A new drug’s mechanism-of-action exclusivity often lasts only half as long as in the early 2000s, fueling pharmaceutical stakeholders’ calls for accelerated trial timelines. Capture rates are now staggering, often representing 10% to 20% of all patients. At the same time, 53% of clinical trial sites say they have insufficient bandwidth to support their current phase 2 or 3 trials, according to a Bain survey. And 56% say complexity has increased from just three years ago (see Figure 1).