The Clinical Trials Pulse

Week of Jul 06–12, 2026

A deterministic snapshot of the global clinical-trial landscape — every figure reproducible from the ClinicaLister knowledge graph.

All editions

This week at a glance

1,125
New trials registered
+45.5% vs prior week
450
Trials completed
40
Terminated / withdrawn / suspended
534
Completion-date slips
21
New FDA approvals
27 month-to-date
0
New EMA authorisations
1
New drug shortages
105 active
2,788
Publications added

⚠ Elevated registrations this week are mostly phase-unspecified and may reflect a registry batch load rather than a real-world surge — interpret week-over-week with caution.

New trials by phase

Registered in the past 7 days.

  • NA839
  • PHASE2113
  • PHASE184
  • PHASE351
  • PHASE451
  • EARLY_PHASE115

New trials by sponsor type

  • OTHER907
  • INDUSTRY164
  • OTHER_GOV39
  • NIH6
  • FED5
  • NETWORK2
  • UNKNOWN2

Status changes this week

Trials that moved to a new overall status.

  • COMPLETED450
  • RECRUITING316
  • ACTIVE_NOT_RECRUITING197
  • TERMINATED28
  • WITHDRAWN24
  • ENROLLING_BY_INVITATION16
  • SUSPENDED14
  • NOT_YET_RECRUITING8
  • NO_LONGER_AVAILABLE1
  • APPROVED_FOR_MARKETING1

Why trials stopped

Terminations, withdrawals and suspensions — with the sponsor's stated reason.

  • NCT01025947 TERMINATED

    Responsible party does not work at UV anymore

  • NCT02347228 TERMINATED

    This decision is based on a strategic company decision to discontinue development of this program as part of our portfolio prioritization.

  • NCT02432378 WITHDRAWN

    opening up at a different site

  • NCT02483260 SUSPENDED

    Product expired, new lots are not available.

  • NCT02728388 TERMINATED

    data analysis unequivocal - requires study methodology re-evaluation

  • NCT03278977 TERMINATED

    recruitment difficulties

  • NCT03439046 TERMINATED

    Novartis terminated the trial early because the collected data were sufficient to perform the analysis stated for the primary endpoint.

  • NCT03766126 TERMINATED

    Administrative reasons.

  • NCT03867695 TERMINATED

    The early termination of this study is justified by changes in the recommendations. Specifically, a paravertebral block-that is, a regional anesthesia technique-is now recommended. Consequently, subject recruitment has been halted.

  • NCT03946423 WITHDRAWN

    Not moving forward with study.

  • NCT04283513 SUSPENDED

    Product expired, new lots not available

  • NCT04324411 WITHDRAWN

    The study has not actually been conducted.

New FDA approvals

27 approvals month-to-date.

SponsorDrugApproved
APOTEXUnknown2026-07-10
BELOTECAILOPROST2026-07-10
LAURUSRILPIVIRINE HYDROCHLORIDE2026-07-10
PROVEPHARM SASINDOCYANINE GREEN INJECTION2026-07-10
AJANTA PHARMA LTDMETFORMIN HYDROCHLORIDE, SITAGLIPTIN2026-07-09
GLENMARK PHARMS LTDNINTEDANIB ESYLATE2026-07-09
AMNEAL EU LTDSODIUM BICARBONATE2026-07-09
SANOFI-AVENTIS U.S. LLCISATUXIMAB-IRFC2026-07-09
LAURUS LABS LTDTENOFOVIR ALAFENAMIDE FUMARATE2026-07-09
SQUARE PHARMS PLCMAGNESIUM SULFATE2026-07-09
HUMANWELL PURACAPNINTEDANIB ESYLATE2026-07-09
ASPIROCYANOCOBALAMIN2026-07-08
MACLEODS PHARMS LTDDAPSONE2026-07-08
BAXTER HLTHCARE CORPEPHEDRINE SULFATE2026-07-08
VERA THERAPEUTICS INC.ATACIEPT-VYMJ2026-07-07

New EMA authorisations

9.2% of the last year's EMA authorisations were conditional.

None authorised this period.

Drug shortage watch

1 new · 0 resolved · 105 currently active.

Newly reported shortagePosted
Travoprost Ophthalmic Solution2026-07-07

Hottest conditions

Most new trials this week.

  • chronic pain syndrome25
  • obesity disorder18
  • type 2 diabetes mellitus17
  • cancer16
  • anxiety disorder16
  • breast cancer14
  • prostate cancer14
  • hypertensive disorder12
  • cerebrovascular disorder11
  • heart failure11

Most active sponsors

Industry sponsors, new trials · trailing 28 days.

  • AstraZeneca19
  • Novartis Pharmaceuticals14
  • GlaxoSmithKline10
  • Novo Nordisk A/S9
  • Bristol-Myers Squibb7
  • Pfizer7
  • Suzhou Suncadia Biopharmaceuticals Co., Ltd.7
  • AbbVie6
  • Boehringer Ingelheim5
  • Humanis Saglık Anonim Sirketi5

Molecules on the move

New links where the molecule is the studied intervention.

  • aspirin108
  • levodopa65
  • ciltacabtagene autoleucel34
  • paliperidone33
  • clostridium butyricum29
  • carboxyamidotriazole21
  • oblimersen18
  • efavirenz14
  • bevacizumab14
  • fentanyl13

Device corner

FDA device clearance data is current; MAUDE adverse-event and recall feeds lag ~1-2 months.

0
New device clearances
207
Device recalls logged

The graph, in reference

Whole-corpus totals and rankings, recomputed every week.

New trial registrations — trailing 12 months

Monthly new registrations across ClinicalTrials.gov. Puts the weekly count in context.

5,1092,5550
25-0725-0925-1126-0126-0326-0526-06
594,356
US trials
11,330
EU trials
9,199
Molecules
35,996
Diseases (MONDO)
29,711
FDA drugs
2,713
EMA medicines
177,272
FDA devices
1,926,326
Verified drug–trial links
1,130,420
Publications

Trials by phase

  • NA60%
  • PHASE214%
  • PHASE111%
  • PHASE38%
  • PHASE46%
  • EARLY_PHASE11%

Trials by sponsor type

  • OTHER71%
  • INDUSTRY22%
  • OTHER_GOV3%
  • NIH2%
  • NETWORK1%
  • FED1%
  • UNKNOWN0%
  • INDIV0%
  • AMBIG0%

Trials by study type

  • INTERVENTIONAL76%
  • OBSERVATIONAL23%
  • EXPANDED_ACCESS0%
  • UNKNOWN0%

Trials by recruitment status

  • COMPLETED55%
  • UNKNOWN13%
  • RECRUITING12%
  • TERMINATED6%
  • NOT_YET_RECRUITING6%
  • ACTIVE_NOT_RECRUITING4%
  • WITHDRAWN3%
  • ENROLLING_BY_INVITATION1%
  • SUSPENDED0%
  • WITHHELD0%

Top therapeutic areas

By linked trials (MONDO rollup).

  • cancer or benign tumor119,957
  • nervous system disorder116,119
  • hereditary disease80,388
  • digestive system disorder72,805
  • cardiovascular disorder70,069
  • endocrine system disorder54,903
  • psychiatric disorder53,490
  • musculoskeletal system disorder51,772
  • immune system disorder50,058
  • inflammatory disease48,353
  • infectious disease46,597
  • respiratory system disorder46,566
  • reproductive system disorder38,911
  • metabolic disease34,620
  • hematologic disorder32,963

Trials by country of site

Among the 64,713 trials with a mapped site location — not the whole corpus.

  • United States26,938
  • China6,918
  • France6,454
  • Canada4,523
  • Spain3,973
  • United Kingdom3,956
  • Germany3,838
  • Turkey (Türkiye)3,765
  • Italy3,739
  • South Korea2,509
  • Australia2,322
  • Belgium2,124
  • Poland2,070
  • Netherlands2,050
  • Taiwan1,889

Top sponsors

SponsorTrials
Cairo University4,739
Assiut University4,705
GlaxoSmithKline3,618
National Cancer Institute (NCI)3,549
Assistance Publique - Hôpitaux de Paris3,516
AstraZeneca3,459
Pfizer3,285
Mayo Clinic3,217
M.D. Anderson Cancer Center3,010
Novartis Pharmaceuticals2,673
National Taiwan University Hospital2,574
Massachusetts General Hospital2,545
National Institute of Allergy and Infectious Diseases (NIAID)2,436
Boehringer Ingelheim2,282
University of California, San Francisco2,141
Stanford University2,135
Merck Sharp & Dohme LLC2,133
Hoffmann-La Roche2,078
Riphah International University2,074
Eli Lilly and Company2,070
Duke University2,042
Memorial Sloan Kettering Cancer Center1,942
Seoul National University Hospital1,881
Ain Shams University1,848
Hospices Civils de Lyon1,830

Most-studied conditions

ConditionTrials
breast cancer11,747
obesity disorder9,492
type 2 diabetes mellitus9,095
chronic pain syndrome8,758
HIV infectious disease8,177
cancer8,154
COVID-197,632
non-small cell lung carcinoma6,290
diabetes mellitus6,105
hypertensive disorder6,104
cerebrovascular disorder5,968
colorectal cancer5,961
coronary artery disorder5,915
prostate cancer5,816
depressive disorder5,796
cardiovascular disorder5,577
heart failure4,865
anxiety disorder4,823
injury4,428
Parkinson disease4,409
cognitive disorder4,136
asthma4,112
lung cancer4,050
benign essential hypertension3,864
neuralgia3,815

Most-studied molecules

MoleculeTrials
carboplatin7,115
paclitaxel5,389
isoniazid5,288
cyclophosphamide5,088
prednisolone4,888
ropivacaine4,817
dexamethasone4,762
bevacizumab4,556
cisplatin4,433
lidocaine3,575
aspirin3,333
gemcitabine3,160
bupivacaine3,086
desoxycorticosterone acetate2,979
pembrolizumab2,957
sitagliptin and metformin hydrochloride2,948
metformin2,942
rituximab2,914
meprednisone2,850
dapagliflozin metformin hydrochloride2,788
sitagliptin metformin hydrochloride2,758
docetaxel2,751
linagliptin and metformin hydrochloride2,745
fluorouracil2,688
alogliptin and metformin hydrochloride2,687

The pipeline & the cliff

Standing competitive & regulatory landscape — who is developing what, at which stage, and which drugs are about to lose exclusivity.

Pipeline competitive matrix

Active trials by the most prolific industry sponsors, split by phase.

Phase 1Phase 2Phase 3
GlaxoSmithKline
1,090
860
890
AstraZeneca
1,016
550
799
Pfizer
1,171
709
652
Novartis Pharmaceuticals
508
834
734
Boehringer Ingelheim
1,065
322
399
Merck Sharp & Dohme LLC
696
549
737
Hoffmann-La Roche
491
480
567
Eli Lilly and Company
825
535
548

Patent cliff — loss of exclusivity

FDA drugs whose exclusivity expires soon (distinct substances).

47
< 6 months
40
6–12 months
97
12–24 months
Drug (losing exclusivity < 6mo)Expires
Remdesivir2026-07-13
Norgestrel2026-07-13
Loteprednol Etabonate; Tobramycin2026-07-14
Iohexol2026-07-26
Alogliptin Benzoate2026-07-27
Alogliptin Benzoate; Metformin Hydrochloride2026-07-27
Octreotide Acetate2026-08-02
Pexidartinib Hydrochloride2026-08-02
Fedratinib Hydrochloride2026-08-16
Valbenazine Tosylate2026-08-18
Gallium Ga-68 Edotreotide2026-08-21
Cobicistat2026-08-22
Difelikefalin Acetate2026-08-23
Sofosbuvir2026-08-28
Ledipasvir; Sofosbuvir2026-08-28

Regulatory designations

FDA drugs carrying each designation.

16,455
Orphan drug
838
Fast track
29
Breakthrough
74
Pediatric exclusivity

Most-tested comparators

Molecules most often used as the comparator arm (the standard to beat).

  • alogliptin and metformin hydrochloride1,967
  • sitagliptin and metformin hydrochloride1,960
  • sitagliptin metformin hydrochloride1,231
  • metformin953
  • ropivacaine873
  • dapagliflozin metformin hydrochloride831
  • dexamethasone762
  • lidocaine760

Methodology & sources

Every figure is a deterministic SQL aggregate over the ClinicaLister knowledge graph as of the report date. No figure is AI-generated or estimated; each is reproducible and traceable to its public source.

Sources: ClinicalTrials.gov · EU CTIS · openFDA (drugs, devices, shortages) · EMA · MONDO disease ontology · GSRS · GUDID · Europe PMC / PubMed

Every figure above is a deterministic aggregate over the ClinicaLister knowledge graph — and one click deep in the product, with a source behind each claim.

Machine-readable: download this edition as JSON above, or query the full archive programmatically via the public get_public_report_snapshots endpoint.