This document summarizes the current regulatory challenges for conducting clinical trials in India. It outlines the evolution of India's clinical trial regulatory framework over time in response to incidents of malpractice. Key recommendations from an expert committee include accrediting clinical sites and investigators, establishing expert review committees, and providing compensation for injuries from trials. Regulatory actions by Indian authorities aim to implement these recommendations. The pharmaceutical industry desires further clarity on issues like liability and access to drugs post-trials. Overall improvements are expected in areas like accreditation, compensation policies, and transparency of the regulatory system.