The global clinical trials support services market size is expected to reach USD 47.00 billion by 2033, registering a CAGR of 7.93% from 2026 to 2033, according to a new report by Grand View Research, Inc. Increasing the number of CROs offering clinical trial support services, and huge investment in research & development by the pharmaceutical and biopharmaceutical companies are the key factors driving the market growth. The industry felt the impact of the COVID-19 pandemic. The pandemic disrupted the supply chain to a severe extent in 2020. However, it also revealed ways to grow, either through M&A or through the adoption of digital technologies in clinical research.
Clinical trials encounter some concerning statistics, such as 85% of the clinical trials fail to recruit enough participants, 80% are delayed due to recruiting challenges, and the rate of dropout of participants is increasing. However, to overcome this, a patient retention strategy that is engaging and gives clarity is required. It is critical to ensure that the informed consent materials are simple to grasp. According to a CISCRP study, 35% of trial participants who later dropped out stated that informed consent was difficult to comprehend. An average American is 7th to 8th grade educated, and it is critical to guarantee and analyze the material’s readability before submitting it to the Institutional Review Board (IRB).
Adoption of virtual clinical trials across the clinical trials support services industry is one of the major factors that has boosted revenue growth post-pandemic. An increasing number of clinical research organizations are focusing on the adoption of virtual technologies to streamline their clinical research services. According to the latest Annual CRO Report by the Veeva Unified Clinical Operations Survey, CROs are making significant advancements to speed up and modernize clinical trials. Findings from Veeva Systems reflect that CROs have taken decisive action to streamline trial execution by adopting new technologies and digital strategies that replace manual processes, eradicate information siloes, and enable trial collaborations.
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The phase III segment led the market with the largest revenue share of 54.6% in 2025.
The clinical trial site management segment accounted for the largest market revenue share in 2025. The segment growth is driven by a rising number of clinical trials, high prevalence of chronic diseases, and an increase in the number of CROs offering services.
The pharmaceutical & biopharmaceutical companies segment accounted for the largest market revenue share in 2025. This can largely be attributed to the expanding R&D pipelines in oncology, immunology, rare diseases, and advanced biologics.
North America dominated the global clinical trials support services market with the largest revenue share of 48.50% in 2025.
Grand View Research has segmented the global clinical trials support services market on the basis of on phases, service, sponsor and region:
Clinical Trials Support Services Phases Outlook (Revenue, USD Million, 2021 - 2033)
Phase I
Phase II
Phase III
Phase IV
Clinical Trials Support Services Service Outlook (Revenue, USD Million, 2021 - 2033)
Clinical Trial Site Management
Patient Recruitment Management
Patient recruitment & Registry Services
Patient retention
Others
Data Management
Administrative Staff
IRB
Others
Clinical Trials Support Services Sponsor Outlook (Revenue, USD Million, 2021 - 2033)
Pharmaceutical & biopharmaceutical companies
Medical device companies
Others
Clinical Trials Support Services Regional Outlook (Revenue, USD Million, 2021 - 2033)
North America
U.S.
Canada
Mexico
Europe
UK
Germany
France
Italy
Spain
Sweden
Denmark
Norway
Asia Pacific
Japan
China
India
Thailand
South Korea
Australia
Latin America
Brazil
Argentina
Colombia
Middle East & Africa
South Africa
Saudi Arabia
UAE
Oman
Qatar
Kuwait
List of key players in the global Clinical Trials Support Services Market
Charles River Laboratories International, Inc.
Wuxi Apptec, Inc.
Iqvia Holdings, Inc.
Syneos Health, Inc.
Eurofins Scientific
PPD, Inc. (Pharmaceutical Product Development)
Icon Plc
Laboratory Corporation of America Holdings (Labcorp)
Alcura
Parexel International Corporation
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