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ISR’s Clinical Development 
ISRreports.com | info@ISRreports.com | @ISRreports 
The Pharma & Biotech stock index grew by more than 32.5% in 2014, and the increasing number of public 
CROs saw their stock prices rise as well. In 2014, the clinical development industry saw an increased shift 
toward Risk-Based Monitoring methodologies and an increased reliance on eClinical technologies. For more 
information on these trends and ISR’s CRO market size projections through 2018, visit www.ISRreports.com. 
percent growth 
Pharma & Biotech 
Stock Index 
+32.5% 
CRO Stock Price 
(Q, PRXL, CVD, ICON, 
CRL) +16.2% 
3Q 2013 3Q 2014 
Pharma R&D 
-4.5% 
eClinical technology continued to play a 
growing role in clinical development in 
2014. ISR’s research found that 
“integration” is gaining the most importance 
among eClinical system users. 
ISR’s respondents said they integrate 
CTMS applications with: 
IRT systems 17% 
of the time 
2014 saw even more CROs going public, a trend that 
PAREXEL’s SVP and CFO, Ingo Bank, said he expects 
to continue in the coming years. 
Merger and Acquisition activity in the 
Pharmaceutical and Life Science Industry 
continued to grow in 2014. 
Total deal value (Q1-Q3): 
Number of Investigational New Drug applications, by quarter 
Increasing use of multiple countries 
Technology becoming increasingly critical 
Growing use of RBM Expansion of preferred provider lists 
China becoming more common for subject recruitment 
More complex trials eClinical data integration on the rise 
2014 saw an increase in the number of clinical trials using Risk-Based 
Monitoring. For details on the growth and implementation of RBM, see 
ISR’s “The Evolution of Risk-Based Monitoring” infographic. 
65% of ISR 
respondents 
consider their 
volume of risk-based 
monitoring in Phase 
II/III studies to be 
increasing. 
65% 40% 
ISR respondents 
report that 40% 
of their Phase 
II/III studies 
include 
risk-based 
monitoring. 
EDC IRT ePRO 
EDC systems 44% 
of the time 
Already Public 2014 IPO 
ePRO systems 
15% of the time 
ISR Research 
fda.gov 
google.com/finance 
ISR’s ”CTMS Market Dynam-ics 
and Service Provider 
Benchmarking” 
ISR’s “The Evolution of 
Risk-Based Monitoring 
PwC 
Thomson Reuters 
ICON 
PAREXEL 
Covance 
Quintiles 
PRA 
INC 
RESEARCH 
Oct.- 
Dec. 
2012 
Jan. - 
March 
2013 
April - 
June 
2013 
July - 
Sept. 
2013 
Oct. - 
Dec. 
2013 
Jan. - 
March 
2014 
April - 
June 
2014 
July - 
Sept. 
2014 
66 78 
176 
92 
107 
Q3 
Q2 
Q1 
$79B 
$106B 
$121B 
$21B 
$21B 
2012 
$18B 
$11B 
$77B 
$61B 
$15B 
$45B 
$37B 
2013 2014 
72 64 
93

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2014 Clinical Development Year in Review

  • 1. ISR’s Clinical Development ISRreports.com | info@ISRreports.com | @ISRreports The Pharma & Biotech stock index grew by more than 32.5% in 2014, and the increasing number of public CROs saw their stock prices rise as well. In 2014, the clinical development industry saw an increased shift toward Risk-Based Monitoring methodologies and an increased reliance on eClinical technologies. For more information on these trends and ISR’s CRO market size projections through 2018, visit www.ISRreports.com. percent growth Pharma & Biotech Stock Index +32.5% CRO Stock Price (Q, PRXL, CVD, ICON, CRL) +16.2% 3Q 2013 3Q 2014 Pharma R&D -4.5% eClinical technology continued to play a growing role in clinical development in 2014. ISR’s research found that “integration” is gaining the most importance among eClinical system users. ISR’s respondents said they integrate CTMS applications with: IRT systems 17% of the time 2014 saw even more CROs going public, a trend that PAREXEL’s SVP and CFO, Ingo Bank, said he expects to continue in the coming years. Merger and Acquisition activity in the Pharmaceutical and Life Science Industry continued to grow in 2014. Total deal value (Q1-Q3): Number of Investigational New Drug applications, by quarter Increasing use of multiple countries Technology becoming increasingly critical Growing use of RBM Expansion of preferred provider lists China becoming more common for subject recruitment More complex trials eClinical data integration on the rise 2014 saw an increase in the number of clinical trials using Risk-Based Monitoring. For details on the growth and implementation of RBM, see ISR’s “The Evolution of Risk-Based Monitoring” infographic. 65% of ISR respondents consider their volume of risk-based monitoring in Phase II/III studies to be increasing. 65% 40% ISR respondents report that 40% of their Phase II/III studies include risk-based monitoring. EDC IRT ePRO EDC systems 44% of the time Already Public 2014 IPO ePRO systems 15% of the time ISR Research fda.gov google.com/finance ISR’s ”CTMS Market Dynam-ics and Service Provider Benchmarking” ISR’s “The Evolution of Risk-Based Monitoring PwC Thomson Reuters ICON PAREXEL Covance Quintiles PRA INC RESEARCH Oct.- Dec. 2012 Jan. - March 2013 April - June 2013 July - Sept. 2013 Oct. - Dec. 2013 Jan. - March 2014 April - June 2014 July - Sept. 2014 66 78 176 92 107 Q3 Q2 Q1 $79B $106B $121B $21B $21B 2012 $18B $11B $77B $61B $15B $45B $37B 2013 2014 72 64 93