutions offered by Labcorp Drug Development include:

• Preclinical Services
• Clinical Trials
• Clinical Trial Laboratory Services
• Post-Marketing Solutions
• Medical Devices
• Data & Technology

Also known as Pharmaceutical Product Development, PPD is a large global contract research organization headquartered in Wilmington, North Carolina. Started as a one-person consulting firm in 1985, PPD has grown to over 27,000 employees worldwide, and provides a wide range of clinical research services to pharmaceutical and biotech companies.

Some clinical trial solutions offered by PPD include:

• Clinical Development
• Early Development
• Peri- and Post-Approval
• PPD Biotech
• PPD Laboratories
• Product Development and Consulting
• Site and Patient Centric Solutions

8. Fisher Clinical Services

Part of Thermo Fisher Scientific, Fisher Clinical Services is a global clinical research organization with headquarters in Center Valley, Philadelphia.

The company has been in the business of clinical supply chain management for over 20 years, and is focused exclusively on working with the packaging and distribution requirements of clinical trials across the globe.

Some clinical trial solutions offered by Fisher Clinical Services include:

• Biologistics Management
• Cell & Gene Therapy
• Clinical Ancillary Management
• Clinical Label Services
• Clinical Trial Packaging & Storage
• Clinical Supply Optimization Services
• Cold Chain Management & Expertise
• Direct-to-Patient
• Distribution & Logistics
• Strategic Comparator Sourcing
• Public Health Research

Established in 1997 under the name Kiecana Clinical Research, KCR is a full-service contract research organization that provides a variety of services for clinical monitoring, safety & pharmacovigilance, clinical project management, quality assurance and regulatory affairs.

KCR operates globally, and has offices in North America, Western Europe, Central Europe and Eartern Europe. The company currently employs more than 700 staff.

Some clinical trial solutions offered by KCR include:

• Trial Execution

10. Medpace

Founded in 1992 and based in Cincinnati, Ohio, Medpace is a midsize clinical contract research organization. The company has operations in over 45 countries, and employs over 2,800 people. Medpace provides support services for Phase I-IV clinical trials for pharmaceutical and biotechnology companies, which include central laboratory services and regulatory services.

Some clinical trial solutions offered by Medpace include:

• Biostatistics and Data Sciences
• Clinical Trial Management
• Drug Safety and Pharmacovigilance
• Medical Writing
• Quality Assurance
• Regulatory Affairs
• Risk-Based Monitoring
• Medpace Laboratories

11. Clintec

Now in business for over 22 years, Clintec is a medium-sized global contract research organization for pharmaceutical, biotech and medical device industries, with large expertise in oncology and rare diseases.

The company provides the flexibility and agility of a smaller-sized CRO, while also having a wide global coverage that large CRO companies are known for. Clintec is based in more than 50 countries, and was acquired by the leading global CRO IQVIA in late 2018.

Some clinical trial solutions offered by Clintec include:

• Project Management
• Data Management
• Biostatistics
• Global Feasibilities
• Patient Recruitment & Retention

12. Worldwide Clinical Trials

Bringing over 30 years of experience to the clinical research market, Worldwide Clinical Trials is a leading medium-sized global contract research organization. Founded by physicians with a dedication and commitment to advancing medical research, Worldwide Clinical Trials was the first customer-centric CRO.

Currently the company has coverage in more than 60 countries, and has extensive experience in a wide range of therapeutic areas, including central nervous system, metabolic, cardiovascular, oncology, rare diseases and general medicine.

Some clinical trial solutions offered by Worldwide Clinical Trials include:

• Bioanalytical Lab
• Early Phase Development
• Clinical Phase IIB-II Clinical Trials
• Phase IIIB-IV Clinical Trials
• Trial Management Technologies

Named #1 CRO in the world for operational excellence at the 2021 CRO Leadership Awards, CTI Clinical Trial And Consulting Services is a medium-sized global contract research organization that has been serving pharmaceutical companies since 1999.

Based in Covington, Kentucky, CTI has offices around the world in more than 60 countries, with coverage in North America, Europe, Latin America, Middle-East, Africa, and Asia-Pacific regions.

Some clinical trial solutions offered by CTI include:

• Feasibility
• Regulatory Affairs Study Start-Up
• Medical Monitoring
• Safety & Pharmacovigilance
• Clinical Services

14. Wuxi AppTec

Founded in 2000 as WuXi PharmaTech in the city of Wuxi, China, Wuxi AppTec has grown from a single laboratory into a leading global contract research organization with more than 28,000 employees, including 23,000 scientists and more than 30 research & development and manufacturing sites around the world.

With offices in Asia, U.S, Europe and the Middle East, the company is able to provide coverage to more than 30 countries around the world.

Some clinical trial solutions offered by Wuxi AppTec include:

• Small Molecule Drug R&D and Manufacturing
• Cell Therapy and Gene Therapy
• Drug R&D and Medical Device Testing
• Clinical Services (Phase I-IV)

15. Advanced Clinical

Founded in 1994 and based out of Deerfield, Illinois, Advanced Clinical is a midsize and full-service CRO that helps sponsors with running clinical trials. The company employs more than 700 staff, and offers a wide variety of services across many therapeutic areas. Advanced Clinical has global representation in over 50 countries around the world.

Some clinical trial solutions offered by Advanced Clinical include:

• eTMF & Document Management
• Global Medical Services
• Quality & Validation

16. Pharm-Olam

Pharm-Olam is a leading midsize CRO with global headquarters located in Houston, Texas and its European headquarters in Bracknell, United Kingdom. The company employs more than 800 staff, and has 25 offices around the world, with a global coverage in more than 60 countries.

The company has therapeutic expertise in 5 areas, including Rare & Orphan Disease, Infectious Disease & Vaccine, Oncology-Hematology, Allergy and Autoimmune.

Some clinical trial solutions offered by Pharm-Olam include:

• Study Feasibility
• Site Activation
• Patient Recruitment
• Medical Affairs
• Compliance & Training
• Clinical Monitoring & Operations

17. Clinipace

Founded in 2003 and based out of Morrisville, North Carolina, Clinipace is a global midsize full-service CRO with a focus on solution customization for clinical trials. The company has a large global coverage in more than 50 countries, and has offices in North America, South America, Europe and Asia-Pacific regions.

Clinipace’s therapeutic focus areas include Oncology, Nephrology and Urology, Rare Disease, Gastroenterology and Women’s Health. The company also has complete therapeutic expertise in Infectious Disease & Vaccines, Cardiology, CNS, Immunology, and Respiratory.

Some clinical trial solutions offered by Clinipace include:

• Clinical Analytics
• Clinical Technology and Ecosystem
• Functional Service Partnership (FSP)
• Regulatory & Strategic Product Development

9 Fundamental Questions To Ask A Top CRO Company Before Signing The Contract

1. which services does the cro provide.

CROs offload a lot of operational tasks from trial sponsors, which can touch any component of clinical trial operations. From formulating an overall study strategy and implementing technologies to support the operational processes of the trial, to picking and identifying sites, and supporting patients during the trial, the range of clinical services offered by a CRO tends to be vast and inclusive of all the typical services and support you will require for running a successful clinical trial.

However, not all CROs are the same in their service offerings, or are able to offer the same depth of capability within a seemingly same clinical trial support process. For this reason it is important to understand exactly which kind of clinical services and support you are looking to receive from the prospective CRO when running your clinical trial.

While services such as clinical monitoring and clinical trial management are offered by the majority of CROs, the specific needs of each trial are unique, and for this reason it is important to first identify what will be the unique services your trial requires. Completing this internal analysis first will help you to understand the extent to which a potential CRO partner will be able to provide all of these services.

Some CROs specialize in specific clinical trial functions which the company may label as a “core services”, in which case this is a sign the company will have more expertise, experience, and will be set up in a way to maximize their capabilities in providing support for these services compared to other services that the CRO offers.

For example, a CRO may include patient recruitment as part of its “core services”, which implies that they are highly skilled in and have the necessary infrastructure to design and implement a high-quality patient recruitment strategy.

Clara Health CRO Support Services: At Clara Health our specialty services include technology-augmented digital and patient advocacy recruitment, as well as patient support via our signature patient recruitment platform, which we use to upgrade clinical trials and deliver results sponsors look for in their recruitment and retention campaigns.

At Clara, we work alongside CROs to supplement and support clinical trials with modern and personalized capabilities that CROs do not typically have the bandwidth, corporate structure or infrastructure to support.

If you would like to learn more about exactly how our platform can upgrade your unique trial, feel free to book a Free 30 Minute Consultation Session Here with one of our in-house experts.

2. What Related Experience Does The CRO Have?

It is helpful to ask the prospective CRO company if they have any relevant experience in running clinical trials that would be an asset in designing and running your study. Previous experience in a related therapeutic area or in running a trial with a similar design allows CROs to have a deeper understanding into potential opportunities and challenges, increasing the likelihood of your clinical study being successful.

For example, if a sponsor is planning to run a trial in oncology, for the purpose of site identification and selection it would be valuable to partner with a CRO vendor that has expertise in this area, as they likely already have a good understanding of which sites will lead to optimal results.

However, it is also important to consider all factors when selecting a CRO vendor and not to rely on therapeutic experience as the sole qualifier for whether or not a potential CRO is a fit for your trial. While previous experience is beneficial, some sponsors close themselves off from working with vendors that have not worked in their therapeutic area, which significantly limits options when choosing a CRO partner that is truly a good fit for their clinical study.

This can impact the end result of your clinical study, as sponsors that are not successful in choosing a CRO vendor that is the right overall fit may face difficulties if the needs of their clinical study aren’t being properly met.

Clara Health: We have worked to provide support for clinical trials across a wide range of therapeutic areas and trial designs. Our specialty is filling in the gaps that CROs traditionally did not have to think about, which include digital patient recruitment, patient advocacy recruitment, and technology-augmented patient support.

Additionally, we are constantly building our proprietary data and running tests in a variety of therapeutic areas. These research efforts allow us to have a detailed understanding of the expected level of difficulty when recruiting particular patient populations, as well as allow us to predict with accuracy which segments of the targeted population will be likely to qualify in a particular study.

3. What Are The Communication Workflows & Expectations For Performing And Delivering Contracted Services?

It is important that you clarify what the expectations for communication will be between your prospective CRO vendor and your internal teams, as you will most likely be working with the CRO of your choice for the entire duration of your clinical trial.

There are a vast variety of factors and success determinants for a clinical trial, which are continuously undergoing change as the study unfolds. For this reason, it is recommended that you work with a CRO that is proactive in their communication, so that you are kept up to date with information about important changes as your clinical trial progresses.

A vendor that is proactive rather than reactive in their communication and approach to dealing with arising issues is one of the most important qualities in CRO. Challenging situations will naturally arise, and the promptness with which they are taken care of will significantly impact your clinical trial’s degree of success. Therefore, seeking a vendor that is able to match the standard of communication that you as a sponsor would like to experience throughout the duration of your partnership is one of the most critical steps in determining which CRO is the right fit for your clinical trial.

We’ve included a few additional questions pertaining to the communication structure and reporting expectations that you can ask a prospective CRO vendor to determine the degree of fit in this particular category:

Communication Expectations:

• If we were to move forward with you, which of your team members will be our main point of contact?
• How available will you be outside of the scheduled meetings to address any of our concerns or additional requests?
• What will be the frequency at which update meetings will be conducted, and who will be present at those meetings?
• Which clinical study processes will be reported on, and what will be the workflow for how we will receive this information?
• What will be the cadence at which we will receive progress reports?
• Would we be able to access metrics electronically via an interactive dashboard, or will you send us formal reports?

Clara Health: At Clara Health, we directly interact and actively work with several key stakeholders involved in running a clinical trial, which includes sponsors, CROs, sites, and patients. This unique position allows us to have a centralized perspective which helps us to see all the moving parts of a clinical trial at the same time, which helps to identify issues and relay this vital information and insight back to the sponsor (or other appropriate stakeholders) in the shortest time possible.

The ability to access this perspective allows us to gather the most accurate, complete, and up-to-date information about how the clinical trial is unfolding, and quickly becomes very valuable to sponsors for their clinical trial.

As an example, we may receive feedback from patients about having an unsatisfactory experience with a particular study site. We are able to aggregate and analyze this information, and relay our findings back to the sponsor and the study site to improve the experience for other patients.

4. What Is The CRO’s Client Satisfaction Record?

It is a good practice to request information or metrics from the prospective CRO vendor that can point to the degree of satisfaction of their past clients. Prior to signing the contract, vendors will naturally do their best to uplift their image and future value to you during their sales conversations with you and your team. It can be tricky to get an objective understanding of what the partnership experience will actually entail, especially when there are multiple vendors fighting for your commitment.

We recommend that you ask the prospective vendor to provide success metrics regarding areas of clinical trial operations that are going to be important for your trial.

For example, you may be interested in learning about the vendor’s relationship to finances, in which case it will be useful to ask them about situations in which they went over the planned budget, and investigate into the reasons behind that. Alternatively you may be concerned about potential delays in timelines, in which case it would be helpful to learn about metrics regarding the CRO’s ability to meet timeline expectations.

You may also request to talk to the prospective CRO’s past clients, which will help you to gain insight into what the relationship was like and give you the opportunity to examine if the way in which the particular CRO manages its relationships and performs its services meets the expectations that you would have for your potential relationship and for your clinical trial.

Clara Health: At Clara Health, our relationships with our partners and with our patients are most important to us. In the unique position where we fit in the clinical trial process, we have the opportunity to directly co-create the clinical trial patient experience with a variety of stakeholders, including sponsors, sites, CROs, and patients.

Our company’s values and culture have been directed and developed to be such that the client and patient experience is at the top of priority for all of our internal teams, and we work to provide the best quality of care to all stakeholders.

We have many testimonials from every type of partner we’ve worked with which we can happily share with you.

5. How Do You Adapt When Encountering Challenges With Running A Clinical Trial?

It is inevitable that challenges and unforeseen changes will arise throughout the operational clinical trial process, and for this reason it is important to work with a CRO vendor that can provide you with evidence of their flexibility and ability to adapt to sudden changes.

The ideal CRO partner is one that is highly consultative throughout the entire process, and has an ability and the initiative to deal with challenges at their seed stage, prior to them turning into major obstacles for the success of your trial.

CROs naturally have a large reach, and there are a lot of different clinical trial mechanisms and processes that are under their control. They are able to monitor and respond to what is going on in every key link in the chain of the clinical trial operation.

It is reasonable to expect this level of oversight from a CRO, and additional questions that can help you gain insight into this include:

• What are some examples where the CRO was effective at monitoring the health of clinical trials they’ve helped operate in the past?
• How quickly does the CRO respond to challenges or opportunities for improving the clinical trial experience?
• How well does the CRO gather & process information from study sites, study teams, patients & the sponsor, and what are their typical data analysis workflows?

It is also recommended to speak to the prospective CROs past clients to help you gain insight into how well they respond and adapt to the naturally arising challenges in clinical trials.

Clara Health: While CROs do have a large reach within the clinical trial, no CRO has complete visibility into every clinical process. They are not typically set up to support full visibility, which can manifest as a potential threat to your clinical trial as it unfolds. This is especially true for parts of the clinical trial processes that CROs naturally do not specialize and often subcontract, such as clinical trial recruitment.

At Clara, we are in a unique position in relation to other key partners involved in operating the clinical trial. We are in direct and frequent contact with patients, CROs, study sites, study teams, and the sponsor, and have a very deep understanding of the patient pipeline. This allows us the unique ability to go very deep into specific parts of the recruitment chain and investigate what is working and what is not working.

In addition, Clara functions as a resource for all partners in the clinical trial. For example, we work directly with site teams to ensure that they have access to a 3rd party that they can relay their needs to and receive fast support in case there is anything they require that can improve the patient recruitment process.

6. Which Parts Of Operating The Clinical Trial Will You Be Outsourcing?

Since there are so many processes and mechanisms that go into operating a clinical trial, CROs will always outsource some parts of running and managing the study. While you can expect that the prospective CRO will subcontract some of the work, it is important to find out which exact parts the clinical study will be outsourced.

There are certain basic and key clinical processes (such as site selection) that CROs almost always help with, and if you find that these parts of your trial are going to be subcontracted to another company, it is recommended to find out why the CROs operations are set up this way and how this would impact the service you will receive.

Ultimately what matters to you as a partner and client is that the quality of service and care that you will receive will be up to standard, and meet what was promised and what you are expecting. While this trust is important after you have signed the contract, it is recommended that prior to entering into such a significant commitment that you have evidence and the conviction that the CRO of your choice is truly the right fit and will deliver the quality of service that was being discussed.

Since it is impossible to predict exactly what the quality of this relationship and services performed will actually be like in practice, it is recommended that you understand the details of what will be done for your trial and how. Investigating how the CRO outsources and subcontracts services for a clinical trial will help you to gain necessary insight that you would need to make the correct vendor selection decision.

Clara Health: At Clara, we maximize the effectiveness of the digital component across the entire digital & recruitment spectrum, which is added on top of the existing capabilities of the CROs and other vendors involved in operating your clinical trial. In addition, we offer services that augment the CROs efforts, which has the potential to significantly improve the patient experience, operations flows, recruitment and retention performance, which is so important in ensuring the success of a clinical trial.

For example, if a CRO wants to have a great site relationship, we are able to come in as a third party on behalf of the sponsor and CRO and act as a resource and additional support for sites.

In another example, If a sponsor wants to have great relationships with the patient community, Clara is able to come in on behalf of the sponsor and develop these relationships while being perceived more neutrally by the patient community.

7. Do You Have Experience Running International Trials?

If you are planning on operating an international clinical trial, it is recommended to work with a CRO that has extensive experience in this area. While many CROs will offer near-global coverage, the level of experience with specific geographic locations can significantly vary from one vendor to another.

It is important to work with a CRO that has experience running clinical trials in the specific countries and regions you are planning to conduct your research in. Being compliant with the local rules and regulations for clinical testing is a very complex process that requires existing understanding and familiarity in order to ensure logistical smoothness and to mitigate legal risks. In operating a clinical trial, there are a multitude of clinical services and processes, which can greatly vary across the many regions in which you can conduct clinical testing.

A CRO that is lacking experience in operating international trials or operating in particular regions where you plan on conducting research may not be able to meet your desired quality and agility expectations, and therefore may not be the right fit for your international clinical trial.

Clara Health: In the past, we have provided international patient recruitment and digitally-augmented trial support services for clinical trials in the EU, Canada, UK, Australia and South America.

Clara Health is fully compliant to operate international studies everywhere in the world, with the exception of Russia and China.

8. What Is Your Relationship With Patients?

Patient-centric approach to designing and operating a clinical trial is becoming more and more crucial in the clinical research space. The ability of a sponsor and their CRO partner to understand the needs and characteristics of their target patient community is a significant determinant of whether or not the study will be a success.

A sponsor that has close and authentic relationships with the patient community tends to have a deeper understanding of how to create the best clinical trial experience that will attract patients and keep their interest throughout the clinical trial.

In addition, strong relationships with patients allow sponsors and CROs to forecast recruitment and patient retention pipeline with much higher accuracy. This ability is critical for ensuring the success of the trial and mitigating the risk of low enrollment. After an understanding of the patient population is acquired, sponsors gain the necessary insight to design a clinical trial that is not only favorable to their research results, but is also practical and will result in the enrollment numbers they are looking for.

While many CROs have already recognized the importance of patient-centricity and evolved the ways in which they design and operate clinical trials, other CROs have not yet made such a pivot in their values. It is important to understand the degree of importance the prospective CRO places on creating a favorable patient experience, and what kind of infrastructure the company has to support it.

At Clara, we recommend choosing a CRO partner that is adapting to the patient-centric model which is becoming more and more important for running a successful clinical trial.

Clara Health: Since early stages of our development, we’ve had a dedicated patient advocacy team that has been integral in shaping our company’s vision and operations. We have built our entire platform and recruitment infrastructure around creating the best experience for patients. Our teams, corporate values, service offerings and company infrastructure all work in the service of the patient.

In addition, over the many years of being in business we have heavily invested in building authentic patient community relationships that span across a variety of therapeutic areas. This has given us a unique ability to receive feedback directly from patients that is genuine and authentic around marketing materials, strategy for patient recruitment, and other services that we build for specific trials.

This ability to build partnerships with the patient community in an authentic way gives us a very unique ability to engage with the patient community on behalf of a pharmaceutical company, allowing our sponsor & CRO partners the opportunity to start conversations with patients through our in-house patient advocacy team.

If you would like to learn how Clara can help you to build a strong & authentic relationship with your target patient community, get in touch with us and we’d be happy to share our capabilities and previous results with you as they relate to your current or upcoming clinical trial.

9. How Is The CRO Going To Utilize Patient Input For Developing The Trial?

In the initial stages of clinical trial design, sponsors often determine the ideal patient profiles that would help them to drive the most favorable research outcomes for their study. While it is important for the success of your trial to determine who your ideal patients are, very often these projections do not match up with what is viable in practice.

At Clara, we often encounter study protocols that are not set up realistically for successful recruitment to be possible.

Common mistakes that are made when determining trial eligibility criteria and trial design include:

• Overestimating the interest in the clinical trial from the target patient population
• A lack of patient focus in the trial design
• A lack of convenience for patients in their participation
• Complicated and/or inefficient study experience flows
• Crafting the eligibility criteria around the patient population that is most likely to lead to favorable study outcomes, without conducting sufficient research to more accurately estimate the recruitment and retention difficulty of the group for a particular study

It is natural for there to be a “push & pull” between the research ideal and the real world practicality. It is important to determine the correct balance between these two sides for your trial, as going too far in either direction will decrease the chance of your clinical study’s success.

The nature of the industry as it is right now is such that there is excess research idealization and not enough emphasis on patient centricity. This distorted orientation has resulted in many clinical trials being unsuccessful, negatively impacting sponsors, patients and the entire clinical trials industry.

The ideal CRO partner should help you make sure that your protocol design sets your study up for success. The CRO should be able to help you determine the proper balance between the research ideal and the real world practicality, and back up their findings with sufficient research and patient data that can project your trial being a success.

Clara Health: When formulating a recruitment and retention plan for our clients, we begin with conducting thorough research into the target trial patient population. This allows us to get a clear understanding of which recruitment channels will yield the best results and what kind of marketing materials will resonate with the prospective study participants.

To ensure accuracy and real-world applicability of our research, we consult and collaborate with our internal patient advocacy and patient support teams, as well as with our clients and patients representing the target trial patient profiles. We then tie our findings back with any existing proprietary data that we have in connection with the therapeutic area or the prospective target patient group.

Our unique position within the clinical recruitment chain gives us the presence and deep-rooted access needed to effectively tap into any of the three patient traffic sources: digital recruitment, offline recruitment, or patient advocacy recruitment.

Once a recruitment campaign has gone live, we constantly monitor, analyze and optimize our performance to make sure that the processes we have in place are as efficient as possible and drive the greatest results. In addition, we have the capability to layer in any traditional advertising (such as billboard ads) if requested by the study sponsor.

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Top 15 Clinical Research Companies: Leaders in Medical Innovation

What’s on this page:

In the healthcare industry, the number of contract research organizations in the US has reached 2,823 in 2023. This marks a subtle but significant increase of 0.9% compared to the previous year.

This increase signals a vital trend: the growing complexity of finding the best clinical research companies in a crowded field. These organizations aren’t just businesses; they’re important in advancing medicine and developing drugs and therapies.

With such an important task, choosing the right company becomes essential. In this guide, we’ve looked closely at many companies along with their strengths and weaknesses and made a list of the top clinical research organizations. 

By the end, you’ll know which company is the best fit for your needs.

Quick List of Top 15 Clinical Research Companies

Here is a quick overview of the best companies of clinical research:

• IQVIA: Best for data-driven insights and advanced analytics in healthcare research.
• ICON: Best for comprehensive clinical development services and therapeutic expertise.
• Parexel: Best for global biopharmaceutical services, emphasizing regulatory and clinical trial excellence.
• Syneos Health: Best for integrated biopharmaceutical solutions and clinical-commercial capabilities.
• PPD: Best for drug development services with innovative, technology-enhanced trial strategies.
• Labcorp: Best for comprehensive clinical testing and diagnostics services with global reach.
• Medpace: Best for expertise in clinical research and regulatory affairs for pharmaceutical companies.
• Charles River Laboratories: Best for preclinical research and development services, including animal testing and research models.
• PRA Health Sciences: Best for clinical trial expertise and integrated solutions for biopharmaceutical development.
• AdvanCell: Best for innovative cell and tissue-based research solutions for life science industries.
• Dynata: Best for data-driven insights and market research services for informed decision-making.
• Covance: Best for end-to-end drug development solutions, from preclinical to post-marketing.
• MedNet: Best for technology solutions and eClinical platforms for streamlined clinical trials.
• Fisher Clinical Services Inc: Best for global logistics and supply chain services for clinical trial materials.
• Worldwide Clinical Trials: Best for specialized CRO offering personalized clinical research solutions.

3 Best Clinical Research Organizations: Comparison Chart

Here’s a comparison table to highlight the key features and differences among the best companies of clinical research. This table aims to provide a quick overview of each company’s unique strengths and areas of expertise in the pharmaceutical and healthcare research sector.

3 Top Clinical Research Organization List For Advanced Medical Discoveries

Now, we’ll explore the top clinical research organizations (CROs) dedicated to advancing medical discoveries. Let’s jump into the details of these exceptional organizations.

IQVIA is a global leader in clinical research and healthcare data analytics. They play a crucial role in the medical field by providing comprehensive data, advanced analytics, and expert insights. This helps pharmaceutical and healthcare companies make smarter, more effective decisions. 

Why is IQVIA among the best? Their strength lies in their vast database and advanced technology, which enable them to analyze complex healthcare data efficiently. This leads to a better understanding of diseases, more effective treatments, and faster drug development. 

IQVIA’s work is essential because it speeds up the process of bringing new medicines to the market, ultimately benefiting patients worldwide. In short, IQVIA is a key catalyst in advancing global healthcare.

About IQVIA

• Founding Team: Dennis Gillings
• Founding Year: 1982
• Company Size:   86,000

Features of IQVIA

IQVIA, a prominent player in the life sciences sector, is dedicated to advancing healthcare through connected intelligence. Here are some key features of IQVIA in the world of clinical research:

Innovative Clinical Development

IQVIA is reimagining clinical development by intelligently connecting data, technology, and analytics. This approach leads to faster decision-making and reduced risk, enabling the delivery of life-changing therapies more quickly.

Efficient Payment Systems for Clinical Trials 

They have simplified the process of paying sites involved in clinical trials. IQVIA offers the capability to make payments within 30 days, even in challenging locations. This significantly reduces the administrative burden of managing clinical trial payments by up to 90%.

Decentralized Trials Expertise

The company has conducted over 500 studies in more than 75 countries, covering over 30 indications using decentralized trial methodologies. This demonstrates their capability in managing complex, multinational clinical trials.

Global Reach and Impact

With a presence in various regions, including Australia, New Zealand, the Middle East, and Africa, IQVIA’s global footprint allows it to drive healthcare innovations worldwide.

AI and Technology Integration

The company is at the forefront of integrating AI and other technologies in healthcare. Their Healthcare-grade AI promises precision, speed, scale, trust, and reliability, essential for advancing health and improving patient outcomes.

• Extensive, reliable healthcare data enhances market research quality.
• Utilizes AI and machine learning for advanced healthcare insights.
• Specialized focus yields a deep understanding of healthcare dynamics.
• Broad international presence enables diverse and large-scale studies.
• Offers advanced tools for insightful healthcare data analysis.
• Advanced tools can be challenging to use without training.
• Handling sensitive health data raises privacy and security issues.

Our Review of IQVIA

IQVIA, a prominent player in the healthcare and life sciences industry, presents a mixed bag of strengths and weaknesses. On the positive side, we appreciate IQVIA’s extensive expertise in data analytics and healthcare consulting. 

Their comprehensive research and analysis have undoubtedly driven valuable insights and innovations in the sector. Moreover, their global presence allows for diverse perspectives and access to critical healthcare data.

However, we must also acknowledge some shortcomings. IQVIA’s services can be prohibitively expensive for smaller organizations, limiting accessibility. Additionally, the sheer volume of data can sometimes lead to information overload, making it challenging to extract actionable insights.

ICON is a prominent company in the field of clinical research, playing a significant role in advancing medical science. They specialize in designing and conducting clinical trials for new medicines and treatments. 

The work of ICON is crucial because they help determine the safety and effectiveness of these potential medical breakthroughs. They are considered one of the best in clinical research due to their high standards of accuracy, reliability, and ethical practices. 

ICON’s expertise ensures that the clinical trials they manage are conducted efficiently and effectively, leading to faster approval of new treatments. This directly impacts patient care, as it allows quicker access to new, potentially life-saving medicines. 

In essence, ICON’s contribution is vital in driving forward medical innovations.

• Founding Team: John Climax and Ronan Lambe
• Founding Year: 1990
• Company Size: 41,160

Features of ICON

Here are some of the key features of ICON in clinical research:

Diverse Clinical and Scientific Operations

ICON offers a wide range of clinical and scientific operations services, ensuring comprehensive support for various aspects of clinical trials. This includes everything from study design to execution and data analysis.

Decentralized Clinical Trial Solutions

They provide end-to-end services, operational models, and technology to deliver customized solutions for decentralized clinical trials. This approach is increasingly important in today’s clinical research landscape, offering flexibility and efficiency.

Specialized Therapeutic Areas

ICON has expertise across multiple therapeutic areas including cardiovascular, central nervous system, endocrine & metabolic disorders, infectious diseases, internal medicine & immunology, oncology, and more. This broad expertise allows them to handle a wide range of clinical research projects.

Innovative Solutions for Biotech

ICON provides full-service outsourcing and flexible support customized to the specific needs of biotech companies. This includes due diligence and asset valuation, which are critical for biotech firms navigating the complex landscape of drug development.

Advanced Medical Imaging Solutions

Their expert medical imaging solutions support all stages of clinical research, improving decision-making, increasing efficiency, and reducing trial costs.

• Decades of expertise ensure high-quality clinical research.
• Offers wide-reaching capabilities for multi-regional clinical studies.
• Deep understanding of global regulations enhances compliance and efficiency.
• Invests in new technologies for more efficient trial processes.
• Broad range of specialties contributes to comprehensive service offerings.
• Managing multi-regional trials can lead to logistical challenges.
• Rapid growth may strain resources and affect service quality.

Our Review of ICON

When we researched ICON, we found both commendable aspects and areas for improvement. On the positive side, we appreciate their commitment to clinical research and their global presence, which allows for diverse study options. Their experienced team and advanced technology contribute to reliable data collection and analysis.

However, there are some drawbacks to consider. We have noticed occasional delays in project timelines, which can be frustrating. Additionally, the cost of their services tends to be on the higher side, making it a potential barrier for smaller research endeavors.

Parexel is a globally recognized company in clinical research, known for its important role in developing new medical treatments. They are one of the biggest clinical research organizations. Parexel conducts clinical trials, crucial steps in testing the safety and effectiveness of new drugs. 

The work of Parexel is essential because it bridges the gap between medical research and the availability of new treatments to patients. One of the reasons they stand out as one of the best in this field is their rigorous approach to research. 

Their commitment to quality and their global network also enables diverse and large-scale studies, setting them apart from others in the field. These strengths allow Parexel to deliver reliable and valuable data, accelerating the process of bringing new, effective medicines to the market. 

Simply put, Parexel is a key player in transforming medical research into real-world health solutions.

About Parexel

• Founding Team: Josef von Rickenbach and Anne B. Sayigh
• Company Size: 18,900

Features of Parexel

Parexel, a global biopharmaceutical services organization, offers a range of features in clinical research. Here are some key aspects of their approach:

Patient-Centric Approach

Parexel emphasizes a patient-first strategy in their clinical trials. This approach results in deeper and more relevant insights for trial design and execution. This ensures that the trials are more aligned with patient needs and experiences.

Innovative Trial Designs

Parexel employs innovative trial designs to optimize trials for maximum impact. This includes advanced modeling and simulation to predict drug effects ahead of time, which can save time, money, and resources.

Regulatory Compliance and Market Access

Parexel designs studies and endpoints with market access in mind, ensuring that they satisfy global regulations. This approach helps in getting treatments to patients safely and quickly.

Patient Advocacy and Engagement

The company includes patient advocates in their council, using their experiences to improve trial designs. This inclusion demonstrates their commitment to understanding and incorporating patient perspectives in clinical research.

Focus on Speed and Precision

Parexel aims to design neuroscience trials with speed and precision, utilizing the right experts and specializations. This focus is crucial in delivering effective treatments on time.

• Provides advanced technology and analytics for efficient data management.
• Extensive network provides global insights with regional knowledge.
• Expertise in navigating complex regulatory environments worldwide.
• Broad experience across various therapeutic areas ensures versatile solutions.
• Focuses on patient engagement for more effective trial outcomes.
• Rapid expansion can lead to challenges in resource management.
• Concentration in specific areas could pose risks in market shifts.

Our Review of Parexel

Parexel is a notable player in the field of clinical research and pharmaceutical services. We’ve thoroughly analyzed their offerings and found both strengths and areas that need improvement.

On the positive side, Parexel excels in its commitment to innovation and technology. We appreciate their continuous efforts to simplify clinical trials and drug development processes, making them more efficient.

However, we also noticed some downsides. Communication with clients could be more transparent, with clearer updates on project progress. Additionally, there’s room for improvement in terms of ensuring consistency in service quality across different projects.

Other 12 Companies of Clinical Research

In the world of clinical research, beyond the well-known names, there are 12 other companies making significant contributions. Let’s explore their vital role in advancing healthcare.

1. Syneos Health

Syneos Health helps develop medicines by managing clinical trials for new drugs. They’re essential because they ensure medicines are safe and effective. Syneos Health stands out in clinical research for its comprehensive services and global reach, making drug development smoother and faster.

About Syneos Health

• Founding Team: Colin Shannon
• Founding Year: 1980
• Company Size: 28,000

PPD is a group that tests new drugs to see if they’re good and safe. This is crucial for getting new treatments to people. They stand out for their thorough research and global reach.

• Founding Team: Fred Eshelman 
• Founding Year: 1985
• Company Size: 40,000+3

Labcorp does important tests and research for health. They’re needed because they help find out if new treatments are good. They’re among the best for their big labs and fast results.

About Labcorp

• Founding Team: Matthew Benger
• Founding Year: 1978
• Company Size: 75,5000

Medpace focuses on making sure new health treatments are safe. This is key for better medicine. They’re a top choice because of their focus on quality and detail in research.

About Medpace

• Founding Team: August Troendle
• Founding Year: 1992
• Company Size: 5,400

5. Charles River Laboratories

Charles River Laboratories tests drugs and does research to help pets and people stay healthy. They’re essential for safe, new treatments. Their expertise makes them a leader in the field.

About Charles River Laboratories

• Founding Team: Henry Foster
• Founding Year: 1947
• Company Size: 21,400

6. PRA Health Science

PRA Health Science works on finding out if new medicines are safe. This helps everyone get better treatments. They’re known for their excellent research and care in studies.

About PRA Health Science

• Founding Year: 1976
• Company Size: 17,000+

7. AdvanCell

AdvanCell specializes in new treatments, checking if they’re safe and working. Their work is vital for progress in medicine. They’re recognized for their innovation in research.

About AdvanCell

• Founding Team: Andrew Adamovich

Dynata gathers data for health studies. They’re needed for understanding what works in healthcare. They’re a top name for their accurate and wide-reaching data collection.

About Dynata

• Founding Team: Mike Petrullo
• Founding Year: 1940
• Company Size: 5000-10000

Covance helps with drug tests and research to fight diseases. Their role is key for new treatments. They’re celebrated for their comprehensive services and global impact.

About Covance

• Founding Team: Fred Cummings
• Founding Year: 1981
• Company Size: 50,000

MedNet provides software for managing clinical trials. This helps in making research easier and faster. They’re among the best for their tech solutions in research.

About MedNet

• Founding Team: John “Rob” Robertson
• Founding Year: 1996
• Company Size: 51-200

11. Fisher Clinical Services Inc.

Fisher Clinical Services Inc. manages the logistics of clinical trials, ensuring that treatments are tested efficiently. Their work is crucial for the progress of medicine, and they are renowned for their reliability and global network.

About Fisher Clinical Services Inc.

• Founding Team: John Pickering
• Founding Year: 1989

12. Worldwide Clinical Trials

Worldwide Clinical Trials conducts essential research to evaluate new medical treatments. Their work is critical for advancing healthcare. They are distinguished by their global expertise and commitment to innovation in clinical research.

About Worldwide Clinical Trials

• Founding Team: Neal Cutler
• Founding Year: 1986
• Company Size: 3,147

What To Consider When Choosing the Best Clinical Research Companies?

Choosing the right clinical research company (CRC) is crucial for the success of any clinical trial. Here’s a detailed guide on what to consider:

Expertise and Specialization

Always ensure the CRC has expertise in your specific therapeutic area. Companies with experience in similar drug trials or medical devices can better navigate the complexities of your project.

Regulatory Compliance

The CRC must adhere to regulatory guidelines like FDA (US) , EMA (Europe), and others. Check their track record in meeting these standards to avoid compliance issues.

Reputation and Track Record

You should research the company’s history. Look for testimonials, case studies, and reviews from past clients. A company with a strong reputation is likely to deliver quality results.

Project Management Capabilities

Effective project management is key. Assess their ability to manage timelines, budgets, and communication. A CRC that provides transparent, regular updates is preferable.

Patient Recruitment Strategies

Patient recruitment can be challenging. Evaluate their strategies for participant recruitment and retention. Consider their demographic reach and methods for ensuring a diverse participant pool.

Data Management and Analysis

The CRC should have strong systems for data collection, management, and analysis. Ask about their use of Electronic Data Capture (EDC) systems and how they handle data security and confidentiality.

Cost and Financial Terms

Get a clear understanding of the cost structure. Consider the value for money rather than just the lowest cost. Ensure there are no hidden fees and clarify what is included in the quoted price.

How Heartbeat AI Can Help You Get the Best List of Clinical Research Organizations?

Heartbeat AI, with its advanced features, can significantly assist in identifying the best list of clinical research organizations (CROs). Here’s how its various features contribute to this process:

Data Analysis and Processing

Heartbeat AI excels in analyzing vast amounts of data. When it comes to selecting CROs, it can process and analyze information from numerous sources, including past performance records, clinical trial reports, and regulatory compliance data. This thorough analysis helps in identifying CROs with a proven track record of success and reliability.

Machine Learning Algorithms

These algorithms enable Heartbeat AI to learn from historical data and improve its recommendations over time. By understanding trends and patterns in the successful execution of clinical trials, it can better predict which CROs are likely to meet your specific needs.

Predictive Analytics

Heartbeat AI uses predictive models to forecast future trends and outcomes based on historical data. This can be invaluable in predicting the success rate of CROs in upcoming projects, thus aiding in making more informed choices.

Customization and Personalization

The AI can be customized to your specific requirements. If you’re focusing on a specific therapeutic area or clinical trial phase, Heartbeat AI can prioritize specialized CROs in these fields.

Real-time Data Updates

The healthcare and pharmaceutical landscapes are constantly changing. Heartbeat AI’s ability to integrate and analyze real-time data ensures that the recommendations are based on the most current information available.

Integration with External Databases

Heartbeat AI can integrate with various external databases and platforms. This enables it to pull in comprehensive information about CROs from diverse sources, enhancing the accuracy of its recommendations.

Claim $500 of Free Data  

Summing up, we’ve explored the best clinical research companies, diving into their features, strengths, weaknesses, and more. Clinical research is vital in healthcare; it’s key for advancing medical knowledge and developing new treatments. 

With this guide, you’re equipped to find the right clinical research company that meets your specific needs. Whether it’s for innovative therapies, drug development, or medical advancements, choosing the right partner is crucial. This guide serves as a valuable resource to help you make an informed decision in the complex world of clinical research.

Frequently Asked Question

What services do companies of clinical research offer.

Clinical research organizations offer a wide range of services, including protocol development, patient recruitment, data collection and analysis, regulatory compliance, and more.

What is the role of a clinical research coordinator?

A clinical research coordinator is responsible for managing various aspects of a clinical trial, including patient recruitment, data collection, and ensuring compliance with protocols.

What is informed consent in clinical research?

Informed consent is the process by which participants in a clinical trial are fully informed about the study’s purpose, risks, and benefits. They voluntarily agree to participate based on this information.

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The Top Players in Clinical Research: A Review of the Leading Companies

Top 10 leading clinical research companies in the usa.

The landscape of drug discovery and development is intricate, demanding significant resources at each stage of the process. As pharmaceutical companies strive to bring groundbreaking therapies to market, they increasingly rely on the expertise of Contract Research Organizations (CROs). These organizations play a vital role in supporting drug manufacturers throughout the entire drug development journey, from initial discovery to final approval. These CROs offer a comprehensive range of services, including clinical trial management, data research, and project management. Their critical role has become even more evident during the pandemic-induced challenges, where the need for rapid vaccine and drug development resulted in a surge of clinical trials.

The Impact of Covid-19 on Clinical Trials

At the outset of the pandemic, the clinical research landscape faced initial setbacks. However, the urgency to combat Covid-19 created an unprecedented rise in the number of clinical trials. The pressing demand for effective vaccines and treatments drove pharmaceutical companies and CROs to collaborate more than ever before. Looking ahead, the future of CROs appears promising, fueled by the rise of technologies that enable decentralized clinical trials. These modern approaches leverage digital tools and remote patient monitoring, reducing the need for physical site visits and expanding the reach of clinical research.

The Growth of the Global CRO Services Market

The significance of CROs is evident as the global CRO services market continues to expand exponentially. Projections indicate that this market, which was valued at US$76.6 billion , is expected to reach an impressive US$127.8 billion by 2028. This growth reflects the pivotal role CROs play in revolutionizing drug development and medical research.

Source: Markets&Markets

Unveiling the Best 10 Clinical Research Organizations in the Field

Join us as we embark on this insightful journey, where we shine a spotlight on the ten biggest CROs shaping the pharmaceutical landscape. –

Source: Lablcorp

Labcorp, a leading provider of comprehensive drug development solutions for various industries, achieved a significant milestone in 2015 with its acquisition of Covance for an impressive $6 billion. This strategic union brought together Covance's expertise in drug development and Labcorp's unparalleled medical testing capabilities, propelling the company to become the world's foremost healthcare diagnostics company.

Over the past decade, Labcorp has continued to expand its influence through a series of strategic acquisitions. Notable additions to their portfolio include LipoScience, Inc., Bode Technology Group, Sequenom, MNG Laboratories, and Personal Genome Diagnostics (PGDx). These acquisitions have further strengthened Labcorp's position in the market, broadening its scope and enhancing its ability to provide cutting-edge solutions.

Looking forward to 2023, Labcorp unveiled its plans to spin off its Contract Research Organization (CRO) segment, creating a separate, independent publicly traded entity known as Fortrea.

Source: IQVIA

In 2016, two industry giants, Quintiles and IMS Health, joined forces and rebranded as IQVIA, establishing the largest Contract Research Organization (CRO) globally. With a presence in over 100 countries, IQVIA brings together cutting-edge advancements in data science, technology, and human science expertise, offering clients a comprehensive end-to-end clinical and commercial service. Through a series of strategic acquisitions of smaller specialist companies, IQVIA has strengthened its position and continues to lead the way in the world of CROs.

In the year 2022, IQVIA demonstrated remarkable growth and success, generating revenues of $14.494b . This impressive growth, amounting to 3.29% on a reported basis and 7.8% at constant currency , highlighted the company's continued upward trajectory. Despite uncertain market conditions, IQVIA achieved record bookings and surpassed the goals set in their Vision 22 plan, underscoring their commitment to excellence and innovation.

Source: Parexel

Parexel continues to hold its position as one of the largest CROs globally. Specializing in Phase I to IV clinical development services, Parexel plays a vital role in expediting and ensuring the smooth progress of the drug approval process. With a comprehensive array of service offerings, the company caters to nearly every aspect of clinical trial management, supporting sponsors in conducting successful clinical studies.

In a significant development in November 2021, Parexel was acquired by EQT Private Equity and Goldman Sachs for a remarkable $8.5 billion . Despite this transition, the commitment to putting patients first remains unwavering, ensuring that Parexel maintains its patient-centric trajectory. The newly constituted board of directors brings together a wealth of experience in the life sciences industry, further strengthening Parexel's position as a leader in the field.

4. Pharmaceutical Product Development (PPD)

Source: PPD

Pharmaceutical Product Development (PPD) stands as a leading global Contract Research Organization (CRO) with an extensive workforce of over 30,000 professionals worldwide.

The acquisition of Evidera in 2016 marked a significant milestone for PPD, solidifying their position as a leader in real-world research. Leveraging Evidera's expertise in real-world evidence, PPD has enhanced its capabilities in providing life science companies with a crucial element of the clinical development process, maintaining a competitive edge in the industry. Subsequent strategic acquisitions of Synexus (now Accelerated Enrollment Solutions) and Bioclinica, both patient recruitment and clinical research site businesses, respectively, have further augmented PPD's offerings. These collective advancements have propelled PPD's core organic growth to "high teens" in the segment, as the company achieved remarkable full-year 2022 results. With over $7.00 billion in revenue and a significant contribution of over $2.00 to adjusted earnings per share, PPD remains a dominant force in the CRO landscape, upholding their mission to facilitate groundbreaking clinical research and development.

5. Syneos Health

Source: Syneos Health

Founded in 1999, Syneos Health has its headquarters in Morrisville, North Carolina. With an impressive annual revenue of $5,213 million and a workforce of 28,000 employees, Syneos Health is a leading international Contract Research Organization (CRO) that offers a wide range of services spanning all aspects of bringing new therapies and products to the market.

While Syneos Health provides clinical development services across all stages of drug development, it has particularly specialized expertise in assisting healthcare organizations during the late stages of clinical trials. Some of them include Early phase trials, Late phase trials, Decentralized clinical trial solutions, Clinical data management, Pharmaceutical trial services, Medical device diagnostics trial services, and more.

Source: ICON

Operating across 46 locations worldwide, ICON is a top-tier Contract Research Organization (CRO) that provides a comprehensive range of services, including consulting, clinical development, and commercialization services.

In a pivotal move in 2016, ICON formed strategic partnerships with Genomics England for the UK's ambitious 100,000 Genomes Project and IBM Watson for oncology research support. These collaborations expanded ICON's service offerings and strengthened their presence in the fields of genomic science and oncology research, creating new opportunities for clinical research jobs in these cutting-edge sectors.

Additionally, the year 2022 marked a significant milestone for ICON, as it achieved impressive financial results. With full-year revenues amounting to US$7.7 billion , the company witnessed substantial growth of 41.2% compared to the previous year. On a constant currency basis, the revenue surge reached an outstanding 45%, reflecting ICON's continued success in advancing clinical research and serving as a leading partner for the life sciences industry.

7. Charles River Laboratories

Source: Charles River Lab.

Since its inception in 1947, this company has grown into an exceptional industry leader, specializing in cutting-edge cell and gene therapies. Not only does it provide vital lab services to the pharmaceutical, medical device, and biotech industries, but it also stands out with its impressive global presence. With a robust network spanning over 110+ facilities scattered robust network spanning over 110+ facilities scattered across 20+ countries, the company offers unmatched accessibility and support to clients worldwide, solidifying its reputation as a trailblazer in the field.

As of the latest data available in 2023, the company boasts an impressive annual revenue of 4.092B, a 12.73% increase year-over-year , reflecting its strong position in the market and significant contributions to the life sciences industry.

Source: CTI

CTI Clinical Trial and Consulting Services has been making waves in the industry since its establishment in 1999. With a remarkable track record of driving over 150 new drug and medical device approvals, the company has firmly established itself as a leader in the field.

Boasting a vast international footprint, CTI operates offices in more than 60 locations across the globe, ensuring its presence and support in key regions such as North America, Europe, Latin America, Middle-East, Africa, and Asia-Pacific. In a strategic move in 2021, CTI further bolstered its position by announcing the acquisition of Dynakin, a European-based strategic consulting company. This acquisition aimed to fortify CTI's standing as a comprehensive and dynamic full-service clinical research organization, ready to take on the challenges of a rapidly evolving healthcare landscape.

Source: Medpace

MEDPACE is a global organization with a workforce of over 5,000 employees spread across 40 countries. In 2022, Medpace reported an impressive full-year revenue of $1.46 billion, reflecting a substantial 27.8% increase from the previous year. In an earnings call, Jesse Geiger, the President at Medpace, highlighted the company's ability to grow its workforce by 15.8% despite facing challenges in a competitive labor environment. In 2023, Medpace places significant emphasis on employee retention and ongoing recruitment as top priorities to support its future business endeavors.

10. Fisher Clinical Services

Source: Thermo Fisher

Fisher Clinical Services is a vital division of Thermo Fisher Scientific with a rich history of over two decades in supply chain management. The company's core focus centers on efficiently handling the distribution and packaging requirements for clinical trials conducted worldwide.

With an impressive annual revenue of $20 billion and a workforce of 70,000 employees, Fisher Clinical Services is dedicated to delivering high-value products that align with the rigorous standards of pharmaceutical companies, ensuring reliability, sustainability, and optimal performance. The company plays a crucial role in supporting the success of clinical trials across the globe.

In conclusion, the best Clinical Research Companies in the USA serve as indispensable partners for pharmaceutical, biotech, and medical device industries embarking on new medicine and medical device development. With the complexities of clinical trials escalating, CROs play a pivotal role in managing and leading these trials efficiently amidst rising prices, stringent regulations, and tighter deadlines.

As the pharmaceutical landscape continues to evolve, pharmaceutical companies are increasingly turning to Clinical Research Organizations for their R&D activities to maintain competitiveness, flexibility, and profitability. With their proven track record, comprehensive services, and commitment to excellence, the best Clinical Research Companies in the USA stand as crucial allies in the quest to advance medical science and improve patient outcomes. Through fruitful partnerships with CROs, the pharmaceutical, biotech, and medical device industries continue to push the boundaries of innovation and deliver life-changing products to those in need.

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The leading clinical research organizations

We've ranked the top 10 clinical research organizations.

UNBIASED RESEARCH RANKINGS

HIGHEST STANDARDS REQUIRED

PROPRIETARY CRITERIA SYSTEM

What people are saying: #Passionate #Innovative #Dedicated

Parexel is a clinical research organization that provides biopharmaceutical services and solutions. They have expertise in clinical development, translational medicine, and early phase research. Parexel has over 10,000 employees in 50 countries. Parexel has been recognized by Frost & Sullivan with the 2022 Global Customer Value Leadership Award. Parexel's services are designed to help pharmaceutical and medical device companies bring new treatments and therapies to market. Parexel's clinical development services include phase I-IV clinical trials, biostatistics, clinical data management, clinical supply chain management, decentralized clinical trials, medical monitoring and consulting, medical writing, patient sensors, pharmacovigilance, and risk-based quality management. The company's expanded access services provide access to investigational treatments for patients with serious or life-threatening conditions who are not eligible for clinical trials. Their outsourcing services include functional services provider and strategic partnerships.Parexel's team of experts has the knowledge and experience to help bring new treatments and therapies to market.

IQVIA clinical research

What people are saying: #Involved #ResearchOriented #PatientFriendly

IQVIA clinical research is a company that provides information on clinical trials and patient communities. They also have a section on their website where you can register for updates on new clinical trials and community events. The company has a strong focus on helping to expand meningitis research and they are currently recruiting participants for a new clinical study. They are also seeking volunteers to help advance respiratory syncytial virus (RSV) research. In addition, they are working on a clinical study to help find a way to speed up recovery from COVID-19 and reduce the need for hospital care. Overall, IQVIA clinical research is a company that is heavily involved in a variety of research studies in order to help improve medical treatments and find new cures for diseases.

What people are saying: #Comprehensive #Quality #Dedicated

Medpace is a full-service CRO that provides support for drug, biologic, and medical device programs. They have a global reach and offer services including clinical monitoring, biostatistics and data sciences, regulatory affairs, and more. They are dedicated to making the complex seamless and strive to provide the highest level of quality and service.

Syneos Health

What people are saying: #Quality #Experienced #Committed

Syneos Health is a biopharmaceutical company that provides solutions for clinical development, commercialization, and consulting. The company has a wide range of services and products that cater to the needs of their clients. They have a team of experienced professionals that work together to provide the best possible service. The company is committed to providing the highest quality of care to their clients and patients. They have a wide range of experience in different therapeutic areas, which allows them to provide the best possible care to their patients.

Charles River Laboratories

What people are saying: #Experienced #Dedicated #Successful

Charles River Laboratories is one of the top clinical research organizations in the United States. They offer a variety of services to help pharmaceutical and biotechnology companies develop and commercialize their products. These services include preclinical research, clinical research, and manufacturing support. Charles River Laboratories has a long history of helping companies develop new drugs and therapies. They have a team of experienced scientists and clinicians who are dedicated to helping their clients succeed. They offer a wide range of services, from preclinical research to clinical research to manufacturing support. They have a proven track record of success, and they are a trusted partner for many companies. If you're looking for a top clinical research organization to help you develop and commercialize your products, Charles River Laboratories is a great choice.

What people are saying: #Transparent #Innovative #Unique

Caidya is a leading clinical research organization that provides full-service support and vast therapeutic expertise to its clients. The company has a personalized approach to clinical research and offers a unique combination of global experience and knowledge sharing. Caidya's clinical research services are designed to connect you with unrivaled access to specialist knowledge and resources. The company's cutting-edge clinical technology integrates effortlessly to create an ecosystem that meets the specific needs of your study. Caidya's Clarity platform synthesizes data from different systems to create a near real-time view of your trial. This holistic view allows integrated teams within Caidya to transparently share information and data, generating insights to inform your decisions.

What people are saying: #Healthy #Helpful #Compensated

ICON is a clinical research company that is looking for healthy volunteers to participate in studies. The company has locations in Lenexa, KS and Salt Lake City, UT. Participation in a study includes 1 screening visit, 1 stay of 11 nights (12 days) and 1 follow-up visit. Compensation for participation is up to $6400. ICON is a great opportunity for people who want to make some extra money and help out with medical research.

What people are saying: #Trusted #Innovative #Leading

PPD is one of the top clinical research organizations in the United States. They offer a wide range of services, from drug development to clinical trials. They have a team of experienced professionals who are dedicated to helping their clients succeed.

CTI Clinical Trial and Consulting

What people are saying: #Experienced #FullService #Comprehensive

CTI Clinical Trial and Consulting is a full-service CRO that specializes in clinical research and consulting services. They offer a wide range of services including regulatory development, clinical project management, clinical monitoring, biometrics, quality assurance, and real world evidence. They also have a research center where you can participate in clinical trials. The range of services offered by CTI Clinical Trial and Consulting is excellent. They seem to be a one-stop shop for all your clinical research needs. We also like that they have a research center where you can participate in clinical trials. This is a great way to get involved in the latest medical research and to potentially help develop new treatments for various diseases.

Advanced Clinical

What people are saying: #Comprehensive #CustomerFocused #AwardWinning

Advanced Clinical is a top-tier contract research organization that has provided clinical research services to the pharmaceutical and biotech industry for many years. Their global reach and comprehensive solutions make them a perfect partner for companies launching clinical trials. Their focus on satisfaction and customer service is evident in their high employee retention rate and repeat business rate. Their award-winning culture and commitment to excellence make them a great choice for anyone looking for a clinical research partner.

Clinical Research Organizations: What should you be looking for?

The website's mission is to provide accurate, timely, and reliable rankings of clinical research organizations. We aim to provide users with a comprehensive and up-to-date list of the top clinical research organizations so they can make informed decisions about which ones to use. We also provide detailed descriptions of each organization so users can learn more about their work.

Are Clinical Research Organizations (CRO) worth it?

Yes, it is worth hiring clinical research organizations. Here are three reasons why: 1. Clinical research organizations have the experience and expertise to conduct clinical trials effectively. They know how to design trials that meet regulatory requirements, recruit patients, and collect data. 2. Clinical research organizations can help you save time and money. They can manage all aspects of the clinical trial process, so you can focus on other aspects of your business. 3. Clinical research organizations can provide valuable insights into the clinical trial process. They can help you understand the data, identify potential problems, and make decisions about the best course of action.

What to look for when hiring Clinical Research Organizations (CROs)?

Using a Clinical Research Organizations can be a great way to get the medical care that you need. However, there are a lot of questions that you may have about using one. That is why we have provided FAQs for customers interested in using a Clinical Research Organizations. We want to make sure that you have all the information that you need so that you can make the best decision for your medical care.

What are the specific research needs of your organization?

The first step in finding the right Clinical Research Organization (CRO) for your needs is to identify the specific research needs of your organization. These needs will vary depending on the type of research you are conducting, the size and scope of your project, and your budget. Once you have a clear understanding of your research needs, you can begin to research different CROs and compare their services. When considering a CRO, it is important to look at their experience in conducting the type of research you need. Make sure to ask about their success rates and customer satisfaction levels. You should also inquire about their pricing structures and what type of services are included in their fees. It is also important to consider the size of the CRO and their ability to handle your project. Make sure they have the staff and resources necessary to complete your project on time and within budget. Finally, you should also consider the location of the CRO. If your project requires frequent travel, you may want to choose a CRO that is located near your site. If you are conducting research that requires special expertise, you may want to choose a CRO that is located near a research university or hospital.

What is the size and scope of your organization?

Next, you need to understand the size and scope of your organization, and thereby understand the size and scope of the CRO you need to hire. Is the CRO a large, full-service clinical research organization that offers a wide range of services to its clients? Does the CRO have a global reach and is it able to provide its services to clients in a number of different countries? Does the CRO have a large team of experienced and qualified staff who are able to provide a high level of service to its clients? Is the CRO accredited by a number of different bodies and is it able to offer its services to a wide range of clients?

What are the your clinical research priorities?

Finally, you need to understand your organization's clinical research priorities. Are they to develop new treatments for diseases and conditions, to improve the safety and efficacy of existing treatments, or to increase our understanding of the underlying causes of disease? This will help you select a CRO that aligns with your needs.

Key Takeaways about Clinical Research Organizations

When choosing a clinical research organization, it is important to consider the size of the organization, its focus, its location, and its resources. The best clinical research organizations are those that are able to provide the most comprehensive services and the most experienced staff. They should also be able to offer the latest technology and facilities. Top Clinical Research Organizations is dedicated to providing objective rankings of clinical research organizations. We believe that our rankings will help you choose the best organization for your needs. We are committed to providing the most accurate and up-to-date information possible.

Frequently Asked Questions

What is a clinical research organization (cro).

A clinical research organization (CRO) is a company that provides services to pharmaceutical and biotechnology companies to help them outsource and conduct clinical trials. A CRO manages all aspects of a clinical trial, from start to finish, and works with a variety of stakeholders, including investigators, research sites, and patients.

CROs are an important part of the drug development process, as they provide expertise and resources that allow companies to efficiently and effectively conduct clinical trials. Without CROs, many new drugs and treatments would not be possible.

What services do CROs provide?

CROs provide a variety of services to support clinical research, including study design, data management and analysis, regulatory affairs support, and clinical trial management. CROs also provide a variety of other services, such as market research, project management, and training.

What are the benefits of working with a CRO?

There are many benefits of working with a clinical research organization (CRO). CROs can provide expertise and resources that Sponsors may not have internally, and can therefore help to increase the efficiency and quality of clinical trials. In addition, working with a CRO can help to reduce costs associated with clinical trials. CROs also have experience working with a variety of different Sponsors, and can therefore provide valuable insights and perspectives.

What are the risks of working with a CRO?

The risks of working with a CRO include the potential for conflicts of interest, the potential for data manipulation, and the potential for data fraud.

How do CROs ensure the safety of trial participants?

There are a number of ways that clinical research organizations (CROs) ensure the safety of trial participants.

First, CROs typically have staff members who are responsible for monitoring the safety of participants throughout the course of a study. These staff members may be nurses, doctors, or other health care professionals. They typically have experience in managing clinical trials and are familiar with the potential risks and side effects of the drugs or treatments being studied.

Second, CROs typically have established procedures for reporting and managing adverse events. These procedures ensure that any potential safety concerns are promptly identified and addressed.

Third, CROs typically work closely with the sponsor of a clinical trial (usually a pharmaceutical company) to ensure that the sponsor is aware of any safety concerns that arise during the course of the trial. The sponsor is ultimately responsible for the safety of the participants, and the CRO ensures that the sponsor is kept informed of any safety issues that arise.

Fourth, CROs typically conduct regular audits of their clinical trials to ensure that they are being conducted in accordance with good clinical practices and that the rights and safety of participants are being protected.

Finally, CROs typically have insurance policies in place that protect participants in case of any unforeseen events that may occur during the course of a trial.

Overall, the procedures and policies that CROs have in place help to ensure the safety of participants in clinical trials.

How do CROs ensure the quality of data collected during a clinical trial?

CROs ensure the quality of data collected during a clinical trial by following Good Clinical Practices (GCPs).

GCPs are a set of international standards that ensure the quality, safety, and integrity of data collected during a clinical trial. All CROs must adhere to these standards in order to conduct clinical trials.

What happens if a CRO is unable to meet its contractual obligations?

If a CRO is unable to meet its contractual obligations, it may be required to pay damages to the sponsor. The sponsor may also be able to terminate the contract and seek a new CRO.

What is the role of the sponsor in a clinical trial?

What are the responsibilities of the principal investigator in a clinical trial.

The principal investigator (PI) is responsible for the overall conduct of the clinical trial. This includes ensuring that the trial is conducted in accordance with the protocol, applicable regulations, and standard operating procedures. The PI is also responsible for the safety of the trial participants and for ensuring that the data collected are of high quality.

The PI works with the sponsor, other investigators, and the research team to ensure that the clinical trial is carried out correctly and that the data collected are of high quality. The PI is also responsible for the safety of the trial participants.

How are clinical trial sites selected?

When selecting a clinical trial site, sponsors and contract research organizations (CROs) consider a number of factors.

The most important factor is usually the site’s experience and success in conducting similar trials.

Other important factors can include the site’s patient population, geographic location, and facilities.

How are clinical trial subjects recruited?

There are a number of ways that clinical trial subjects can be recruited. One common method is through advertisements in newspapers or other media outlets. Another common method is through word-of-mouth, where people who know about the clinical trial spread the word to others who might be interested. Additionally, clinical trial subjects can be recruited through doctors or other medical professionals, as well as through patient advocacy groups.

How is informed consent obtained from clinical trial subjects?

Informed consent is obtained from clinical trial subjects by providing them with information about the trial in a way that is easy for them to understand. This includes information about the purpose of the trial, the procedures that will be used, the risks and benefits of participating, and their right to withdraw from the trial at any time. Informed consent is not simply a form that subjects must sign; it is a process of communication between the researcher and the subject that should ensure that the subject understands the trial and is willing to participate.

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The Top 10 Clinical Research Companies in the USA

• Dec 02, 2022
• Posted By: admin

To bring effective medicines and Innovations in healthcare industry , a Clinical Research Organization or Contract Research Organization (CRO) are a must for the Biotech, Medtech, and pharma industries. A CRO offers comprehensive support to their efforts to test, examine, refine and market the latest medicines and devices that help in improving Healthcare Industry.

In 2022, the global clinical research market stands at $63.6 billion , and by 2027, it is expected to reach around an exciting amount of 115.1 billion with a CAGR of 11.0% from 2022 to 2027.

This growth is powered by an increase in R&D activities and expenditures and a significant rise in clinical trials owing to the need for innovations in healthcare. For that reason, it is also essential to be aware of the most prominent global research organizations that offer vital support with their specialized clinical trial solutions. This post will walk you through the ten big Clinical Research Companies In USA . So, let’s begin:

• Founded: 1982
• Headquarters: Durham, North Carolina
• Annual Revenue : $13.87B
• Employee Size: 88,000

IQVIA is one of the largest Clinical Research companies in the world that works profusely to enhance healthcare by integrating the study of human science with discoveries in technology and data science to improve understanding of human health and provide better and quicker care.

It helps pharma companies, along with other medical organizations, to innovate and maximize positive outcomes. In addition to clinical research and development, IQVIA has also developed analytics and technology solutions to aid the medical sector in commercializing products and enhancing customer engagement.

Some clinical trial solutions given by IQVIA are as follows:

• Site identification & Selection
• Help with protocol design
• Design of clinical trial phase -1
• Investigation and improvements of the clinical trial in phases 2 and 3
• Accessibility to global laboratories

2. Pharmaceutical Product Development (PPD)

• Founded: 1985
• Headquarters: Wilmington, North Carolina
• Annual Revenue: $65.0M
• Employee Size: 24,000

PPD, also known as Pharmaceutical Product Development, is an extensive research organization headquartered in the United States but has a widespread global presence.

The company directs its attention to three prime areas: pharma development, lifecycle management services, and laboratory. Besides, it has clients and partners covering various sectors, including pharmaceutical companies, biotech firms, medical device manufacturers, and government or academic organizations. 

Some clinical trials offered by PPD include:

• Early Development
• Consulting and Product Development
• PPD Biotech
• The site and patient-centered Solutions
• Clinical Development

• Headquarters: Waltham, Massachusetts
• Annual Revenue: $3B
• Employee Size: 18,000

Parexel is another important name in the list of Clinical Research Companies In USA that specializes on behalf of its pharmaceutical partners in carrying out clinical studies to boost and make certain that the medicine approval process takes place smoothly. It has a wide range of offerings that spreads across every type of clinical trial service to help sponsors work on creating successful trials.

Some of the clinical trial solutions which Paraxel offers:

• Management of clinical data
• Medical writing
• Regulatory affairs consulting
• Design and development of clinical trials at all phases
• Clinical supply chain management

With pride, the company operates in over 50 countries and owns over 95% of the top 200 selling biopharmaceuticals in today’s market.

4. PRA Health Services

• Founded: 1976
• Headquarters: Raleigh, North Carolina
• Annual Revenue: $64.3M
• Employee Size: 16,400

PRA Health Sciences is a contract research organization that provides coverage in more than 90 countries worldwide. It principally centers on contributing therapeutic and operational expertise through integrated applications and supplying local expertise in particular areas. Besides, it works in the early and end stages of clinical trial procedures and the domains of strategy, consultancy, technology, and bio-analytics.

Moreover, it works hard to speed up medicine development operations to introduce better and more effective medicine sooner in the market.

Let’s take a peek at the PRA Health Sciences clinical trial solutions:

• Onsite support services
• Personalized solutions for Biotech
• Clinical Diagnostics
• Site Commercial Solutions
• Protocol Consultation and Study Design
• PRA’s Laboratories for Medicine Development

5. Syneos Heath

• Founded: 1999
• Headquarters: Morrisville, North Carolina
• Annual Revenue: $5,213M
• Employee Size: 28,000

With the merger of inVentiv Health and INC Research, Syneos Health was created that combines every discipline involved in bringing new therapies or products to market, from clinical research to consulting and commercialization.

Though it provides clinical development services spanning all stages, it primarily owns a specialization in helping healthcare organizations with the late stages of clinical trials. Moreover, its commercial solutions cover communication, consulting, and medication adherence.

The clinical trial solutions it offers include:

• Early phase
• Decentralized clinical trial solutions
• Clinical data management
• Pharmaceutical
• Medical Device Diagnostics

• Founded: 1978
• Headquarters: Burlington, North Carolina
• Annual Revenue: $16.1B
• Employee Size: 70,000

Laboratory Corporation of America, or LabCorp, focuses on offering extensive clinical laboratory solutions and end-to-end medication and diagnostic development and commercialization.

The company develops special testing operations such as HIV genotyping, oncology testing, phenotyping, clinical trials, and diagnostic genetics. Moreover, its services are spread through care organizations, hospitals, government agencies, pharmaceutical companies, and physicians.

Some clinical trial solutions provided by LabCorp are:

• Preclinical Services
• Post-Marketing Solutions
• Medical Devices
• Clinical Trial Laboratory Services
• Clinical Trials
• Data & Technology

7. Charles River Lab

• Founded: 1947
• Headquarters: Wilmington, Massachusetts
• Annual Revenue: $690.4M
• Employee Size: 20,000

Charles River laboratories proudly span its capabilities throughout the medical R&D process from basic research to pre-clinical stage testing, manufacturing and commercialization within two significant services: Good Laboratory Practice (GLP) and non-GLP. It offers precise support to help its partners advance their research and efforts to introduce effective medicines in the market.

The company further serves biotechnology and pharmaceutical companies, hospitals, government agencies, and academic institutions.

Some of the clinical development solutions it offers include:

• Bioanalysis
• Clinical Kitting services
• Data management
• Quality control
• Stability testing

8. Fisher Clinical Services

• Founded: 1989
• Headquarters: Center Valley, Philadelphia
• Annual Revenue: $17B
• Employee Size: 50,000

Fisher Clinical Services is a part of Thermo Fisher Scientific that has been for over 20 years in the business of supply chain management. It focuses exclusively on working with distribution and packaging requirements of clinical trials happening around the globe.

The company is committed to providing high-value products which adhere to the standard of pharmaceutical companies and is reliable, sustainable and perform well.

Some of the clinical trial solutions offered by Fisher Clinical Services are:

• Cell & Gene Therapy
• Clinical Label Services
• Clinical Supply Optimization services
• Direct to patient
• Biologistics management

9. Medpace Holdings

• Founded: 1992
• Headquarters: Cincinnati, Ohio
• Revenue: $1B
• Employee Size: 1,001-5,000

Medpace offers support services for phases one to five of clinical trials for biotechnology, pharmaceutical companies, and medical device industries. It is a scientifically-driven organization that offers full service and helps industries make key differences with their contributions to the healthcare sector.

Some of the clinical research solutions that you receive from Medpace are:

• Medical Writing
• Quality Assurance
• Clinical Monitoring
• Clinical Trial Management
• Risk-based Monitoring
• Regulatory Affairs
• Biostatistics and Data sciences

10. Advanced Clinical

• Founded: 1994
• Headquartered: Deerfield, Illinois
• Annual Revenue: $106M
• Employee Size: 501-1,000

A mid-size and full-service Clinical Research organization that helps sponsors run clinical trials and offers various solutions across therapeutic fields. It allows clients to secure better outcomes through candid discussions, conversations, foresight, and innovative solutions.

The company works hard to improve every life touched by clinical research. As such, some clinical solutions provided by Advanced Clinical are:

• Project management
• Clinical monitoring
• eTMF and document management
• Quality & Validation

The Bottom Line

There you have it – the best Clinical Research Companies In USA to get support from while working on new medicine or medical devices.

CROs play a critical role in the pharmaceutical, biotech, and medical device industries to manage and lead their clinical trials now more than ever due to rapidly rising prices, regulations, and tighter deadlines. Also pharmaceutical companies approaching Clinical Research Organizations for their R&D activities to stay competitive, flexible, and profitable against all odds.

Top 12 Clinical Research Organisations (CROs) in 2023

• Author Company: PharmiWeb.Jobs
• Author Name: Lucy Walters
• Author Email: [email protected]
• Author Website: https://www.pharmiweb.jobs/

The global clinical trials market was estimated to be worth $38.7 billion in 2021 and is expected to reach £52 billion by 2026. In this article, we look at the top 12 CROs in the world , highlighting the companies driving this considerable growth and accelerating research and development across the globe.

Recognised as the world’s largest and most comprehensive CRO powered by Healthcare Intelligence, ICON provides outsourced development and commercialisation services to pharmaceutical, biotechnology, medical device and government and public health organisations. ICON has a global network of offices in 46 countries, working on specialities including Medical Devices, Therapeutics, Government and Public Health Solutions, Clinical Research Services, Commercialisation and Outcomes, and more.

With approximately 70,000 employees, IQVIA is a leading provider of advanced analytics, technology solutions and clinical research services to the life sciences industry. Operating in more than 100 countries, IQVIA’s Clinical Research solutions include Protocol Design, Phase I Trials, Phase IIb / III Trials, Site Identification, Patient Recruitment and Global Laboratories.

With more than 20,000 employees globally, Parexel is one of the world’s largest CROs and provides contract research, consulting, and medical communications services to the worldwide pharmaceutical, biotechnology, and medical device industries. Parexel provides the full range of Phase I to IV clinical development services, with global study locations in Baltimore, US, London, UK, Los Angeles, US, and Berlin, Germany.

Syneos Health

Syneos Health is the only fully integrated biopharmaceutical solutions organisation built to accelerate customer success, with 29,000+ employees working across more than 110 countries. The company’s Clinical Development services include Decentralized Solutions, Bioanalytical Solutions, Early Phase, Phase II–III, Phase IIIb – IV, Real World and Late Phase, and Medical Device and Diagnostics. In 2022, Syneos Health was the winner of the Life Sciences Award for Most Innovative CRO.

Labcorp Drug Development

With more than 70,000 employees, Labcorp is a leading global life sciences company with unparalleled diagnostics and drug development capabilities. The company is driven to help medical, biotech, and pharmaceutical companies transform ideas into innovations, and supports clinical trial activities in approximately 100 countries. Labcorp plans to spin-off its clinical development business, to be named Fortrea, in mid-2023.

Part of Thermo Fisher Scientific, PPD is a leading global CRO with 130,000+ employees, working to make the world healthier, cleaner, and safer. The company offers a broad range of clinical development and analytical services, helping to accelerate medicines from early development through regulatory approval and market access. PPD works with a broad range of therapeutic areas, including Biosimilar Development, Cell & Gene Therapy, Immunology and Rheumatology, Infectious Diseases, Women’s Health, and more.

In 2022, Medpace celebrated 30 years of accelerating the development of medical therapeutics, with approximately 5,000 employees working across 41 countries. The company provides medical and regulatory leadership and guidance throughout the clinical development life cycle, along with efficient execution of studies around the world, from Early Phase to Late Phase. Medpace also earned the 2022 CRO Leadership Awards for Capability, Compatibility, Expertise, Quality, and Reliability.

Charles River Laboratories

With 20,000+ employees worldwide, Charles River Laboratories provides essential products and services that help pharmaceutical and biotechnology companies, government agencies and leading academic institutions across the globe to accelerate their research and drug development efforts. The company currently operates more than 110 facilities across 20+ countries, working on therapeutic areas including COVID-19, Cardiovascular Disease, Immunology, Infectious Diseases, and Rare Diseases.

WuXi AppTec

WuXi AppTec is a global company providing a broad portfolio of R&D and manufacturing services to help pharmaceutical and healthcare companies across the globe advance discoveries and deliver ground-breaking treatments. The company currently has more than 45,000 employees globally, including 42,000 scientists. WuXi Clinical, a wholly owned subsidiary of WuXi AppTec, is a global CRO providing a comprehensive range of clinical development services for the development of pharmaceuticals, biologics, and medical devices.

CTI is one of the 20 largest CROs in the world, with associates in 60+ countries across six continents, including 12 locations in Europe. The company is the highest-ranked CRO in the world after being named a winner in all 5 core categories of the 2022 CRO Leadership Award. CTI provides its partners with a full range of clinical services, across therapeutic areas including Rare / Orphan Diseases, Regenerative Medicine / Gene Therapy, Immunology, Transplantation, and Hematology / Oncology.

Worldwide Clinical Trials

With approximately 3,000 employees and operating in more than 60 countries, Worldwide Clinical Trials is a global, midsize CRO providing top-performing bioanalytical and Phase I-IV clinical development services to biotechnology and pharmaceutical companies. The company’s major therapeutic focus areas include Cardiovascular, Metabolic, Neuroscience, Oncology, and Rare Diseases. In 2022, they were recognised for excellence and honoured in 5 categories in the CRO Leadership Awards.

PSI CRO is a privately-owned, full-service CRO operating globally, with 27,000+ employees in more than 60 countries. Committed to being the best CRO in the world, the company specialises in the planning and execution of global pivotal registration clinical trials, supporting trials across multiple countries and continents. PSI was named a 2022 CRO Leadership Award Champion in the categories of Compatibility, Quality, and Reliability.

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Explore end-to-end solutions throughout development — from portfolio optimization and regulatory strategy, to Phase I-IV clinical trials, market access planning, and more.

• Portfolio management and asset valuation
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HOW WE DO IT

• Delivery models
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• Leveraging AI and digital in clinical development

Parexel Biotech provides the end-to-end capabilities you’ll need to succeed. We're fast, flexible, and dedicated to impacting patient lives.

Utilize our expertise across therapeutic areas, combining innovative trial designs, leading clinical and regulatory expertise, global reach, and a passion for changing patient lives.

• Neuroscience
• General medicine
• Infectious disease & vaccines
• Inflammation & immunology

Cross-Therapeutic Expertise

• Cell & gene therapies
• Rare diseases

Our experts help you stay at the forefront of the industry - and ahead of change.

New Medicines, Novel Insights

• Advancing precision oncology
• Advancing rare disease drug development
• Accelerating development of cell and gene therapies
• Achieving patient-guided drug development

Discussions on Diversity

• Chapter 1 Bridging the Gap
• Chapter 2 Beyond the Binary

The Regulatory Navigator

• BIOSECURE Act: Implications for US-based drug developers
• EU-CTR transitions: To meet the deadline, act now
• Potency assurance for CGT products: FDA's new draft guidance

Latest Report

New Medicines, Novel Insights: Advancing precision oncology

Thinking about joining a clinical trial? Learn the drug development process, what it’s like to participate, how to find a trial, and answers to frequently asked questions.

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Want to collaborate with us to offer clinical trials at your site? We would welcome the opportunity to discuss.

We are one of the largest CROs in the world, speeding life-changing medicine to market by engaging patients With Heart ™. Learn about who we are, what we do, and what we believe.

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What can we help you find today?

At Parexel, we speed your life-changing medicines to patients 

Parexel is among the world’s largest clinical research organizations (CROs), providing the full range of Phase I to IV clinical development services to help lifesaving treatments reach patients faster. Leveraging the breadth of our clinical, regulatory, and therapeutic expertise, our team of more than 21,000 global professionals works in partnership with biopharmaceutical leaders, emerging innovators, and sites to design and deliver clinical trials with patients in mind, increasing access and participation to make clinical research a care option for anyone, anywhere.

Our depth of industry knowledge and strong track record gained over the past 40 years is moving the industry forward and advancing clinical research in healthcare’s most complex areas, while our innovation ecosystem offers quality solutions to make every phase of the clinical trial process more efficient. Our top-notch people, insight, and focus on operational excellence allow us to work every day to treat patients with dignity and continuously learn from their experiences, so every trial makes a difference. 

This approach continues to earn us recognition industrywide, with Parexel being named “Best Contract Research Organization” in November 2023 by an independent panel for Citeline, “Top CRO to Work With” by investigative sites worldwide in the 2023 WCG CenterWatch Global Site Relationship Benchmark Survey and recipient of the 2023 Society for Clinical Research Sites (SCRS) Eagle Award for advancing the clinical research profession through strong site partnerships.

Read the transcript

It starts with people. They may come from anywhere. But they’re driven by a common goal: Their search for a brighter future.

They inspire us to learn from their lives across language and race, ability, ethnicity, and community.

So we design clinical trials that give them a voice, honor their sacrifice, and treat them as equals.

We are more than 21,000 professionals working with passion and perseverance to open doors. To lead change. And find new ways to work together.

We make participation easier and partnerships more productive to get to results faster and treatments sooner.

So every patient’s step forward brings them one step closer to a cure, to care, to hope.

Delivered with heart.

Leading the industry in trial inclusivity and accessibility

Within clinical research, patient diversity is critical. Inclusive studies move us closer to healthcare equity and more accurately reflect real-world populations — resulting in a far greater understanding of how the treatment will affect the people who need it. Our approach to designing more diverse, accessible trials is leading the industry forward.

Our family of brands

Parexel Academy

Your trusted partner in learning. Parexel Academy is committed to building and enhancing capabilities within the clinical research workforce so that, together, we make a positive impact on the lives of patients around the world.

Health Advances

As a trusted strategic advisor to healthcare and life science executives, Health Advances catalyzes your success with insight, innovation, and integrity.

The Medical Affairs Company

The industry’s leading provider of comprehensive outsourced medical affairs solutions.

Patients First

Empowerment and accountability.

Each of us, no matter what we do at Parexel, contributes to the development of a therapy that ultimately will benefit a patient. We take our work personally, we do it with empathy, and we're committed to making a difference.

From the smallest detail to the largest, we take quality seriously. We focus on the details while never losing sight of the big picture to drive the best possible outcome.

In our quest for innovation, we recognize and uphold the importance of all people, from our employees to our clients and the patients we all serve.

We follow our hearts, we do the right thing, and we have the courage to own the outcome.

Awards & Recognition

2024 ViE Best Contract Research Organization

Parexel was selected by a distinguished industry advisory board for its range of services in niche and core therapeutic areas, methods of performance improvement, attention to and quality of relationships with clients, reaching milestones and final outcomes, and building and maintaining existing and long-term partnerships. The annual ViE Awards, organized by Terrapin, celebrate the industry’s most outstanding achievements and showcase excellence in the global vaccine industry.

2023 Scrip Award

Parexel was named “Best Contract Research Organization” in the Full-Service Provider category at the 19th Annual Scrip Awards. The annual Scrip Awards, organized by Citeline, are designed to celebrate and recognize the very best innovations and achievements in global biopharma.

2023 HBA ACE Award

Parexel was recognized with the 2023 Healthcare Businesswomen’s Association’s (HBA) “Advancement. Commitment. Engagement (ACE) Award,” which recognizes companies for their creation and implementation of initiatives that deliver impactful outcomes designed to close the gender gap in the healthcare ecosystem. Parexel was one of two companies chosen as a result of the strong outcomes from its business initiative “Priority: Advancing Women in Leadership.”

2023 Eagle Award by Society of Clinical Research Sites

The SCRS Eagle Award recognizes the sponsor and CRO committed to outstanding leadership, professionalism, integrity, passion and dedication to advancing the clinical research profession through strong site partnerships. Recipients of the Eagle Award are selected based on votes cast from the global site community.

Ecovadis 2023

For the second year in a row, Parexel has received a “silver” rating in the 2023 EcoVadis Sustainability Rating Program. Ecovadis is the world’s largest and most trusted provider of business sustainability ratings. A silver rating is awarded to organizations with a structured and proactive sustainability approach with strong reporting on KPIs and actions.

2023 CRO Leadership Awards

Parexel has been recognized with CRO Leadership Awards for the 12 th consecutive year across all five categories – Capabilities, Compatibility, Expertise, Quality, and Reliability – for exceeding customer expectations in different customer segments. Winning CROs are chosen based on feedback from sponsor companies that they have worked on an outsourced project within the previous 18 months.

2023 WCG CenterWatch Global Site Relationship Benchmark Survey

Parexel was ranked as the “Top CRO to Work With” by investigative sites worldwide in the 2023 WCG CenterWatch Global Site Relationship Benchmark Survey for the second straight time. Among 34 CROs, Parexel received the highest average rating across all 26 performance attributes evaluated in the survey. In addition to receiving the highest average rating across all attributes, Parexel ranked highest on four out of the five attributes considered the most important to investigative sites and was selected as the CRO that investigative sites were most willing to recommend to a colleague.

2022 Catalyst Awards

Parexel was named a 2022 Catalyst Award winner by the global nonprofit organization Catalyst. Parexel was recognized for its Leveraging Gender Partnership to Advance Women in Leadership initiative that has evolved the company culture to one where women have the right resources and training to succeed.

FlexJobs’ Top 100 Companies to Watch for Remote Jobs in 2022

Parexel was recognized as a company to watch on FlexJobs' 10th annual list of the Top 100 Companies to Watch for Remote Jobs in 2023. Parexel is one of only five companies to have made the FlexJobs' list each year since its inception in 2014.

Human Rights Campaign Corporate Equality Index 2022

Parexel is proud to be featured on the Human Rights Campaign’s 2022 Corporate Equality Index, the premier survey benchmarking tool on how corporations across the US and beyond are adopting equitable workplace policies, practices and benefits for LGBTQ+ employees

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Explore our environmental, social, and governance (ESG) report

10 Best Clinical Research Organizations In The USA

With the growing population, diseases affecting mankind are also increasing. The old medications are being obsolete for certain diseases like bacterial infections, and new effective medicines are urgently needed. The clinical research institutions facilitate drug manufacture by running preclinical and clinical tests on the drugs. In addition, they also study safety, efficacy, and effectiveness of medical devices, diagnostic products, and treatment regimens intended for human health. The healthcare industry is booming with a lot of clinical research institutions in the US and all around the world.

Table of Contents

Top 10 American CROs

The United States of America has some of the top clinical research organizations in the world. Amongst them, here is the list of the 10 Best Clinical Research Organizations In The USA.

Annual Revenue: $9.6B Headquarters: Princeton, New Jersey Number of Employees: 50,000+ Total Funding: $0 Status: Public, Subsidiary of LabCorp Founded: 1996

In 2014, LabCorp acquired Covance for $6.1B. Covance, a global contract research organization under LabCorp, is the world’s leading healthcare diagnostics company, providing comprehensive clinical laboratory services and end-to-end solutions for drug and diagnostics development and commercialization. With its mission to bring new and innovative medicines to patients sooner, it has worked on more than 50 drugs available in the market today. It provides drug development services across all phases of development and multiple therapeutic areas.

Annual Revenue: $9.74B Headquarters: Durham, North Carolina Number of Employees: 55,000 Operating Income: $1.33B Status: Public, Independent Company Founded: 1982

Working to enhance healthcare by integrating health information technologies and clinical research, IQVIA explores a new path to better health outcomes via Human Data Science. It integrates the study of human science with breakthroughs in data science and technology to advance our understanding of human health, and help everyone make better, more insightful decisions.

3. Syneos Health

Annual Revenue: $1.9B Headquarters: Morrisville, North Carolina Number of Employees: 21,000 Total Funding: $0 Status: Public, Independent Company Founded: 1999

Syneos Health integrates all the disciplines involved in bringing new therapies to market, from clinical to commercial, for biopharmaceutical solutions. In January 2018, INC Research merged with inVentiv Health, the parent company of a subsidiary called Syneos, and the resulting company was named Syneos Health.

4. Parexel International

Annual Revenue: $2.4B Headquarters: Waltham, Massachusetts Number of Employees: 18,660 Total Funding: $0 Status: Public, Subsidiary of Pamplona Capital Management LLP Founded: 1982

Parexel International is involved in advancing the success of biopharmaceutical and medical device industries for the development and commercialization of new medical therapies worldwide. It is the second-largest clinical research organization in the world and has helped develop approximately 95% of the 200 top-selling biopharmaceuticals on the market today.

5. PRA Health Sciences

Annual Revenue: $2.7B Headquarters: Raleigh, North Carolina Number of Employees: 16,400 Total Funding: $305.6M Status: Public, Subsidiary of Kohlberg Kravis Roberts & Co. L. P Founded: 1976

PRA participated in the pivotal or supportive trials and/or key NDA support services that led to the approval of 85 important products currently on the market. Its aim is to improve the drug development process for getting better medicines to market sooner.

6. Pharmaceutical Product Development

Annual Revenue: $1.9B Headquarters: Wilmington, North Carolina Number of Employees: 18,583 Total Funding: $0 Status: Private, Independent Company Founded: 1985

PPD applies innovative technologies, therapeutic expertise, and a firm commitment to provide comprehensive, integrated drug development, laboratory, and lifecycle management services. Its clients and partners include pharmaceutical, biotechnology, medical device, academic, and government organizations. It helps to bend the cost and time curve of drug development and optimize value in delivering life-changing therapies to improve health.

7. Charles River   Laboratories

Annual Revenue: $2.27B Headquarters: Wilmington, Massachusetts Number of Employees: 14,700 Total Funding: $224M Status: Public, Independent Company Founded: 1947

Having worked on about 85% of the drugs approved by the FDA in 2018, Charles River  Laboratories operates 80+ facilities in 20 countries worldwide. It offers a wide range of products and services that span the entire drug discovery and development continuum and can be tailored to specific research conditions.

Annual Revenue: $2.2B Headquarters: Leopardstown, County Dublin Number of Employees: 13,250 Total Funding: $0 Status: Public, Independent Company Founded: 1990

Icon helps its clients to accelerate the development of drugs and devices that save lives and improve quality of life. It offers a full range of consulting, development, and commercialization services from a global network of offices in 37 countries.

9. WuXi AppTec

Annual Revenue: $674.3M Headquarters: Shanghai, Shanghai Municipality Number of Employees: 3,800 Total Funding: $2.6B Status: Public, Subsidiary of WuXi PharmaTech, Inc, Shanghai Stock Exchange Founded: 2000

WuXi AppTec Group, with 18 facilities in the USA and China combined, is a global pharmaceutical, biopharmaceutical, and medical device company. It covers the development cycle through five core operations, including small molecule R&D and manufacturing, biologics R&D and manufacturing, cell therapy and gene therapy R&D and manufacturing, medical device testing, and molecular testing and genomics.

10. Medpace Holdings

Annual Revenue: $704.6M Headquarters: Cincinnati, Ohio Number of Employees: 2,900 Total Funding: $161M Status: Public, Subsidiary of Cinven Limited Founded: 1992

Medpace provides services for Phase I-IV of drug and medical device development services, including regulatory services and central laboratory services. It combines scientific guidance, efficient clinical trial management, global regulatory leadership, and innovative technologies to deliver high-quality results.

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Top 10 Clinical Research Organizations in the Pharma and Biotech Industry

Pharma IQ showcases the top 10 Contract Research Organizations across the Pharma IQ network.

Much of the world’s population is in desperate need of better medical care. This need is a large driving force behind drug discovery’s mission to uncover new medicines.

The drug discovery process is complex and stubborn. The clinical stage, in particular, is resource intensive, demanding and high risk . A fine balance is required to execute this stage correctly.

Clinical Research Organisations (CROs) supporting drug manufacturers on their road to discover and approve drugs of the future by absorbing some of the clinical stage’s the burdens. Some of the activities covered are:

• Data research
• Project management
• Trials that are run post approval
• Pre-clinical

This relationship, which is built on trust and skill, can award manufacturers with heightened expertise as well as cost and time efficiencies.  These benefits come at the cost of duties such as intensive communication management , confidentiality concerns and regulatory considerations.  

The trend towards outsourcing to CROs isn’t expected to fizzle out anytime soon, especially as the spread of clinical trials across the world is growing. The global market is forecasted for strong growth, after reaching US$36.2bn in 2017 it is projected to climb by another US$20bn over the next five years.    

Read more: How to improve the success rates of clinical trials

What to look for in a cro.

Pharmaceutical and biologic firms need to select reliable partners who will add value to their medical research. This is a complex decision process involving the evaluation of many variables.                                                                    

We invited the Pharma IQ community to vote for the leading CROs in the pharmaceutical and the biologic industry according to their own experiences.

Our research base is made up of participants from mainly big pharma or biotech, SME pharma and consultants. Other entities included in this research include government bodies, medical device manufacturers and public hospitals.  

What criteria makes an excellent CRO?

The rising public pressure on medicine prices and spend by pharmaceutical firms, drives the appeal of outsourcing as a way to cool costs.

However, as pharma continues to wrestle with stagnant innovation levels, despite the funding boost to R&D pipelines, cheaper running costs are no longer the primary motive for outsourcing. In fact, this was considered as the last priority for our response base.

Read more: How to automate the data lifecycle to accelerate drug discovery

(respondent’s could vote for more than one answer) .

One respondent noted that on top of having a combination of all the listed attributes, they desired the ‘right’ culture and expertise within the actual group of people proposed for the study. 

Availability in certain regions, emerging markets, for example, and being update to date with recent regulatory changes were highlighted as key factors by some participants.

Just over 55% of our base agreed that quality is the most important differentiator when selecting a CRO .  

Regarding the importance of quality, in association with the Trial Master File ( TMF) and Inspection Readiness event , Ivan Walrath, Head of Audit and Inspection Quality at Pfizer noted how important it is CROs recognized the significance of this file. The TMF is what regulators will consult to evaluate the quality of the science behind the product at hand.

He added: “What I’ve seen when these partnerships have worked well is a good level of communication and integration between the people from the CRO and the sponsor working together to execute a trial.

“When you have a well-functioning team, even across those organizational boundaries, everybody gets behind what needs to happen from a quality standpoint, from a compliance standpoint and other important aspects like hitting timelines.”

Our  2018 study  found that Clinical trial supply has seen a reduction in wastage rates thanks to smarter integration and alignment with enrollment rates.

This improvement was achieved through Interactive Voice Response Systems (IVRS) and Interactive Response Technology (IRT), these tools were one of the top spend priorities.

Read more: Top five countries running the most clinical trials

The majority of the base noted that contract reviews would happen only when an issue came up or on an annual basis.

A few participants clarified that reviews are ongoing as part of their oversight to ensure compliance with contract services, but “not for the purpose of switching CROs, that would only be done in extreme circumstances of failure to perform.”

Ending a partnership with a CRO

Similar to 2017’s results, lack of quality was the aspect voted most likely to end a partnership with a CRO, attracting 65% of the votes.  A high level of mistakes was the next option with 12% of the vote.  One participant proceeded to clarify a legitimate reason being:

“Significant failure to meet obligations of contract, missing multiple milestones, without reasonable cause or appropriate risk mitigation.”

Pharma IQ top 10 CROs

1.       iqvia, 2.       parexel, 3.       syneos health, 4.       covance, 5.       icon, 6.       pra health sciences, 7.       ppd, 8.      chiltern, 9.      fisher clinical services, 10.   medpace, read our updated guide to the 10 biggest cros in the pharma sector for 2022.

Firms that attracted recognition from the network as rising stars include:

·         Charles river laboratories

·         pivotal, ·         psi, ·         pharmolam.

Further comments included: “After 25 years in the business, always with small Biotechs, I have learned that niche CROs provide the best service for our needs (Argint and CONET). I tend to avoid large CROs when at all possible.”

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Clinical Research Employers

Search form, companies working with clinical research also work in 22 other areas:.

• Clinical Trial Services (7)
• Contract Research (7)
• Services (3)
• Artificial Intelligence (2)
• Education (2)
• Biostatistics (1)
• Contract Development (1)
• COVID-19 (1)
• Genomics (1)
• Health Care (1)
• Immunoassays (1)
• Medical Devices (1)
• Molecular Diagnostics (1)
• Oncology (1)
• Pharmaceuticals (1)
• Pharmacogenomics (1)
• Regenerative Medicine (1)
• Regulatory Consulting (1)
• Vaccines (1)

131 Employers in 240 Locations

Accell clinical research.

• Clinical Research
• Clinical Trial Services

Accurate Clinical Research

Acrc trials, actelion clinical research (actelion pharmaceuticals), activmed practices & research, advanced clinical, advanced pharma cr, aix scientifics.

• Contract Research
• Pharmaceuticals
• Medical Devices

The company specializes in clinical research for pharmaceutical products and ...

Alpine Clinical Research Center

Alta sciences, amarex clinical research, amcr institute, american health research, anaheim clinical trials, applied clinical intelligence, applied research center, arizona research center, beacon clinical research, benchmark research, bioaxis healthcare.

Clinical Research/Monitoring

Boston Clinical Trials

California neuroscience research.

• Contract Development

Celerion conducts and analyzes First-in-Human, clinical proof-of-concept, cardiovascular safety (TQT, ...

Center for Pharmaceutical Research

Chicago research center, clinical investigation specialists, clinical research laboratories, clinical trial network.

Clinical Trial Network (CTN) is a reliable and dedicated research ...

Contract research

CNS Research

Comprehensive clinical research, confidence clinical research, cromos pharma, denova research, diablo clinical research, dm clinical research, dp clinical, dsp clinical trials, duke university clinical labs.

• Pharmacogenomics
• Immunoassays
• Molecular Diagnostics

The Duke University Clinical Laboratories employ a wide range of ...

DZS Clinical Services

Endpoint clinical, firma clinical research.

The company is a research services organization that provides support ...

As a provider of comprehensive Phase I through IV clinical ...

Galenos Research

Gcp clinplus, geneuity clinical research services, george clinical, grossmont center for clinical research, gvi clinical development solutions, health decisions, innovative research of west fl.

Innovative Research of West FL is an experiienced clinical research ...

Insite Clinical Research

Integrium clinical research, iuvo bioscience.

iuvo offers complete product lifecycle testing - from early stage ...

KGK Science

• Regulatory Consulting

KGK Science provides clinical research trials and regulatory support for ...

Lambda Therapeutic Research

Lotus clinical research.

LumaBridge is an oncology clinical research organization

Medelis is a full-service oncology CRO

Medical Advancement Through Clinical Research

The company is a full-service contract research organization that specializes ...

• Artificial Intelligence

Mendel transforms unstructured EMR data and clinical literature into the ...

Midwest Clinical Research

Midwest institute for clinical research, mobius medical, mountain view clinical research, musculoskeletal clinical regulatory advisers, new hope clinical research, new horizons clinical research, north carolina clinical research, novella clinical (quintiles), novex clinical research, novum clinical research, nucleus network, nyu langone health.

• Health Care

NYU Langone Health educates physicians and supports scientific research.

Palm Beach CRO

Panamerican clinical research.

PanAmerican Clinical Research serves pharmaceutical sponsors, CROs, virtual trial providers, ...

Peninsula Research Associates

Clinical Research, Site Management

PharmaVigilant

Philadelphia clinical research, pmg research, precision research institute, precision trials, premier research group, pri research, princeton clinical research, proinnovera.

Proinnovera is a dermatology specialized and owner-managed CRO (Clinical Research ...

• Biostatistics

Contract Clinical Work

Providence Clinical Research

PSI is a global Contract Research Organization focused on ...

Quest Clinical Research

Radiant research, redpoint research, regenative labs.

• Regenerative Medicine

The company uses products derived from umbilical cord tissue as ...

Research Professionals

Retrogen, Inc. Clinical Research Services has a decade of experience ...

Rheumatology Associates of Northern Alabama

Rose research center, sall research, schuster medical research institute, southern star research, spaulding clinical research.

Clinical Services

Springfield Clinic

Sun valley research center, syneos health.

Syneos Health is a contract research organization that specializes in ...

The Clinical Trial Center

Tkl research.

Contract Clinical Research

Wake Research Associates

Wcct global, western states clinical research.

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Pharmaceutical Products & Market

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• Preclinical CRO market share worldwide by company 2016
• CRO market share worldwide 2016, by function
• Total addressable CRO market worldwide in 2018, by function
• Veterinary CRO market revenues worldwide 2018-2027
• Market revenue of CRO in APAC 2015-2020
• Clinical trial density in APAC 2016, by country
• Pharmaceutical CRO market value in China 2015-2024, by research stage
• R&D expenditure of the major CROs in China 2017-2019
• Total addressable CRO market worldwide 2013-2020
• Revenue breakdown of the major CROs in China 2019, by segment
• China's share of global clinical CRO market 2015-2024
• Percent of registered clinical studies worldwide by type 2024
• Percent of clinical studies with posted results worldwide by type 2024
• Unsuccessful attempts and new drugs for cancer types 1998-2014

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Home 5 About Us

A DECADE OF SERVICE

2007 – opening of the clinical headquarters.

Accell is established as a clinical CRO providing Phase I – IV clinical study management services. The company serves as a reliable partner in completing clinical studies on time, and the first three Phase II oncology studies are initiated.

2008 – First European Oncology Project

Accell begins working in Europe on the first project with breast cancer patients, covering Sweden, Germany, France, Baltic countries, Russia and Ukraine.

2014 – Opening of a Regional Office in Ukraine

To provide regulatory services, Accell establishes a regional clinical office in Kiev, Ukraine. Our clients gain reliable access to a largely untapped patient population with the Accell's rigorous quality management practices applied.

2015 – US Business Office Moves to Virginia

Located near Charlottesville, VA, with easy access to Washington, D.C., Northern Virginia and Maryland, our Virginia office serves as a strong anchor for the outreach to East Coast biopharmaceutical industry.

2017 – Regional Office Opened in Latvia

Accell open a regional clinical office in Riga, Latvia to meet the demand for regulatory and pharmacovigilance services in the European Union. An Latvian office facilitates regulatory reporting in the European Union.

HANDS-ON FOUNDERS: A DIFFERENT LEVEL OF SUPPORT AND CONFIDENCE

Our journey started when working side-by-side on clinical studies we realized the tremendous financial waste created by study delays. All of the studies we worked on together had one thing in common: they could absolutely take no risk of running behind schedule. We saw first-hand that in our region the patients frequently received better care and treatment access within the clinical trial. This was hope for the cure for many. We knew we could promise both, our clients and the patients, better outcomes. So, we put together our heads, hands and hearts, and Accell Clinical Research was born. – Natalia Nayanova & Julia Kondakov, Founders

GLOBAL CHALLENGES IN CLINICAL TRIALS

80% of all clinical trials fall behind schedule due to patient recruitment. 50% of sites enroll only 1 patient

Nearly one-third of sites performing clinical trials never enroll a single patient

Almost $2B spent on underperforming sites in 4 years by global pharma community

Protocol complexity increases are proportional to enrollment rate decreases

Natalia Nayanova, MD, MBA

Managing Member

Philip Sigalov, MD, PhD

Director of Clinical Operations

Elena Gorelova

QC/QA Manager

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Startups Are Bringing a ‘Fresh Perspective’ to Clinical Trials

“The clinical phase of drug and medical product research and development is long, expensive, and complex, creating many opportunities for disruption and optimization. I am excited to see a growing number of students, alumni, and serial entrepreneurs pointing their digital solutions towards clinical trials,” said Melissa Byrn, Assistant Dean for Clinical Research at the University of Chicago.

“Entrepreneurs entering the clinical trial space are driven by the opportunity to bring novel treatment options more quickly to market, to match patients more easily to trial opportunities, and to diversify and optimize the data used for FDA approval and clinical decision making,” she added. “It is all about impact and the recognition of how important this phase of the medical product development cycle is. I am thrilled to see entrepreneurs affiliated with Chicago Booth and the Polsky Center focusing on solving key pain points in the clinical trial industry.”

A participant in Cohort 3 of the Polsky Center’s Transform accelerator, iTrials is an AI platform for clinical trial enrollment that automates participant matching and reduces reliance on IT support and recruitment firms.

“Clinical trials are the backbone of medical advancement, essential for validating the safety and efficacy of new treatments. The traditional approach to clinical trials is inefficient and expensive. Innovation in this field is not just desirable; it is imperative to meet the growing demands of modern medicine,” said cofounder Nitender Goyal, MBA ’21.

“AI-driven platforms can analyze vast amounts of data to identify potential participants who meet the specific criteria of a trial,” he said, adding that advanced analytics also can be used to improve retention rates by identifying factors that might lead to patient dropout and addressing them proactively.

The design of clinical trials themselves also is a focus of innovation. Allowing for modifications based on interim results, adaptive trials are becoming more feasible with the help of real-time data analytics.

“Embracing innovation in clinical trials through AI and advanced analytics is crucial. It can result in streamlined processes, reduce costs, and ultimately accelerate the delivery of new therapies to patients in need,” said Goyal. “As the healthcare landscape evolves, so must the methods we use to explore and validate new medical interventions.”

Focused on innovation in workforce hiring, upskilling, and enablement, UpTrials , recently took first place at the Alumni New Venture Challenge  (ANVC) finals, a track of the Polsky Center’s top-ranked New Venture Challenge accelerator program.

“Clinical trials are one of the most important yet often overlooked parts of the research and development ecosystem. Given the number of stakeholders involved and the complexity of the trial process, there is significant room for innovation in clinical operations,” said founder Renuka Agarwal, MBA ’18.

This need for innovation is only going to become greater alongside increasing R&D investment and trial demand, she noted, adding that areas seeing recent innovation include clinical trial design and patient enrollment.

“We’ve also seen the topic of patent diversity in clinical trials finally getting the attention it deserves, and there are many organizations taking grassroots approaches to engaging a wider range of patients in trials,” she said.

Hoping to help address the challenge of diversity in trials, Ivan Chen, MBA ’26, founded Ark Health, which is a finalist in this year’s  Edward L. Kaplan, ’71, New Venture Challenge  (NVC). The startup is building an inclusive clinical research platform that allows providers and sponsors to recruit and retain more patients in trials.

“The long-term vision is to improve clinical trial diversity,” said Chen, noting that there are “real legislative tailwinds to support the need for more diverse patients in clinical trials.” Specifically, recent updates will now require diversity action plans and quotas for pivotal trials.

“Pharma is on notice,” said Chen. “We have to take this seriously – this is not another nice to have.” And the regulations are only going to become more stringent. “We need to start with building community, building trust, meeting patients where they are,” he added, noting that there is no “turnkey” solution.

“We need to help people understand the value of clinical trials, understand how they work, and where they fit into treatment options,” Chen continued. Still, while there has been a lack of progress, the people working in this space have remained passionate about improving clinical trials for everyone, he said, speaking to the many conversations he’s had leading up to the NVC finals later this month .

Importantly, everyone is on the same page. “Aligning on a problem – that is a big deal,” said Chen. “There is hope, and we should keep driving forward. Someone is going to find something that works. Let’s go get it.”

The Right Time

Among other work bringing attention to the clinical trial industry is the FDA’s new Center for Clinical Trial Innovation and the ARPA-H Advancing Clinical Trial Readiness initiative. Additionally, CancerX selected several companies for their inaugural Startup Accelerator cohort focused on clinical trial workflows.

“Innovation in clinical trials will require new technology solutions and new ways of conducting and managing trials and this is where startups can bring a lot of value,” said Byrn. “Companies like UpTrials, iTrials, and Ark Health are bringing a fresh perspective to a space that has been historically slow to innovate. These startups are entering the clinical trial space at the right time.”

Republished from the University of Chicago, Polsky Center for Entrepreneurship and Innovation website .

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Yulia Krasilnikova

Clinical Operations Director

Yulia facilitates the development of the Clinical Operations to ensure fast, high-quality and efficient work in accordance with the current needs of the pharmaceutical industry, applicable regulatory requirements and long-term goals of the company.

Since 2005, Yulia has been working in clinical trials, including global CROs.

In 2011, she joined Synergy as CRA III, then became the project manager, and in 2022 headed the Clinical Operations.

Synergy Kazakhstan General Manager since 2007

Dr. Irina Kim is one of the leading experts in clinical trials in Kazakhstan; she is actively involved in the development of the regulatory environment and innovative, technological approaches to the successful conduct of clinical trials.

Graduated from the Kazakh Medical University, and received PhD degree in internal medicine at the Moscow Medical Academy. Over 15 years she worked in postgraduate training of doctors, was involved in various international projects on evidence-based medicine (EBM) and training of physicians conducted by USAID and the British Council, together with the Royal College of Medicine in London.

Irina Shchekotova

Key Account Manager

The main focus of Irina’s attention is the customers’ requests and needs, which are considered with a detailed initial attention to form the basis for long-term cooperation.

In 2008, she joined the Synergy’s team, progressed from CRA I to CRA III and delved into the process of feasibility studies and clinical trials planning.

Since 2015, Irina has been managing the Customer Service Department.

Natalia Makeeva

Head of Quality Department

Ensures the proper functioning of Synergy’s Quality Management System. Natalia is a member of the international community for quality assurance in clinical trials.

In 2003, Natalia began working in one of the first Russian CROs as a data manager. Then she worked in Russian and global companies doing monitoring, project management, and training activities.

Since 2015, she has focused her efforts on quality assurance of clinical trials.

In 2021, Natalia headed the Quality Assurance at Synergy.