The Clinical Trials Pulse

Week of Sep 07–13, 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

828
New trials registered
-11.3% vs prior week
391
Trials completed
40
Terminated / withdrawn / suspended
442
Completion-date slips
2
New FDA approvals
14 month-to-date
0
New EMA authorisations
2
New drug shortages
103 active
4,436
Publications added

New trials by phase

Registered in the past 7 days.

  • NA609
  • PHASE2102
  • PHASE164
  • PHASE341
  • PHASE428
  • EARLY_PHASE18

New trials by sponsor type

  • OTHER638
  • INDUSTRY143
  • OTHER_GOV31
  • NETWORK11
  • UNKNOWN2
  • FED1
  • INDIV1
  • NIH1

Status changes this week

Trials that moved to a new overall status.

  • COMPLETED391
  • RECRUITING329
  • ACTIVE_NOT_RECRUITING177
  • TERMINATED33
  • WITHDRAWN21
  • ENROLLING_BY_INVITATION17
  • SUSPENDED13
  • NOT_YET_RECRUITING11

Why trials stopped

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

  • NCT01029873 TERMINATED

    Sponsor decision

  • NCT01039922 TERMINATED

    The register will no longer be maintained on a prospective basis

  • NCT02025465 TERMINATED

    Low enrollment and PI retired.

  • NCT02612038 WITHDRAWN
  • NCT02742974 TERMINATED

    Lack of research personnel

  • NCT02842086 TERMINATED

    Following review of accumulated safety data from DISCOVER and real-world use of F/TAF, the sponsor determined that the long-term safety of F/TAF had been demonstrated and no further safety monitoring within the study was required.

  • NCT03805789 TERMINATED

    Sponsor Decision

  • NCT03917381 TERMINATED

    Genmab has decided to discontinue further clinical development of acasunlimab following strategic portfolio prioritization. The decision was not related to safety concerns.

  • NCT04288869 TERMINATED

    Difficulties in recruiting patients

  • NCT04544735 SUSPENDED

    Study is suspended due to lack of funds. Will resume as soon as funding is secured.

  • NCT04579523 WITHDRAWN

    Study withdrawn before opening to accrual.

  • NCT04683653 SUSPENDED

    Enrollment Goal Met

New FDA approvals

14 approvals month-to-date.

SponsorDrugApproved
ZHEJIANG JUTAI PHARMBRIVARACETAM2026-09-08
HETERO LABS LTD VIBRUTINIB2026-09-08

New EMA authorisations

7.1% of the last year's EMA authorisations were conditional.

None authorised this period.

Drug shortage watch

2 new · 0 resolved · 103 currently active.

Newly reported shortagePosted
Dextrose Monohydrate, Sodium Chloride, Sodium Lactate, Calcium Chloride, Magnesium Chloride Solution2026-09-10
Imipenem Anhydrous, Cilastatin, and Relebactam Anhydrous Injection2026-09-09

Hottest conditions

Most new trials this week.

  • obesity disorder16
  • non-small cell lung carcinoma11
  • anxiety disorder11
  • breast cancer10
  • atrial fibrillation10
  • cancer10
  • Parkinson disease9
  • type 2 diabetes mellitus9
  • chronic pain syndrome8
  • chronic kidney disease8

Most active sponsors

Industry sponsors, new trials · trailing 28 days.

  • Research Inc20
  • Shanghai Minwei Biotechnology Co., Ltd17
  • Novartis Pharmaceuticals17
  • Eli Lilly and Company13
  • Pfizer12
  • AstraZeneca11
  • GlaxoSmithKline11
  • Novo Nordisk A/S8
  • Bristol-Myers Squibb7
  • Merck Sharp & Dohme LLC7

Molecules on the move

New links where the molecule is the studied intervention.

  • indocyanine green17
  • ferric cation13
  • sudocetaxel12
  • monomethyl fumarate11
  • ethambutol11
  • bupivacaine11
  • dexmedetomidine10
  • aspirin9
  • sodium ferrous citrate8
  • succinylcholine8

Device corner

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

0
New device clearances
93
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
25-0925-1126-0126-0326-0526-0726-08
602,576
US trials
11,704
EU trials
9,224
Molecules
36,015
Diseases (MONDO)
29,843
FDA drugs
2,735
EMA medicines
177,771
FDA devices
1,952,323
Verified drug–trial links
1,146,938
Publications

Trials by phase

  • NA60%
  • PHASE214%
  • PHASE110%
  • PHASE38%
  • PHASE46%
  • EARLY_PHASE11%

Trials by sponsor type

  • OTHER72%
  • 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%
  • NOT_YET_RECRUITING6%
  • TERMINATED6%
  • ACTIVE_NOT_RECRUITING4%
  • WITHDRAWN3%
  • ENROLLING_BY_INVITATION1%
  • SUSPENDED0%
  • WITHHELD0%

Top therapeutic areas

By linked trials (MONDO rollup).

  • cancer or benign tumor121,556
  • nervous system disorder116,314
  • hereditary disease81,624
  • digestive system disorder74,419
  • cardiovascular disorder71,054
  • endocrine system disorder56,268
  • psychiatric disorder53,658
  • musculoskeletal system disorder53,076
  • immune system disorder52,462
  • inflammatory disease49,215
  • respiratory system disorder47,308
  • infectious disease47,053
  • reproductive system disorder39,416
  • metabolic disease35,624
  • hematologic disorder33,347

Trials by country of site

Among the 85,122 trials with a mapped site location — not the whole corpus.

  • United States35,629
  • China9,640
  • France8,043
  • Canada5,688
  • Turkey (Türkiye)5,439
  • Spain5,112
  • United Kingdom5,033
  • Germany4,858
  • Italy4,799
  • South Korea3,154
  • Australia3,042
  • Belgium2,704
  • Poland2,667
  • Netherlands2,611
  • Egypt2,578

Top sponsors

SponsorTrials
Cairo University4,842
Assiut University4,841
GlaxoSmithKline3,636
National Cancer Institute (NCI)3,553
Assistance Publique - Hôpitaux de Paris3,552
AstraZeneca3,483
Pfizer3,305
Mayo Clinic3,245
M.D. Anderson Cancer Center3,026
Novartis Pharmaceuticals2,702
National Taiwan University Hospital2,601
Massachusetts General Hospital2,572
National Institute of Allergy and Infectious Diseases (NIAID)2,440
Boehringer Ingelheim2,290
University of California, San Francisco2,156
Riphah International University2,153
Stanford University2,150
Merck Sharp & Dohme LLC2,146
Eli Lilly and Company2,087
Hoffmann-La Roche2,084
Duke University2,052
Memorial Sloan Kettering Cancer Center1,950
Ain Shams University1,894
Seoul National University Hospital1,893
Hospices Civils de Lyon1,844

Most-studied conditions

ConditionTrials
breast cancer11,878
obesity disorder9,671
type 2 diabetes mellitus9,199
chronic pain syndrome8,868
cancer8,341
HIV infectious disease8,247
COVID-197,650
non-small cell lung carcinoma6,431
hypertensive disorder6,169
diabetes mellitus6,162
colorectal cancer6,076
cerebrovascular disorder6,075
coronary artery disorder5,978
prostate cancer5,888
depressive disorder5,878
cardiovascular disorder5,634
anxiety disorder4,978
heart failure4,938
injury4,522
Parkinson disease4,472
asthma4,447
cognitive disorder4,222
lung cancer4,088
neuralgia3,912
benign essential hypertension3,890

Most-studied molecules

MoleculeTrials
carboplatin7,239
paclitaxel5,614
isoniazid5,380
prednisolone5,341
cyclophosphamide5,144
ropivacaine4,929
dexamethasone4,839
bevacizumab4,674
cisplatin4,517
lidocaine3,670
aspirin3,454
gemcitabine3,220
bupivacaine3,182
pembrolizumab3,024
metformin3,006
desoxycorticosterone acetate2,994
sitagliptin and metformin hydrochloride2,979
rituximab2,961
meprednisone2,850
sitagliptin metformin hydrochloride2,791
dapagliflozin metformin hydrochloride2,788
linagliptin and metformin hydrochloride2,778
docetaxel2,776
fluorouracil2,750
alogliptin and metformin hydrochloride2,720

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
1,096
862
900
AstraZeneca
1,022
552
809
Pfizer
1,177
710
663
Novartis Pharmaceuticals
512
840
738
Boehringer Ingelheim
1,073
321
400
Merck Sharp & Dohme LLC
702
552
741
Eli Lilly and Company
836
538
551
Hoffmann-La Roche
493
481
570

Patent cliff — loss of exclusivity

FDA drugs whose exclusivity expires soon (distinct substances).

46
< 6 months
41
6–12 months
100
12–24 months
Drug (losing exclusivity < 6mo)Expires
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
Dexamethasone2026-10-03
Risdiplam2026-10-03
Afamelanotide2026-10-08
Binimetinib2026-10-11
Acetaminophen; Ibuprofen Sodium2026-10-17
Tenapanor Hydrochloride2026-10-17
Pilocarpine Hydrochloride2026-10-17
Edoxaban Tosylate2026-10-18
Treprostinil Diolamine2026-10-18

Regulatory designations

FDA drugs carrying each designation.

16,527
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 hydrochloride1,971
  • metformin969
  • ropivacaine883
  • prednisolone873
  • lidocaine786
  • dexamethasone774
  • propofol671
  • paclitaxel667

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.