Report Code : CVMI29123859 | Published Date : March 26, 2025
Market Overview:
The European clinical trials market is rapidly evolving, driven by regulatory harmonization under the EU Clinical Trials Regulation (CTR), increased investment in decentralized trials, and growth in research on oncology, rare diseases, and precision medicine. Leading research hubs in Germany, France, the UK, and the Netherlands are complemented by a rise in trial activity in Eastern Europe, which is due to cost efficiency and faster patient recruitment.
Market Size and Forecast
Year |
Market Value (USD Billion) |
Notes |
2019 |
11.6 |
Covers Phase I–IV across pharma, biotech, and medical device segments |
2024 |
16.5 |
CAGR 7.3% (2019–2024); accelerated by COVID-era trial digitization |
2031 |
25.8 |
CAGR 6.5% (2024–2031); sustained by rare disease and oncology expansion |
Market Drivers
- EU Clinical Trials Regulation (CTR) facilitates single-portal, cross-border applications.
- Strong academic research infrastructure and public-private partnerships (IMI, ECRIN)
- Growth in rare disease and pediatric trials supported by EU orphan incentives
- Adoption of digital recruitment, eConsent, and remote monitoring tools
- Increasing presence of global CROs and trial sponsors in CEE countries
Market Challenges
- Varying data privacy laws (GDPR) complicating digital trial design
- Workforce shortages in clinical research nurses and data managers
- Cost constraints and delays due to multi-country protocol customization
Competitive Landscape
Company |
Core Strengths |
Recent Developments |
ICON plc |
Oncology trials, DCT platforms |
Expanded European HQ in Amsterdam (2024) |
IQVIA |
Data-driven trials, tech-enabled monitoring |
Launched GDPR-compliant eConsent suite (2025) |
Labcorp Drug Dev |
Early-phase research, biosample logistics |
Added EU-wide biomarker lab in Germany (2024) |
PPD (Thermo Fisher) |
Global reach, regulatory strategy expertise |
Partnered with ECRIN for rare disease trials (2025) |
Regional Insights
- Western Europe – High trial density and sponsor activity, especially in oncology
- Central & Eastern Europe – Cost-efficient recruitment and faster start-up timelines
- Nordics – Pioneering DCTs and biobank-linked studies
Reasons To Buy

Scope

Key Players
- IQVIA
- ICON plc
- Parexel International
- Labcorp Drug Development (Covance)
- PPD (part of Thermo Fisher Scientific)
- Syneos Health
- Charles River Laboratories
- Medpace
- WuXi AppTec
- PRA Health Sciences
- Clinipace
- PSI CRO
- Covance Inc.
- AstraZeneca
- Novo Nordisk
Clinical Trials Market Report
- 1. Clinical Trials Market Research Report
- 1.1 Study Objectives
- 1.2 Clinical Trials Market - Overview
- 1.3 Reason to Read This Report
- 1.4 Methodology and Forecast Analysis
- 2. Clinical Trials Market Research Report - Preface
- 2.1 Clinical Trials Market Research Report – Detailed Scope and Definitions
- 2.1.1 By Phase:
- 2.1.2 By Study Design
- 2.1.3 By Therapeutic Area
- 2.1.4 By Region
- 2.1 Clinical Trials Market Research Report – Detailed Scope and Definitions
- 3. Clinical Trials Market Dynamics
- 3.1. Drivers - Macro-Economic Based, Supply Side, and Demand Side Drivers
- 3.2. Restraints – By Phase:, By Study Design, By Therapeutic Area, By Country
- 3.3. Opportunities – By Phase:, By Study Design, By Therapeutic Area, By Country
- 3.4. Trends – By Phase:, By Study Design, By Therapeutic Area, By Country
- 3.5. PEST Analysis
- 3.6. Porters Five Rule Analysis
- 3.7. Company’s Share Analysis (CSA) by Region or By Country
- 3.8. Clinical Trials Market Research Report – DROTs Impact Analysis
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- 4. Clinical Trials Market Research Report, Historic Data 2019 - 2023 and Forecast Analysis Data 2024 - 2031
- 4.1. Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 4.2. Annual Market Trend Assessment – Year-on-Year (YoY) Growth Analysis (%)
- 4.3. Incremental Market Value/Volume Opportunity between 2019 - 2023 and 2024 - 2031
- 4.4. Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 5. Clinical Trials Market, By Phase:, 2019 - 2023 and Forecast, 2024 - 2031 (Market Value, In USD Mn)
- 5.1 Phase I – Safety and dosage testing (small group),
- 5.1.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 5.1.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 5.1.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 5.1.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 5.2 Phase II – Efficacy and side effects (medium-sized group)
- 5.2.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 5.2.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 5.2.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 5.2.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 5.3 Phase III – Confirmation of effectiveness and monitoring of side effects (large group)
- 5.3.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 5.3.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 5.3.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 5.3.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 5.4 Phase IV – Post-marketing surveillance after drug approval
- 5.4.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 5.4.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 5.4.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 5.4.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 6.1 Interventional Trials – Participants receive specific interventions (e.g., drug, procedure)
- 6.1.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 6.1.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 6.1.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 6.1.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 6.2 Observational Trials – Outcomes are observed without assigning interventions
- 6.2.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 6.2.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 6.2.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 6.2.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 6.3 Expanded Access Trials – For patients not eligible for clinical trials to access investigational treatments
- 6.3.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 6.3.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 6.3.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 6.3.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 7.1 Oncology (Cancer)
- 7.1.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 7.1.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 7.1.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 7.1.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 7.2 Cardiovascular Diseases
- 7.2.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 7.2.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 7.2.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 7.2.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 7.3 Infectious Diseases (e.g., COVID-19, HIV)
- 7.3.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 7.3.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 7.3.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 7.3.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 7.4 Neurological Disorders
- 7.4.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 7.4.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 7.4.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 7.4.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 7.5 Autoimmune/Inflammatory Diseases
- 7.5.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 7.5.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 7.5.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 7.5.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 8. Clinical Trials Market Forecast, By Region, 2019 - 2023 and 2024 - 2031 (Market Value, In USD Mn)
- 8.1 Europe
- 8.1.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 8.1.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 8.1.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 8.1.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 8.1 Europe
- 9. Europe Clinical Trials Market Analysis, 2019 - 2023 and Forecast, 2024 - 2031 (Market Value, In USD Mn)
- 9.1 By Phase: Analysis 2019 - 2023 and Forecast, 2024 - 2031 by Market Assessment (USD Mn), Yearly Growth Rate (%), and Market Presence (%)
- 9.1.1 Phase I – Safety and dosage testing (small group),
- 9.1.2 Phase II – Efficacy and side effects (medium-sized group)
- 9.1.3 Phase III – Confirmation of effectiveness and monitoring of side effects (large group)
- 9.1.4 Phase IV – Post-marketing surveillance after drug approval
- 9.2.1 Interventional Trials – Participants receive specific interventions (e.g., drug, procedure)
- 9.2.2 Observational Trials – Outcomes are observed without assigning interventions
- 9.2.3 Expanded Access Trials – For patients not eligible for clinical trials to access investigational treatments
- 9.3.1 Oncology (Cancer)
- 9.3.2 Cardiovascular Diseases
- 9.3.3 Infectious Diseases (e.g., COVID-19, HIV)
- 9.3.4 Neurological Disorders
- 9.3.5 Autoimmune/Inflammatory Diseases
- 9.4.1 Germany
- 9.4.2 United Kingdom
- 9.4.3 France
- 9.4.4 Spain
- 9.4.5 Italy
- 9.4.6 Russia
- 9.5 Europe Clinical Trials Market – Opportunity Analysis Index, By Phase:, By Study Design, By Therapeutic Area, and Country, 2024 - 2031
- 9.6 Regional Trends Analysis
- 9.7 Europe Clinical Trials Market Research Report - Company Profiles
- 9.7.1 Company 1 (Germany)
- 9.7.2 Company 2 (United Kingdom)
- 9.7.3 Company 3 (United Kingdom)
- 10.1 Strategic Dashboard of Top Market Players
- 10.2 Company Profiles (Introduction, Financial Assessments, Portfolio of Offerings, Milestones and Achievements, Strategic Initiative, and SWOT Analysis)
- 10.2.1 IQVIA
- 10.2.2 ICON plc
- 10.2.3 Parexel International
- 10.2.4 Labcorp Drug Development
- 10.2.5 PPD
- 10.2.6 Syneos Health
- 10.2.7 Charles River Laboratories
- 10.2.8 Medpace
- 10.2.9 WuXi AppTec
- 10.2.10 PRA Health Sciences
- 10.2.11 Clinipace
- 10.2.12 PSI CRO
- 10.2.13 Covance Inc.
- 10.2.14 AstraZeneca
- 10.2.15 Novo Nordisk
- 9.1 By Phase: Analysis 2019 - 2023 and Forecast, 2024 - 2031 by Market Assessment (USD Mn), Yearly Growth Rate (%), and Market Presence (%)
- 11. Data Collection Method and Research Approach
- 12. Principal Presumptions and Acronyms