The state of enrollment in 2026. Straight from the people running trials.
Everyone has an opinion on why enrollment is slowing down. We went to the source.
Based on survey responses from hundreds of site staff and clinical researchers, the State of Enrollment 2026 report reveals what’s actually shaping patient recruitment today. From operational bottlenecks and patient expectations to the strategies sites say are finally moving the needle, this report provides actionable insights you won’t find anywhere else.
No assumptions. No recycled benchmarks. Just an unfiltered look at what’s working, what’s broken, and what study teams need to rethink to enroll with confidence in 2026.
What's inside this report
Insights into the biggest enrollment challenges sites are facing today and which obstacles actually slow studies down versus those that just get the blame.
Firsthand perspectives on patient engagement that reveal what motivates participation and keeps patients moving from interest to enrollment.
An unfiltered look at how technology is impacting recruitment and enrollment, including where tools are helping and what sites actually want next.
A forward-looking view of what 2026 holds based on what site staff and clinical researchers say they need to enroll more efficiently in the year ahead.