The Clinical Trials Pulse

Week of Jul 13–19, 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

1,208
New trials registered
+7.4% vs prior week
294
Trials completed
40
Terminated / withdrawn / suspended
455
Completion-date slips
9
New FDA approvals
36 month-to-date
0
New EMA authorisations
1
New drug shortages
105 active
1,908
Publications added

New trials by phase

Registered in the past 7 days.

  • NA920
  • PHASE2120
  • PHASE199
  • PHASE347
  • PHASE442
  • EARLY_PHASE117

New trials by sponsor type

  • OTHER955
  • INDUSTRY196
  • OTHER_GOV38
  • UNKNOWN6
  • NIH6
  • FED4
  • NETWORK3

Status changes this week

Trials that moved to a new overall status.

  • COMPLETED294
  • RECRUITING259
  • ACTIVE_NOT_RECRUITING187
  • TERMINATED40
  • SUSPENDED19
  • WITHDRAWN16
  • ENROLLING_BY_INVITATION14
  • NOT_YET_RECRUITING3

Why trials stopped

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

  • NCT00707473 TERMINATED

    \<75% participation

  • NCT01523171 TERMINATED
  • NCT01608516 TERMINATED

    studdy stopped because of patient recruitment issues

  • NCT01782248 TERMINATED

    recruitment difficulties

  • NCT02373904 TERMINATED

    Terminated EU portion of trial and utilized US interim analysis data to support marketing application instead. Closure was not due to safety concerns.

  • NCT02967276 TERMINATED

    Recruitment difficulties due to more attractive competing studies.

  • NCT03148327 TERMINATED

    Low accrual

  • NCT03152773 TERMINATED

    Due to the clinical hold, the study was terminated prior to completion, and the Sponsor subsequently determined that the study would not be reopened.

  • NCT03322345 TERMINATED

    Inadequate patient enrollment

  • NCT03427138 TERMINATED

    The 2020-2022 Covid-19 pandemic ended this study before completion

  • NCT03542578 TERMINATED

    Changes in the study staff's role and clinic commitments

  • NCT03686657 WITHDRAWN

    Clinical stage asset and the sponsorship have been acquired by Myopharm Limited.

New FDA approvals

36 approvals month-to-date.

SponsorDrugApproved
MERCK SHARP AND DOHME LLCENLICITIDE CHLORIDE2026-07-16
MERCK SHARP AND DOHME LLCENLICITIDE2026-07-16
HETERO LABS LTD VAFATINIB DIMALEATE2026-07-14
APOTEXAFATINIB DIMALEATE2026-07-14
CELCUITY INC..GEDATOLISIB2026-07-14
ANTHEA PHARMAPROPOFOL2026-07-14
TEVA PHARMS USAELTROMBOPAG OLAMINE2026-07-13
SHANDONGBRIVARACETAM2026-07-13
UNICHEMALPRAZOLAM2026-07-13

New EMA authorisations

7.8% 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
Tobramycin Sulfate Injection2026-07-17

Hottest conditions

Most new trials this week.

  • obesity disorder22
  • cancer19
  • chronic pain syndrome17
  • breast cancer17
  • non-small cell lung carcinoma14
  • cerebrovascular disorder14
  • type 2 diabetes mellitus12
  • Parkinson disease11
  • anxiety disorder11
  • HIV infectious disease11

Most active sponsors

Industry sponsors, new trials · trailing 28 days.

  • AstraZeneca16
  • Novartis Pharmaceuticals14
  • GlaxoSmithKline13
  • Novo Nordisk A/S9
  • Merck Sharp & Dohme LLC8
  • Eli Lilly and Company7
  • Suzhou Suncadia Biopharmaceuticals Co., Ltd.7
  • AbbVie6
  • Fujian Shengdi Pharmaceutical Co., Ltd.6
  • LucasBio6

Molecules on the move

New links where the molecule is the studied intervention.

  • aspirin110
  • paliperidone33
  • prednisolone30
  • icosapent18
  • fentanyl17
  • isoniazid17
  • carboplatin15
  • serplulimab14
  • ibuprofen12
  • dexmedetomidine11

Device corner

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

0
New device clearances
156
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
594,750
US trials
11,346
EU trials
9,201
Molecules
35,996
Diseases (MONDO)
29,724
FDA drugs
2,714
EMA medicines
177,272
FDA devices
1,927,980
Verified drug–trial links
1,131,087
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 tumor120,102
  • nervous system disorder116,256
  • hereditary disease80,512
  • digestive system disorder72,890
  • cardiovascular disorder70,143
  • endocrine system disorder54,980
  • psychiatric disorder53,543
  • musculoskeletal system disorder51,846
  • immune system disorder50,141
  • inflammatory disease48,444
  • infectious disease46,654
  • respiratory system disorder46,633
  • reproductive system disorder38,962
  • metabolic disease34,652
  • hematologic disorder33,002

Trials by country of site

Among the 65,278 trials with a mapped site location — not the whole corpus.

  • United States27,222
  • China6,995
  • France6,493
  • Canada4,565
  • Spain4,013
  • United Kingdom3,989
  • Germany3,870
  • Turkey (Türkiye)3,815
  • Italy3,776
  • South Korea2,525
  • Australia2,353
  • Belgium2,146
  • Poland2,099
  • Netherlands2,065
  • Taiwan1,910

Top sponsors

SponsorTrials
Cairo University4,739
Assiut University4,705
GlaxoSmithKline3,620
National Cancer Institute (NCI)3,549
Assistance Publique - Hôpitaux de Paris3,516
AstraZeneca3,460
Pfizer3,285
Mayo Clinic3,219
M.D. Anderson Cancer Center3,010
Novartis Pharmaceuticals2,674
National Taiwan University Hospital2,577
Massachusetts General Hospital2,548
National Institute of Allergy and Infectious Diseases (NIAID)2,436
Boehringer Ingelheim2,282
University of California, San Francisco2,143
Stanford University2,136
Merck Sharp & Dohme LLC2,134
Hoffmann-La Roche2,078
Riphah International University2,075
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 cancer11,756
obesity disorder9,504
type 2 diabetes mellitus9,103
chronic pain syndrome8,771
cancer8,191
HIV infectious disease8,189
COVID-197,634
non-small cell lung carcinoma6,329
diabetes mellitus6,111
hypertensive disorder6,108
colorectal cancer5,975
cerebrovascular disorder5,972
coronary artery disorder5,920
prostate cancer5,822
depressive disorder5,803
cardiovascular disorder5,582
heart failure4,874
anxiety disorder4,828
injury4,458
Parkinson disease4,413
cognitive disorder4,139
asthma4,115
lung cancer4,052
benign essential hypertension3,866
neuralgia3,816

Most-studied molecules

MoleculeTrials
carboplatin7,124
paclitaxel5,396
isoniazid5,296
prednisolone5,216
cyclophosphamide5,096
ropivacaine4,821
dexamethasone4,771
bevacizumab4,560
cisplatin4,445
lidocaine3,580
aspirin3,338
gemcitabine3,166
bupivacaine3,089
desoxycorticosterone acetate2,979
pembrolizumab2,958
sitagliptin and metformin hydrochloride2,949
metformin2,945
rituximab2,919
meprednisone2,850
dapagliflozin metformin hydrochloride2,788
sitagliptin metformin hydrochloride2,759
docetaxel2,751
linagliptin and metformin hydrochloride2,746
fluorouracil2,691
alogliptin and metformin hydrochloride2,688

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
1,091
861
890
AstraZeneca
1,016
550
800
Pfizer
1,171
709
652
Novartis Pharmaceuticals
508
834
734
Boehringer Ingelheim
1,065
322
399
Merck Sharp & Dohme LLC
697
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).

46
< 6 months
38
6–12 months
100
12–24 months
Drug (losing exclusivity < 6mo)Expires
Iohexol2026-07-26
Alogliptin Benzoate; Metformin Hydrochloride2026-07-27
Alogliptin Benzoate2026-07-27
Pexidartinib Hydrochloride2026-08-02
Octreotide Acetate2026-08-02
Fedratinib Hydrochloride2026-08-16
Valbenazine Tosylate2026-08-18
Gallium Ga-68 Edotreotide2026-08-21
Cobicistat2026-08-22
Difelikefalin Acetate2026-08-23
Ledipasvir; Sofosbuvir2026-08-28
Sofosbuvir2026-08-28
Citalopram Hydrobromide2026-09-16
Phentolamine Mesylate2026-09-25
Atogepant2026-09-28

Regulatory designations

FDA drugs carrying each designation.

16,461
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.