Enrollment failure evidence

Clinical trial enrollment failure: search recruitment and accrual stops

Clinical trial enrollment failure is one of the most common reasons studies stop, but it should not be confused with biological drug failure. This page focuses on stopped records where the source language points to recruitment, enrollment, accrual, or feasibility problems.

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What enrollment failure means

Enrollment failure means a trial could not recruit or accrue enough participants to continue as planned. That can happen before treatment starts, during active recruitment, or after trial conditions change.

Common source language includes slow accrual, insufficient accrual, unable to recruit, enrollment goals not met, poor recruitment, or sites not recruiting as planned.

Why it is different from drug failure

An enrollment stop often tells you more about feasibility than biology. The intervention may not have been tested enough to conclude whether it worked, failed, or created safety problems.

That does not make enrollment failure unimportant. Recruitment problems can reveal narrow eligibility, competitive pressure, trial burden, site execution issues, or patient population problems.

How to analyze enrollment stops

The most useful workflow is to compare enrollment stops by phase, disease area, sponsor, and condition. A single enrollment stop may be noise. Repeated enrollment stops in the same niche can be a meaningful development signal.

Use this page as a starting point, then verify the source NCT records and look for protocol amendments, enrollment targets, actual enrollment, site footprint, and competing trials.

Original dataset signals

Enrollment and recruitment signals in the dataset

This page uses a targeted slice of stopped records with enrollment, recruitment, accrual, and feasibility language. It is useful because enrollment failure is common and analytically different from efficacy or safety failure.

Enrollment-related records7,173

Stopped records matching enrollment, recruitment, accrual, or feasibility language.

Terminated records5,470

The largest status group in this enrollment-related slice.

Largest disease area2,583 Oncology

Oncology is the largest recruitment-related disease-area slice.

Enrollment-related status mix

Terminated
5,470
Withdrawn
1,584
Suspended
119

Largest disease areas

Oncology
2,583
Other
1,692
Gastroenterology & Hepatology
480
Infectious Disease
479

Example records to verify

NCT01555554

Perioperative propranolol in patients with PTSD

Operational

The source language says the study was unable to meet enrollment goals, a direct enrollment failure signal rather than a biological failure signal.

Open trial record
NCT04106856

Losartan and hypofractionated radiation after chemotherapy in pancreatic cancer

Operational

The record says the trial closed due to slow accrual, which is useful for feasibility analysis in oncology development.

Open trial record
NCT01871571

Bevacizumab and chemotherapy before surgery in stage II-III rectal cancer

Operational

The registry stop language says insufficient accrual, a clean example of why enrollment stops should be separated from efficacy failures.

Open trial record

Counts are generated from the current ClinicalTrials.gov-derived stopped-trial dataset. Enrollment signals are screening labels and should be verified against the primary NCT record and source language.

Frequently asked questions

Is enrollment failure a failed clinical trial?

It can be a failed trial execution signal, but it is not automatically a biological failure or failed drug signal.

Why do clinical trials fail to enroll?

Reasons can include narrow eligibility, patient availability, trial burden, site activation, competing studies, changed standard of care, or sponsor execution problems.

How can I find recruitment-related stopped trials?

Use Explore and search terms such as enrollment, recruitment, accrual, slow accrual, unable to recruit, or insufficient accrual.