A clinical trial management system could benefit companies that have recently merged, increased the number or complexity of trials, participate in global trials, or outsource trial activities. Key indicators that a CTMS is needed include an inability to compare similar trials due to disparate tracking methods, a lack of a comprehensive investigator database, and increased need for real-time trial information and reporting to integrate with other systems. A CTMS could help address these issues through features like standardized tracking across trials and a central investigator database.