{
 "edition": "2026-q4",
 "title": "Ireland Clinical Trials Performance Index",
 "published": "2026-10-28",
 "fetchedAt": {
  "Ireland": "2026-10-27T10:46:27.600Z",
  "Denmark": "2026-10-27T10:46:37.181Z",
  "Finland": "2026-10-27T10:46:40.199Z",
  "Norway": "2026-10-27T10:46:44.221Z",
  "Sweden": "2026-10-27T10:46:51.303Z",
  "Belgium": "2026-10-27T10:47:04.480Z",
  "Netherlands": "2026-10-27T10:47:16.166Z",
  "Austria": "2026-10-27T10:47:22.106Z",
  "Switzerland": "2026-10-27T10:47:29.156Z",
  "Portugal": "2026-10-27T10:47:33.639Z",
  "Czechia": "2026-10-27T10:47:40.268Z"
 },
 "source": "ClinicalTrials.gov API v2 (interventional studies with a site in the country, start date 2014 or later); population: Eurostat tps00001, 1 January 2025",
 "windows": {
  "starts": [
   2021,
   2025
  ],
  "completion": [
   2016,
   2025
  ],
  "results": [
   2016,
   2024
  ]
 },
 "population": {
  "Ireland": 5440278,
  "Denmark": 5992734,
  "Finland": 5635971,
  "Norway": 5594340,
  "Sweden": 10587710,
  "Belgium": 11883495,
  "Netherlands": 18044027,
  "Austria": 9197213,
  "Switzerland": 9051029,
  "Portugal": 11387222,
  "Czechia": 10909500
 },
 "codes": {
  "Ireland": "IE",
  "Denmark": "DK",
  "Finland": "FI",
  "Norway": "NO",
  "Sweden": "SE",
  "Belgium": "BE",
  "Netherlands": "NL",
  "Austria": "AT",
  "Switzerland": "CH",
  "Portugal": "PT",
  "Czechia": "CZ"
 },
 "indicators": [
  {
   "key": "startsPm",
   "label": "Trials started per million people",
   "unit": "per million a year",
   "dir": 1
  },
  {
   "key": "industryPm",
   "label": "Industry-sponsored trials per million people",
   "unit": "per million a year",
   "dir": 1
  },
  {
   "key": "earlyShare",
   "label": "Early-phase share of new trials",
   "unit": "% of starts",
   "dir": 1
  },
  {
   "key": "prospectiveShare",
   "label": "Registered before the first patient",
   "unit": "% of starts",
   "dir": 1
  },
  {
   "key": "completedShare",
   "label": "Completed rather than stopped early",
   "unit": "% of closed trials",
   "dir": 1
  },
  {
   "key": "resultsAnyShare",
   "label": "Results posted at all",
   "unit": "% of completed phase 2–4",
   "dir": 1
  },
  {
   "key": "results12Share",
   "label": "Results posted within 12 months",
   "unit": "% of completed phase 2–4",
   "dir": 1
  },
  {
   "key": "unknownShare",
   "label": "Records gone stale",
   "unit": "% of trials since 2014",
   "dir": -1
  },
  {
   "key": "medianMonthsIndustryLate",
   "label": "Median length, industry phase 2–4",
   "unit": "months, start to primary completion",
   "dir": 0
  }
 ],
 "countries": {
  "Ireland": {
   "starts": 579,
   "startsPm": 21.3,
   "industryStarts": 339,
   "industryPm": 12.5,
   "industryShare": 58.5,
   "earlyStarts": 35,
   "earlyShare": 6,
   "prospective": 478,
   "prospectiveShare": 82.6,
   "closed": 726,
   "completedShare": 86.9,
   "resultsBase": 287,
   "results12": 26,
   "results12Share": 9.1,
   "resultsAnyShare": 80.1,
   "startedSince2014": 1379,
   "unknownShare": 10.7,
   "nationalOnlyShare": 38.3,
   "medianMonthsIndustryLate": 33.7,
   "byYear": {
    "2014": {
     "n": 80,
     "industry": 39
    },
    "2015": {
     "n": 124,
     "industry": 64
    },
    "2016": {
     "n": 105,
     "industry": 57
    },
    "2017": {
     "n": 125,
     "industry": 80
    },
    "2018": {
     "n": 112,
     "industry": 73
    },
    "2019": {
     "n": 117,
     "industry": 70
    },
    "2020": {
     "n": 99,
     "industry": 56
    },
    "2021": {
     "n": 135,
     "industry": 84
    },
    "2022": {
     "n": 108,
     "industry": 58
    },
    "2023": {
     "n": 110,
     "industry": 64
    },
    "2024": {
     "n": 107,
     "industry": 58
    },
    "2025": {
     "n": 119,
     "industry": 75
    }
   }
  },
  "Denmark": {
   "starts": 2476,
   "startsPm": 82.6,
   "industryStarts": 824,
   "industryPm": 27.5,
   "industryShare": 33.3,
   "earlyStarts": 166,
   "earlyShare": 6.7,
   "prospective": 2121,
   "prospectiveShare": 85.7,
   "closed": 3398,
   "completedShare": 88.6,
   "resultsBase": 1076,
   "results12": 78,
   "results12Share": 7.2,
   "resultsAnyShare": 60.4,
   "startedSince2014": 6061,
   "unknownShare": 12.1,
   "nationalOnlyShare": 63.2,
   "medianMonthsIndustryLate": 31.1,
   "byYear": {
    "2014": {
     "n": 422,
     "industry": 137
    },
    "2015": {
     "n": 462,
     "industry": 164
    },
    "2016": {
     "n": 421,
     "industry": 137
    },
    "2017": {
     "n": 521,
     "industry": 194
    },
    "2018": {
     "n": 527,
     "industry": 173
    },
    "2019": {
     "n": 520,
     "industry": 182
    },
    "2020": {
     "n": 526,
     "industry": 171
    },
    "2021": {
     "n": 597,
     "industry": 206
    },
    "2022": {
     "n": 485,
     "industry": 145
    },
    "2023": {
     "n": 473,
     "industry": 140
    },
    "2024": {
     "n": 507,
     "industry": 171
    },
    "2025": {
     "n": 414,
     "industry": 162
    }
   }
  },
  "Finland": {
   "starts": 696,
   "startsPm": 24.7,
   "industryStarts": 367,
   "industryPm": 13,
   "industryShare": 52.7,
   "earlyStarts": 42,
   "earlyShare": 6,
   "prospective": 577,
   "prospectiveShare": 82.9,
   "closed": 1013,
   "completedShare": 84.8,
   "resultsBase": 468,
   "results12": 43,
   "results12Share": 9.2,
   "resultsAnyShare": 77.1,
   "startedSince2014": 1872,
   "unknownShare": 11.2,
   "nationalOnlyShare": 44,
   "medianMonthsIndustryLate": 28.8,
   "byYear": {
    "2014": {
     "n": 144,
     "industry": 84
    },
    "2015": {
     "n": 167,
     "industry": 95
    },
    "2016": {
     "n": 159,
     "industry": 80
    },
    "2017": {
     "n": 187,
     "industry": 89
    },
    "2018": {
     "n": 187,
     "industry": 96
    },
    "2019": {
     "n": 150,
     "industry": 83
    },
    "2020": {
     "n": 142,
     "industry": 66
    },
    "2021": {
     "n": 168,
     "industry": 93
    },
    "2022": {
     "n": 158,
     "industry": 70
    },
    "2023": {
     "n": 136,
     "industry": 78
    },
    "2024": {
     "n": 122,
     "industry": 63
    },
    "2025": {
     "n": 112,
     "industry": 63
    }
   }
  },
  "Norway": {
   "starts": 1012,
   "startsPm": 36.2,
   "industryStarts": 335,
   "industryPm": 12,
   "industryShare": 33.1,
   "earlyStarts": 59,
   "earlyShare": 5.8,
   "prospective": 862,
   "prospectiveShare": 85.2,
   "closed": 1355,
   "completedShare": 87.7,
   "resultsBase": 419,
   "results12": 25,
   "results12Share": 6,
   "resultsAnyShare": 63,
   "startedSince2014": 2511,
   "unknownShare": 9.7,
   "nationalOnlyShare": 57.7,
   "medianMonthsIndustryLate": 33.6,
   "byYear": {
    "2014": {
     "n": 205,
     "industry": 66
    },
    "2015": {
     "n": 193,
     "industry": 61
    },
    "2016": {
     "n": 199,
     "industry": 55
    },
    "2017": {
     "n": 225,
     "industry": 63
    },
    "2018": {
     "n": 211,
     "industry": 56
    },
    "2019": {
     "n": 211,
     "industry": 58
    },
    "2020": {
     "n": 196,
     "industry": 56
    },
    "2021": {
     "n": 254,
     "industry": 86
    },
    "2022": {
     "n": 209,
     "industry": 68
    },
    "2023": {
     "n": 185,
     "industry": 53
    },
    "2024": {
     "n": 195,
     "industry": 67
    },
    "2025": {
     "n": 169,
     "industry": 61
    }
   }
  },
  "Sweden": {
   "starts": 1827,
   "startsPm": 34.5,
   "industryStarts": 723,
   "industryPm": 13.7,
   "industryShare": 39.6,
   "earlyStarts": 121,
   "earlyShare": 6.6,
   "prospective": 1504,
   "prospectiveShare": 82.3,
   "closed": 2379,
   "completedShare": 87.5,
   "resultsBase": 797,
   "results12": 72,
   "results12Share": 9,
   "resultsAnyShare": 73.1,
   "startedSince2014": 4387,
   "unknownShare": 9.4,
   "nationalOnlyShare": 60.5,
   "medianMonthsIndustryLate": 31.1,
   "byYear": {
    "2014": {
     "n": 326,
     "industry": 146
    },
    "2015": {
     "n": 341,
     "industry": 165
    },
    "2016": {
     "n": 318,
     "industry": 134
    },
    "2017": {
     "n": 368,
     "industry": 166
    },
    "2018": {
     "n": 377,
     "industry": 155
    },
    "2019": {
     "n": 372,
     "industry": 148
    },
    "2020": {
     "n": 330,
     "industry": 129
    },
    "2021": {
     "n": 419,
     "industry": 174
    },
    "2022": {
     "n": 405,
     "industry": 145
    },
    "2023": {
     "n": 348,
     "industry": 141
    },
    "2024": {
     "n": 333,
     "industry": 136
    },
    "2025": {
     "n": 322,
     "industry": 127
    }
   }
  },
  "Belgium": {
   "starts": 3026,
   "startsPm": 50.9,
   "industryStarts": 1773,
   "industryPm": 29.8,
   "industryShare": 58.6,
   "earlyStarts": 376,
   "earlyShare": 12.4,
   "prospective": 2520,
   "prospectiveShare": 83.3,
   "closed": 4419,
   "completedShare": 82,
   "resultsBase": 1667,
   "results12": 155,
   "results12Share": 9.3,
   "resultsAnyShare": 76.4,
   "startedSince2014": 7637,
   "unknownShare": 9.4,
   "nationalOnlyShare": 41.2,
   "medianMonthsIndustryLate": 31.4,
   "byYear": {
    "2014": {
     "n": 570,
     "industry": 356
    },
    "2015": {
     "n": 612,
     "industry": 410
    },
    "2016": {
     "n": 531,
     "industry": 331
    },
    "2017": {
     "n": 674,
     "industry": 395
    },
    "2018": {
     "n": 708,
     "industry": 402
    },
    "2019": {
     "n": 697,
     "industry": 399
    },
    "2020": {
     "n": 677,
     "industry": 368
    },
    "2021": {
     "n": 740,
     "industry": 420
    },
    "2022": {
     "n": 625,
     "industry": 369
    },
    "2023": {
     "n": 585,
     "industry": 324
    },
    "2024": {
     "n": 572,
     "industry": 351
    },
    "2025": {
     "n": 504,
     "industry": 309
    }
   }
  },
  "Netherlands": {
   "starts": 3138,
   "startsPm": 34.8,
   "industryStarts": 1569,
   "industryPm": 17.4,
   "industryShare": 50,
   "earlyStarts": 438,
   "earlyShare": 14,
   "prospective": 2648,
   "prospectiveShare": 84.4,
   "closed": 3922,
   "completedShare": 82.1,
   "resultsBase": 1460,
   "results12": 118,
   "results12Share": 8.1,
   "resultsAnyShare": 70.5,
   "startedSince2014": 7226,
   "unknownShare": 10.9,
   "nationalOnlyShare": 47.9,
   "medianMonthsIndustryLate": 31.2,
   "byYear": {
    "2014": {
     "n": 568,
     "industry": 297
    },
    "2015": {
     "n": 551,
     "industry": 322
    },
    "2016": {
     "n": 533,
     "industry": 290
    },
    "2017": {
     "n": 550,
     "industry": 310
    },
    "2018": {
     "n": 569,
     "industry": 320
    },
    "2019": {
     "n": 555,
     "industry": 315
    },
    "2020": {
     "n": 559,
     "industry": 317
    },
    "2021": {
     "n": 677,
     "industry": 386
    },
    "2022": {
     "n": 695,
     "industry": 324
    },
    "2023": {
     "n": 649,
     "industry": 282
    },
    "2024": {
     "n": 610,
     "industry": 292
    },
    "2025": {
     "n": 507,
     "industry": 285
    }
   }
  },
  "Austria": {
   "starts": 1263,
   "startsPm": 27.5,
   "industryStarts": 779,
   "industryPm": 16.9,
   "industryShare": 61.7,
   "earlyStarts": 90,
   "earlyShare": 7.1,
   "prospective": 1103,
   "prospectiveShare": 87.3,
   "closed": 1787,
   "completedShare": 81.8,
   "resultsBase": 821,
   "results12": 76,
   "results12Share": 9.3,
   "resultsAnyShare": 79,
   "startedSince2014": 3220,
   "unknownShare": 9.2,
   "nationalOnlyShare": 29.7,
   "medianMonthsIndustryLate": 32.5,
   "byYear": {
    "2014": {
     "n": 241,
     "industry": 148
    },
    "2015": {
     "n": 252,
     "industry": 171
    },
    "2016": {
     "n": 227,
     "industry": 151
    },
    "2017": {
     "n": 300,
     "industry": 184
    },
    "2018": {
     "n": 277,
     "industry": 174
    },
    "2019": {
     "n": 288,
     "industry": 189
    },
    "2020": {
     "n": 296,
     "industry": 179
    },
    "2021": {
     "n": 325,
     "industry": 178
    },
    "2022": {
     "n": 241,
     "industry": 156
    },
    "2023": {
     "n": 242,
     "industry": 154
    },
    "2024": {
     "n": 236,
     "industry": 147
    },
    "2025": {
     "n": 219,
     "industry": 144
    }
   }
  },
  "Switzerland": {
   "starts": 1867,
   "startsPm": 41.3,
   "industryStarts": 673,
   "industryPm": 14.9,
   "industryShare": 36,
   "earlyStarts": 155,
   "earlyShare": 8.3,
   "prospective": 1641,
   "prospectiveShare": 87.9,
   "closed": 2702,
   "completedShare": 83.9,
   "resultsBase": 698,
   "results12": 51,
   "results12Share": 7.3,
   "resultsAnyShare": 60.7,
   "startedSince2014": 4627,
   "unknownShare": 9.2,
   "nationalOnlyShare": 59.1,
   "medianMonthsIndustryLate": 33.6,
   "byYear": {
    "2014": {
     "n": 312,
     "industry": 126
    },
    "2015": {
     "n": 345,
     "industry": 138
    },
    "2016": {
     "n": 358,
     "industry": 137
    },
    "2017": {
     "n": 364,
     "industry": 135
    },
    "2018": {
     "n": 454,
     "industry": 156
    },
    "2019": {
     "n": 380,
     "industry": 134
    },
    "2020": {
     "n": 395,
     "industry": 140
    },
    "2021": {
     "n": 441,
     "industry": 155
    },
    "2022": {
     "n": 386,
     "industry": 134
    },
    "2023": {
     "n": 390,
     "industry": 148
    },
    "2024": {
     "n": 316,
     "industry": 117
    },
    "2025": {
     "n": 334,
     "industry": 119
    }
   }
  },
  "Portugal": {
   "starts": 1101,
   "startsPm": 19.3,
   "industryStarts": 674,
   "industryPm": 11.8,
   "industryShare": 61.2,
   "earlyStarts": 65,
   "earlyShare": 5.9,
   "prospective": 830,
   "prospectiveShare": 75.4,
   "closed": 1142,
   "completedShare": 83.2,
   "resultsBase": 441,
   "results12": 51,
   "results12Share": 11.6,
   "resultsAnyShare": 85.5,
   "startedSince2014": 2177,
   "unknownShare": 10,
   "nationalOnlyShare": 37,
   "medianMonthsIndustryLate": 32.9,
   "byYear": {
    "2014": {
     "n": 107,
     "industry": 73
    },
    "2015": {
     "n": 119,
     "industry": 83
    },
    "2016": {
     "n": 110,
     "industry": 81
    },
    "2017": {
     "n": 147,
     "industry": 90
    },
    "2018": {
     "n": 170,
     "industry": 100
    },
    "2019": {
     "n": 169,
     "industry": 98
    },
    "2020": {
     "n": 166,
     "industry": 103
    },
    "2021": {
     "n": 214,
     "industry": 136
    },
    "2022": {
     "n": 228,
     "industry": 146
    },
    "2023": {
     "n": 221,
     "industry": 128
    },
    "2024": {
     "n": 220,
     "industry": 132
    },
    "2025": {
     "n": 218,
     "industry": 132
    }
   }
  },
  "Czechia": {
   "starts": 1587,
   "startsPm": 29.1,
   "industryStarts": 1236,
   "industryPm": 22.7,
   "industryShare": 77.9,
   "earlyStarts": 67,
   "earlyShare": 4.2,
   "prospective": 1359,
   "prospectiveShare": 85.6,
   "closed": 2203,
   "completedShare": 82.8,
   "resultsBase": 1303,
   "results12": 126,
   "results12Share": 9.7,
   "resultsAnyShare": 85,
   "startedSince2014": 3673,
   "unknownShare": 5.5,
   "nationalOnlyShare": 21.4,
   "medianMonthsIndustryLate": 29.1,
   "byYear": {
    "2014": {
     "n": 271,
     "industry": 244
    },
    "2015": {
     "n": 288,
     "industry": 246
    },
    "2016": {
     "n": 274,
     "industry": 232
    },
    "2017": {
     "n": 314,
     "industry": 270
    },
    "2018": {
     "n": 300,
     "industry": 256
    },
    "2019": {
     "n": 307,
     "industry": 253
    },
    "2020": {
     "n": 285,
     "industry": 234
    },
    "2021": {
     "n": 362,
     "industry": 275
    },
    "2022": {
     "n": 329,
     "industry": 238
    },
    "2023": {
     "n": 298,
     "industry": 230
    },
    "2024": {
     "n": 288,
     "industry": 238
    },
    "2025": {
     "n": 310,
     "industry": 255
    }
   }
  }
 },
 "ranks": {
  "startsPm": {
   "order": [
    "Denmark",
    "Belgium",
    "Switzerland",
    "Norway",
    "Netherlands",
    "Sweden",
    "Czechia",
    "Austria",
    "Finland",
    "Ireland",
    "Portugal"
   ],
   "ie": 10,
   "of": 11,
   "tiedWith": [],
   "median": 34.7
  },
  "industryPm": {
   "order": [
    "Belgium",
    "Denmark",
    "Czechia",
    "Netherlands",
    "Austria",
    "Switzerland",
    "Sweden",
    "Finland",
    "Ireland",
    "Norway",
    "Portugal"
   ],
   "ie": 9,
   "of": 11,
   "tiedWith": [],
   "median": 15.9
  },
  "earlyShare": {
   "order": [
    "Netherlands",
    "Belgium",
    "Switzerland",
    "Austria",
    "Denmark",
    "Sweden",
    "Ireland",
    "Finland",
    "Portugal",
    "Norway",
    "Czechia"
   ],
   "ie": 7,
   "of": 11,
   "tiedWith": [
    "Finland"
   ],
   "median": 6.7
  },
  "prospectiveShare": {
   "order": [
    "Switzerland",
    "Austria",
    "Denmark",
    "Czechia",
    "Norway",
    "Netherlands",
    "Belgium",
    "Finland",
    "Ireland",
    "Sweden",
    "Portugal"
   ],
   "ie": 9,
   "of": 11,
   "tiedWith": [],
   "median": 84.8
  },
  "completedShare": {
   "order": [
    "Denmark",
    "Norway",
    "Sweden",
    "Ireland",
    "Finland",
    "Switzerland",
    "Portugal",
    "Czechia",
    "Netherlands",
    "Belgium",
    "Austria"
   ],
   "ie": 4,
   "of": 11,
   "tiedWith": [],
   "median": 83.6
  },
  "resultsAnyShare": {
   "order": [
    "Portugal",
    "Czechia",
    "Ireland",
    "Austria",
    "Finland",
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