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Why Traditional Patient Recruitment Is No Longer Enough — And What We Must Do Next

Efi Kozlovsky
/
May 28, 2025

In today’s competitive clinical research landscape, patient recruitment remains one of the most stubborn bottlenecks. Despite enormous advances in trial design, regulatory science, and precision medicine, many sponsors and CROs still rely on traditional recruitment strategies — and the cracks are showing.

These older methods,like physician referrals, physical flyers, and local advertising, were once the backbone of recruitment efforts. But today, they fall short in several critical ways:

  • Limited reach: They often tap into only narrow patient pools.
  • Slow timelines: Manual processes can’t keep pace with modern trial demands.
  • Lack of diversity: Underrepresented populations are frequently left out.
  • Missed targets: According to the Tufts Center for the Study of Drug Development (CSDD), over 80% of clinical trials are delayed due to recruitment challenges, and more than 50% of sites under-enroll (Tufts CSDD, https://csdd.tufts.edu/).

 

Why Innovation Is Essential

To overcome these challenges, the industry needs to embrace innovative, tech-driven solutions.These new methods combine the best of digital technology, data science, and patient-centric design to transform recruitment from a bottleneck into acompetitive advantage.

Some of the most promising strategies include:

  • AI-powered patient matching — Using artificial intelligence to sift through eligibility criteria and match patients more accurately.
  • ‍Electronic health record (EHR) integration — Pre-screening patients based on real-world data in clinical practice databases.
  • ‍Digital and social media outreach — Engaging patients directly where they are ,on mobile apps, social platforms and online communities.
  • ‍Culturally sensitive, geotargeted campaigns — Reaching under represented populations through tailored messaging that speaks to their needs and buildstrust.

Examples ofInnovation in Action

Companies like RecruitLeap are at the forefront of this change, integrating AI engines directly into clinical practice systems to speed up and improve patient identification. Meanwhile, initiatives like the Clinical Trials Transformation Initiative (CTTI) provide frameworks for decentralized trials and digital recruitment methods (CTTI, https://www.ctti-clinicaltrials.org/).

Other key players advancing best practices include:

  • TransCelerate Biopharma Inc.: Offering industry-wide tools and standards for digital recruitment (https://www.transceleratebiopharmainc.com/).
  • GlobalData: Delivering market insights on emerging recruitment trends (https://www.globaldata.com/).
  • World Health Organization (WHO): Calling for increased diversity and inclusion in clinical trials (https://www.who.int/).

 

The Way Forward

Better recruitment doesn’t just help trials run faster — it improves science it self. When we reduce delays, include diverse populations, and increase enrollment accuracy, we strengthen the reliability of results and bring life saving therapies to market sooner.

It’s time for the research community to leave outdated methods behind and fully embrace the power of digital transformation. With the right tools, partners, and mindset, we can build a smarter, faster, and more inclusive future for clinical research.

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