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Accelerating Clinical Trials in the EU

Implementation of the Clinical Trials Regulation

EU clinical trials: 3 years under the CTR

Progress on CTR implementation

Under ACT EU, the European medicines regulatory network (EMRN) publishes statistics on the authorisation of clinical trials in the European Union (EU)/European Economic Area (EEA). This information provides an insight into how the CTR is transforming the clinical trial environment in the EU/EEA.

The reports are based on data retrieved from the Clinical Trials Information System (CTIS).

Implementation progress reports

Targeted surveys collect feedback from clinical trial sponsors on their experience with the implementation of the CTR and the use of CTIS. 

Summary reports of past surveys are available:

Materials to support clinical trial sponsors

The CTIS sponsor handbook is the reference document for clinical trial sponsors using CTIS. 

A stakeholder focus group, created under the ACT EU Multi-Stakeholder Platform, reviewed and validated the handbook to ensure it meets the needs of the sponsor community. 

EMA website: CTIS Handbook for sponsors

ACT EU has also published a recommendation paper with frequent issues identified during assessment of Part I and Part II. This practical tool helps sponsors anticipate and address common concerns proactively, accelerating the start of trials.

EC website: Frequent issues in Part I and Part II assessments

Transparency in CTIS

The revised CTIS transparency rules became applicable on 18 June 2024, with the launch of a new version of the CTIS public portal. 

Additional materials are available to support sponsors in the implementation of the revised rules:

Related documents

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  • General publications
  • 7 November 2025
Revised CTIS transparency rules & historical trials: quick guide for users
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  • General publications
  • 7 November 2025
Guidance document on how to approach the protection of personal data and commercially confidential information while using the Clinical Trials Information System (CTIS) Version 2.1
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  • General publications
  • 7 November 2025
Annex I - Guidance document on how to approach the protection of personal data and commercially confidential information while using the Clinical Trials Information System (CTIS) Version 2.1
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  • General publications
  • 13 December 2024
Q&A on the protection of commercially confidential information and personal data while using CTIS
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  • General publications
  • 4 July 2024
Report on the 2023 survey on the implementation of the Clinical Trials Regulation
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  • General publications
  • 26 April 2023
Report on the 2022 survey on the implementation of the Clinical Trials Regulation

News

  • News article

Following consultation with the Multi-stakeholder platform Advisory Group, new documents have been published to support sponsors in the implementation of the Clinical Trials Regulation (CTR).

  • 1 min read

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