The Clinical Trials Pulse

Week of Jul 27 – Aug 02, 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

1,060
New trials registered
-2.5% vs prior week
341
Trials completed
40
Terminated / withdrawn / suspended
392
Completion-date slips
26
New FDA approvals
0 month-to-date
0
New EMA authorisations
3
New drug shortages
105 active
1,562
Publications added

New trials by phase

Registered in the past 7 days.

  • NA817
  • PHASE2102
  • PHASE171
  • PHASE356
  • PHASE436
  • EARLY_PHASE114

New trials by sponsor type

  • OTHER858
  • INDUSTRY151
  • OTHER_GOV40
  • NETWORK4
  • FED4
  • UNKNOWN2
  • NIH1

Status changes this week

Trials that moved to a new overall status.

  • COMPLETED341
  • RECRUITING290
  • ACTIVE_NOT_RECRUITING158
  • TERMINATED48
  • ENROLLING_BY_INVITATION17
  • WITHDRAWN14
  • SUSPENDED12
  • NOT_YET_RECRUITING4

Why trials stopped

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

  • NCT01810913 SUSPENDED

    Other - Assessing accrual feasibility

  • NCT01876771 SUSPENDED

    Study closed to accrual given widespread availability of the similar marketed product, Lutathera(R), and the corresponding lack of accrual to the study.

  • NCT02251249 TERMINATED

    target number of inclusion not reached

  • NCT02482493 SUSPENDED

    initially stopped recruitment in COVID pandemic, now different prosthesis being use in the Sponsor NHS Trust, unlikely study will restart.

  • NCT02628314 TERMINATED
  • NCT02720458 TERMINATED

    target number of inclusion not reached (65/256)

  • NCT03068403 TERMINATED

    target number of inclusion not reached

  • NCT03178123 TERMINATED

    The study strategy was adjusted, and the company decided to terminate the study early

  • NCT03203525 TERMINATED

    \<75% participation

  • NCT03287271 TERMINATED

    Due to loss of funding

  • NCT03471117 TERMINATED

    CKD participants we recruited do not have elevated ADMA, which is the main premise for this intervention. We noticed this with first cohort studied and collected blood from our other ongoing CKD studies, which further solidified and why terminated.

  • NCT03520751 WITHDRAWN

    Study is withdrawing to the retirement of the PI.

New FDA approvals

0 approvals month-to-date.

SponsorDrugApproved
CMP DEV LLCCLONIDINE HYDROCHLORIDE2026-07-29
FRESENIUS KABI USA LLCUnknown2026-07-29
APOTEXRuxolitinib2026-07-29
LNK INTL INCPOLYETHYLENE GLYCOL 33502026-07-29
MYLANSUGAMMADEX SODIUM2026-07-28
QILU PHARM HAINANSUGAMMADEX SODIUM2026-07-28
ZENARASUGAMMADEX SODIUM2026-07-28
MSNSUGAMMADEX SODIUM2026-07-28
HIKMASUGAMMADEX SODIUM2026-07-28
STERISCIENCESUGAMMADEX SODIUM2026-07-28
ESJAY PHARMAGLYCEROL PHENYLBUTYRATE2026-07-28
VIATRIS SPECIALTYUnknown2026-07-28
BAXTER HLTHCARE CORPDIAZEPAM2026-07-28
LUPINSUGAMMADEX SODIUM2026-07-28
FRESENIUS KABI USASUGAMMADEX SODIUM2026-07-28

New EMA authorisations

7.7% of the last year's EMA authorisations were conditional.

None authorised this period.

Drug shortage watch

3 new · 0 resolved · 105 currently active.

Newly reported shortagePosted
Doxycycline Hyclate Tablet, Delayed Release2026-07-30
Glycopyrrolate Injection2026-07-30
Fluticasone Propionate and Salmeterol Xinafoate Aerosol, Metered2026-07-27

Hottest conditions

Most new trials this week.

  • obesity disorder24
  • cerebrovascular disorder17
  • anxiety disorder16
  • prostate cancer14
  • cancer14
  • breast cancer13
  • chronic pain syndrome13
  • cognitive disorder12
  • spinal cord injury12
  • type 2 diabetes mellitus11

Most active sponsors

Industry sponsors, new trials · trailing 28 days.

  • AstraZeneca12
  • Novartis Pharmaceuticals12
  • GlaxoSmithKline10
  • Merck Sharp & Dohme LLC8
  • Sanofi7
  • Pfizer7
  • HUINNO Co., Ltd6
  • Novo Nordisk A/S6
  • AbbVie6
  • Humanis Saglık Anonim Sirketi5

Molecules on the move

New links where the molecule is the studied intervention.

  • paclitaxel18
  • carboxyamidotriazole16
  • acetaminophen14
  • fentanyl14
  • insulin human13
  • dexmedetomidine13
  • buprenorphine12
  • serplulimab12
  • bupivacaine12
  • tislelizumab12

Device corner

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

0
New device clearances
71
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
25-0825-1025-1226-0226-0426-0626-07
596,737
US trials
11,438
EU trials
9,207
Molecules
35,996
Diseases (MONDO)
29,753
FDA drugs
2,730
EMA medicines
177,374
FDA devices
1,934,565
Verified drug–trial links
1,133,193
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%
  • RECRUITING13%
  • TERMINATED6%
  • NOT_YET_RECRUITING6%
  • ACTIVE_NOT_RECRUITING4%
  • WITHDRAWN3%
  • ENROLLING_BY_INVITATION1%
  • SUSPENDED0%
  • WITHHELD0%

Top therapeutic areas

By linked trials (MONDO rollup).

  • cancer or benign tumor120,516
  • nervous system disorder116,814
  • hereditary disease80,825
  • digestive system disorder73,135
  • cardiovascular disorder70,399
  • endocrine system disorder55,160
  • psychiatric disorder53,777
  • musculoskeletal system disorder52,089
  • immune system disorder50,331
  • inflammatory disease48,667
  • respiratory system disorder46,793
  • infectious disease46,786
  • reproductive system disorder39,093
  • metabolic disease34,737
  • hematologic disorder33,112

Trials by country of site

Among the 70,435 trials with a mapped site location — not the whole corpus.

  • United States29,507
  • China7,652
  • France6,913
  • Canada4,867
  • Spain4,392
  • United Kingdom4,280
  • Turkey (Türkiye)4,260
  • Germany4,170
  • Italy4,086
  • South Korea2,742
  • Australia2,555
  • Belgium2,328
  • Poland2,277
  • Netherlands2,212
  • Taiwan2,101

Top sponsors

SponsorTrials
Cairo University4,777
Assiut University4,728
GlaxoSmithKline3,620
National Cancer Institute (NCI)3,551
Assistance Publique - Hôpitaux de Paris3,531
AstraZeneca3,465
Pfizer3,291
Mayo Clinic3,224
M.D. Anderson Cancer Center3,014
Novartis Pharmaceuticals2,680
National Taiwan University Hospital2,584
Massachusetts General Hospital2,555
National Institute of Allergy and Infectious Diseases (NIAID)2,436
Boehringer Ingelheim2,283
University of California, San Francisco2,147
Stanford University2,140
Merck Sharp & Dohme LLC2,136
Riphah International University2,124
Hoffmann-La Roche2,079
Eli Lilly and Company2,071
Duke University2,046
Memorial Sloan Kettering Cancer Center1,941
Seoul National University Hospital1,884
Ain Shams University1,862
Hospices Civils de Lyon1,833

Most-studied conditions

ConditionTrials
breast cancer11,784
obesity disorder9,554
type 2 diabetes mellitus9,131
chronic pain syndrome8,799
cancer8,223
HIV infectious disease8,205
COVID-197,641
non-small cell lung carcinoma6,367
hypertensive disorder6,123
diabetes mellitus6,121
cerebrovascular disorder6,005
colorectal cancer6,005
coronary artery disorder5,935
prostate cancer5,843
depressive disorder5,830
cardiovascular disorder5,601
heart failure4,894
anxiety disorder4,890
injury4,480
Parkinson disease4,431
asthma4,416
cognitive disorder4,171
lung cancer4,058
benign essential hypertension3,875
neuralgia3,825

Most-studied molecules

MoleculeTrials
carboplatin7,157
paclitaxel5,543
isoniazid5,321
prednisolone5,249
cyclophosphamide5,113
ropivacaine4,842
dexamethasone4,786
bevacizumab4,589
cisplatin4,461
lidocaine3,602
aspirin3,361
gemcitabine3,172
bupivacaine3,112
desoxycorticosterone acetate2,982
pembrolizumab2,978
metformin2,960
sitagliptin and metformin hydrochloride2,956
rituximab2,928
meprednisone2,850
dapagliflozin metformin hydrochloride2,788
sitagliptin metformin hydrochloride2,766
docetaxel2,758
linagliptin and metformin hydrochloride2,753
fluorouracil2,706
alogliptin and metformin hydrochloride2,695

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
1,018
551
802
Pfizer
1,175
709
654
Novartis Pharmaceuticals
508
835
735
Boehringer Ingelheim
1,066
322
399
Merck Sharp & Dohme LLC
698
550
738
Hoffmann-La Roche
491
480
568
Eli Lilly and Company
826
535
548

Patent cliff — loss of exclusivity

FDA drugs whose exclusivity expires soon (distinct substances).

46
< 6 months
36
6–12 months
102
12–24 months
Drug (losing exclusivity < 6mo)Expires
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
Citalopram Hydrobromide2026-09-16
Phentolamine Mesylate2026-09-25
Atogepant2026-09-28
Miglustat2026-09-28
Technetium Tc-99m Labeled Carbon2026-09-29
Patiromer Sorbitex Calcium2026-10-02
Risdiplam2026-10-03
Dexamethasone2026-10-03

Regulatory designations

FDA drugs carrying each designation.

16,476
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
  • metformin955
  • ropivacaine874
  • dapagliflozin metformin hydrochloride831
  • dexamethasone764
  • lidocaine763

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.