U.S. Clinical Trials Market Size to Hit USD 75.95 Billion by 2034

According to Statifacts, the U.S. clinical trials market size was exhibited at USD 43.79 billion in 2025 and is projected to hit around USD 75.95 billion by 2034, growing at a CAGR of 6.31% during the forecast period 2025 to 2034.

U.S. Clinical Trials Market Size 2024 to 2034

U.S. Clinical Trials Market Report Highlights

•  The Phase III segment dominated the market with the largest share in 2024.

•  The Phase I segment is expected to show the fastest growth during the forecast period.

•  The interventional study design segment dominated the market accounting for the largest revenue share in 2024.

•  The observational study design segment is anticipated to grow rapidly over the forecast period.

•  The oncology segment dominated the market in 2024.

•  The cardiovascular segment is expected to witness fastest growth during the forecast period.

•  The patient recruitment segment held the largest market share in 2024.

•  The clinical trials data management services segment is anticipated to witness lucrative growth over the forecast period.

•  The pharmaceutical & biopharmaceutical companies segment accounted for the largest market share in 2024.

The market for U.S. clinical trials focuses on research and development of new medical tools and treatments. The market's leading objectives are the evaluation of new tests, drugs, surgical techniques, medical devices and therapies and their effect on human health. The trials study behavioral intervention and determine defects and preventions of diseases. This also includes the assessment of new approaches that are designed, reviewed, and approved after determining the effectiveness and safety of patients. Aside from placebo-controlled trials, individuals volunteer to assess medical interventions, including drugs, cells, biological products, surgical procedures, radiological procedures, devices, behavioral treatments, and preventive care. The U.S. clinical trials market is driven by the increasing prevalence of chronic diseases that require advanced treatments to detect and prevent diseases, and clinical trials play an active role in the research and development of new and enhanced treatments. The advancements in clinical trials and the development of new therapies have also driven the market growth. The demand for personalized medicines and tailored treatment for individual patients based on their specific and rare diseases fuels the U.S. clinical trials market growth rate. Along with this, patient safety and innovative solutions like data analytics and remote monitoring have increased the demand in the pharmaceutical market.

Enhancement in clinical trials is supported by advanced healthcare infrastructure, and given the reason, optimal services are provided to the patients. In addition, advanced practice providers (AAPs) play a crucial role in identifying and enrolling appropriate patients. By providing information regarding trials and offering supportive care throughout the process, AAPs make the trials safe and effective.  AI integration leads to significant enhancement in the U.S. clinical trials market. The researchers improve clinical study by incorporating a wide range of digital tools for recruitment and retention, such as the Internet, direct e-mail, texting, and social media. AI algorithms with predictive analysis analyze large amounts of data to identify participants for trials. Moreover, AI enhances trial outcomes by stimulating different designs and also enabling adaptive trial designs, wherein protocols can be modified to perceive accurate conclusions.

With the integration of Artificial Intelligence (AI), clinical trials can offer many opportunities since AI-driven tools can automate data by minimizing human errors and ensuring data integrity by monitoring real-time and potential threats. Companies incorporated with RWE generation will boost opportunities in the U.S. clinical trials market since it will provide valuable insights like electronic health records, patient registries, and claims databases that will greatly impact the market growth.

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U.S. Clinical Trials Market Report Scope

Report Attribute

Details

The Market Size Value in 2025

USD 42.58 billion

The Revenue forecast in 2034

USD 57.79 billion

Growth rate

CAGR of 6.30% from 2025 to 2034

Actual data

2018 - 2024

Forecast period

2025 - 2034

Quantitative units

Revenue in USD million/billion, and CAGR from 2025 to 2030

Report Coverage

Revenue forecast, company ranking, competitive landscape, growth factors, and trends

Segments Covered

Phase, study design, indication, sponsor, indication by study design, service

Key companies profiled

IQVIA; Fortrea Inc.; PAREXEL International Corporation; Thermo Fisher Scientific Inc.; Charles River Laboratories; ICON Plc; Wuxi AppTec Inc.; Medpace; Syneos Health; AstraZeneca;, Merck & Co.; Eli Lilly and Company; Novo Nordisk A/S; Pfizer; Caidya

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U.S. Clinical Trials Market Trends

•  Clinical research organizations and pharmaceutical companies are increasingly harnessing the power of artificial intelligence (AI) to streamline and automate multiple processes involved in clinical trials. This integration not only alleviates the workload for staff members but also significantly minimizes the risk of errors, thereby enhancing the overall efficiency of the trials.

•  By employing advanced machine learning (ML) algorithms and computer vision technologies, these organizations are able to analyze vast datasets rapidly and effectively. This capability allows for the swift identification and screening of potential drug candidates, which is critical in the often time-sensitive pharmaceutical development pipeline. As a result, researchers can focus more on strategic decision-making and innovation, while AI-driven tools handle the more labor-intensive aspects of data processing and analysis.

•  The volume of clinical data is surging at an unprecedented rate, prompting a heightened interest in sophisticated medical trial data management tools. This surge can be attributed to the emergence of big data technologies, which facilitate advanced predictive modeling of complex biological processes and the effects of various drugs. As a result, research organizations are increasingly harnessing the potential of electronic health records (EHRs) to conduct in-depth analyses aimed at identifying the most suitable candidates for participation in clinical trials. By leveraging the wealth of information contained within EHRs, such as patient demographics, medical histories, and treatment outcomes, these organizations aim to optimize patient selection, enhance the efficiency of clinical trials, and ultimately improve the development of new therapies.

U.S. Clinical Trials Market Report Segmentation Insights

Phase Insights

By phase insights, the phase III segment dominates the U.S. clinical trials market. Phase III clinical trials are characterized by their substantial scale, often engaging a diverse and large cohort of participants. These trials frequently take place across numerous sites and multiple countries, enhancing the breadth and applicability of the findings. The intricacies and demands of Phase III trials necessitate meticulous planning and robust logistical support. This careful coordination is crucial to guarantee that investigational products are delivered promptly and efficiently to each trial site, ensuring that the study can proceed without delays and that data collection is both accurate and consistent. The pharmaceutical industry heavily depends on clinical trials as a fundamental process to establish both the safety and effectiveness of new drugs and therapeutic interventions. These trials are meticulously designed studies that involve human participants and are conducted in several phases to assess various factors, such as dosage, side effects, and overall therapeutic benefits. Each phase of a clinical trial serves a specific purpose, starting with Phase I, which focuses on safety and dosage, moving to Phase II, where the drug's efficacy is evaluated, and culminating in Phase III, which involves larger populations to confirm effectiveness and monitor adverse reactions. The data collected from these trials are essential for regulatory approval and are critical in informing healthcare providers and patients about the potential benefits and risks associated with new medications.

The Phase I segment of the market is projected to experience the most significant growth potential throughout the analysis period. This growth can be largely attributed to the escalating demand for cutting-edge treatments and tailored medicine that cater to individual patient needs. Moreover, there has been a notable increase in funding from pharmaceutical companies as well as supportive government initiatives, which further boosts development. Additionally, rapid technological advancements in the fields of drug discovery and development are playing a crucial role in driving this segment forward.

Service Insights

The patient recruitment segment dominated the market share, reflecting a significant increase in the number of clinical studies being conducted globally. This surge in clinical research is consequently heightening the demand for comprehensive patient recruitment services. Factors such as rising investments in clinical research funding and the widespread adoption of digital technologies within the sector are also contributing to the growth and expansion of this market segment.

Additionally, the clinical trial data management services segment captured a considerable market share. This growth is primarily driven by the increasing reliance on advanced data management services, coupled with the trend toward decentralized clinical trials. The incorporation of advanced technologies, such as Artificial Intelligence (AI) and Machine Learning (ML), into data entry, analysis, and quality control processes is significantly enhancing the demand for these services, ensuring more efficient and reliable outcomes in clinical research.

Study Design Insights

The interventional segment emerged as the predominant revenue generator in the U.S. clinical trials market. This aspect ensures that investigational products and essential materials are not only being optimized efficiently but also estimated for the preventive measures and treatment impact. Maintaining strict compliance with regulatory standards throughout this process is crucial, as it safeguards the integrity of the trial and guarantees that the necessary resources are available when needed. This complex network of interventional designs and increasing prevalence of infections requires careful planning and treatment to meet the demands of the trial while upholding the highest safety and quality standards.

In parallel, the observational design segment is anticipated to achieve substantial growth over the forecast period. Observational studies are gaining traction because they allow researchers to evaluate real-world outcomes without the imposition of interventions. This method is increasingly favored for its capacity to provide valuable insights into diverse patient populations, the progression of diseases, and treatment patterns in natural settings. Such insights are critical for improving healthcare practices and outcomes.

Indication Insights

The oncology segment dominates the market for U.S. clinical trials thanks to the integration of innovative technologies and artificial intelligence (AI). This integration is set to enhance cancer diagnosis and treatment methodologies drastically. Advanced algorithms and machine-learning models are being developed to analyze a plethora of data, including medical imaging, patient histories, and genomic information, with remarkable precision. By leveraging this data, AI can aid oncologists in making more informed decisions, tailoring treatment plans specifically to the individual patient’s profile, and predicting treatment responses. This paradigm shift not only aims to improve the efficacy of cancer treatment but also enhances the efficiency and personalization of outpatient care, ultimately striving for better health outcomes for cancer patients.

The cardiovascular disease segment estimates faster growth in the U.S. clinical trial market. This significant growth can be largely attributed to the increasing incidence of cardiovascular diseases worldwide, which has become a pressing public health concern. Contributing factors include an aging population, rising levels of obesity, sedentary lifestyles, and unhealthy dietary habits, all of which exacerbate the prevalence of conditions such as hypertension, coronary artery disease, and heart failure. As awareness of these health issues continues to grow and advancements in treatment options emerge, the demand for cardiovascular-related products and services is expected to surge, further solidifying this segment's leading position in the market.

U.S. Clinical Trials Market Company Insights :

The key market players are undertaking several strategic initiatives, such as acquisitions, partnerships, expansion, agreements, collaborations, etc., to increase market presence and gain a competitive edge, driving market growth. For instance, in August 2024, SGS launched new specialized bioanalytical testing services in Hudson, U.S. Such introduction broadened the company’s service offerings to cater large client base.

Key U.S. Clinical Trials Companies:

•  IQVIA

•  Fortrea Inc.

•  PAREXEL International Corporation

•  Thermo Fisher Scientific Inc.

•  Charles River Laboratories

•  ICON Plc

•  Wuxi AppTec Inc.

•  Medpace

•  Syneos Health

•  AstraZeneca

•  Merck & Co.

•  Eli Lilly and Company

•  Novo Nordisk A/S

•  Pfizer

•  Caidya

U.S. Clinical Trials Market Recent Developments

•  In February 2025, Alys Pharmaceuticals, an immuno-dermatology company, received clearance from the Food and Drug Administration (FDA) for a Phase IIa trial of ALY-101 for alopecia areata. Alopecia areata, an autoimmune disease that causes hair loss, leads to diminished quality of life and psychological distress.

•  In July 2024, US startup RxE2 used AI for behavior-based clinical trials with its platform, Habitu, which adapts to patient habits to optimize interventions and offers comprehensive support.

• In July 2024, Charles River Laboratories International, Inc. collaborated with the FOXG1 Research Foundation (FRF) to accelerate drug development through the clinical phase for FOXG1 syndrome.

• In March 2024, Thermo Fisher Scientific Inc. Launched a CorEvitas syndicated clinical registry in Generalized Pustular Psoriasis (GPP) to address the need for real-world evidence on clinical and patient-reported outcomes. This new registry will gather comprehensive patient-level data to assess disease progression, treatment patterns, and comorbidities.

U.S. Clinical Trials Market Report Segmentation

This report forecasts revenue growth at U.S and country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2019 to 2034. For this study, Statifacts has segmented the global U.S. Clinical Trials Market

By Phase

 •  Phase I

 •  Phase II

 •  Phase III

 •  Phase IV

By Study Design

  •  Interventional

  •  Observational

  •  Expanded Access

By Indication

 •  Autoimmune/Inflammation

     o Rheumatoid Arthritis

     o Multiple Sclerosis

     o Osteoarthritis

     o Irritable Bowel Syndrome (IBS)

     o Others

•  Pain Management

      o Chronic Pain

      o Acute Pain

•  Oncology

      o Blood Cancer

      o Solid Tumors

      o Other

•  CNS Conditions

      o Epilepsy

      o Parkinson's Disease (PD)

      o Huntington's Disease

      o Stroke

      o Traumatic Brain Injury (TBI)

      o Amyotrophic Lateral Sclerosis (ALS)

      o Muscle Regeneration

      o Others

 •  Diabetes

 •  Obesity

 •  Cardiovascular

 •  Others

Indication By Study Design

•  Autoimmune/Inflammation

       o Interventional

       o Observational

       o Expanded Access

•  Pain Management

      o Interventional

      o Observational

      o Expanded Access

•  Oncology

      o Interventional

      o Observational

      o Expanded Access

• CNS Conditions

        o Interventional

        o Observational

        o Expanded Access

•  Diabetes

      o Interventional

      o Observational

      o Expanded Access

•  Obesity

    o Interventional

    o Observational

    o Expanded Access

• Cardiovascular

   o Interventional

   o Observational

   o Expanded Access

• Others

    o Interventional

    o Observational

    o Expanded Access

By Service

   • Protocol Designing

   • Site Identification

   •  Patient Recruitment

   •  Laboratory Services

   •  Bioanalytical Testing Services

   •  Clinical Trial Data Management Services

   •  Others

By Sponsor

• Pharmaceutical & Biopharmaceutical Companies

•  Medical Device Companies

•  Others

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Browse More Insights;

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·         U.S. Clinical Trials Supply And Logistics - Industry Report, 2034 : https://www.statifacts.com/outlook/us-clinical-trials-supply-and-logistics-market

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·         U.S. Clinical Trials Support Services - Industry Report, 2034: https://www.statifacts.com/outlook/us-clinical-trials-support-services-market

·         U.S. Cardiovascular Clinical Trials - Industry Report, 2034 : https://www.statifacts.com/outlook/us-cardiovascular-clinical-trials-market

·         AI-based Clinical Trials Solution Provider - Worldwide :: https://www.statifacts.com/outlook/ai-based-clinical-trials-solution-provider-market

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