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ACT EU - Accelerating Clinical Trials · EU-wide · 23 Sep 2025 · News & press

ACT EU: New targets for clinical trials in Europe

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The European Commission, Heads of Medicines Agencies, and EMA set two targets to make the EU more attractive for clinical trials: adding 500 multinational trials annually (reaching 1,400 per year) and having two-thirds of trials begin patient recruitment within 200 days of application, up from 50% currently. The ACT EU initiative supports these goals through a trial map for patients, sponsor advice, ethics committee harmonization, and a multi-stakeholder platform. A three-year clinical trials report covering January 2022 to January 2025 shows an average of 200 new trials submitted monthly under the Clinical Trials Regulation.

From ACT EU - Accelerating Clinical Trials

The European Commission (EC), the Heads of Medicines Agencies (HMA) and EMA have jointly developed two new targets for clinical trials, to monitor progress against the ambition to make the European Union (EU) a more attractive destination for clinical research and improve timely access to innovative medicines for patients. In five years, the aim is that:

- An additional 500 multinational clinical trials are added to the current average of 900 that are already authorised each year (i.e. an estimated 100 per year).

- Two thirds (66%) of clinical trials should begin recruiting patients within 200 calendar days or less from the date of application submission. This is in comparison to only 50% of clinical trials today.

These ambitious goals build on ongoing efforts to create a more supportive environment for clinical research. A key part of this is the Accelerating Clinical Trials in the EU (ACT EU) initiative, a collaboration between EC, HMA and EMA, which seeks to optimise how clinical trials are designed and run.

ACT EU focuses on several key areas to strengthen clinical research in Europe. These include a trial map to help patients find clinical trials recruiting in their area; pilots of advice to clinical trial sponsors to help them design impactful trials and make successful applications for authorisation, including for marketing authorisation applications; support to the implementation of the revised Good Clinical Practice guideline (ICH E6 R3); and, help for non-commercial sponsors to carry out more multinational trials. At the heart of ACT EU is a multi-stakeholder platform that fosters ongoing dialogue with stakeholders to better understand their challenges and needs.

Several complementary network initiatives are also contributing to the achievement of the new targets:

- The Clinical Trials Regulation (CTR) Collaborate initiative aims to foster interaction between national authorities and ethics committees to promote harmonised procedures and reduce administrative burden.

- The COMBINE programme addresses the intersection of three separate legal frameworks governing clinical trials of medicinal products, clinical investigations of medical devices, and performance studies of in-vitro diagnostics. A first pilot (see EC news) to synchronise clinical and performance study assessments into a single streamlined process has been launched.

- MedEthicsEU, a forum of national representatives from medical research ethics committees, established by the EC, to support discussion and mutual learning between EU/EEA Member States Ethics Committees.

Progress updates on the Clinical Trial targets will be published monthly on the ACT EU website, starting in early February 2026.

EU clinical trials report – analysis of three years of data

Excerpt from the official page. The original is authoritative. Continue reading at ACT EU - Accelerating Clinical Trials ↗