Clinical Trial Management Systems (CTMS) Market – Global Trends, Opportunities,Challenges & Forecasts (2011 – 2016) Total Pages - 240 TABLE OF CONTENTS 1 INTRODUCTION 1.1 KEY TAKE-AWAYS 1.2 REPORT DESCRIPTION 1.3 MARKETS COVERED 1.4 STAKEHOLDERS 1.5 RESEARCH METHODOLOGY 1.5.1 MARKET SIZE 1.5.2 ASSUMPTIONS MADE FOR THE REPORT 2 SUMMARY 3 MARKET OVERVIEW 3.1 INTRODUCTION 3.1.1 CLINICAL TRIAL DEFINITION 3.1.2 CLINICAL TRIAL PROCESS 3.1.3 CLINICAL TRIAL MANAGEMENT SYSTEM DEFINITION 3.2 ECLINICAL PROCESS & ECLINICAL PLATFORM 3.3 MARKET DYNAMICS 3.3.1 DRIVERS 3.3.1.1 Introduction 3.3.1.2 Ensures patient safety 3.3.1.3 Mitigates costs and offers competitive advantage 3.3.1.4 Secured anytime, anywhere access of web-based and cloud-based CTMS offerings 3.3.1.5 CTMS Integration with other Hospital Information Systems (HIS) 3.3.2 RESTRAINTS 3.3.2.1 Lack of awareness of CTMS in the research community 3.3.2.2 High cost of the system restricts the user count 3.3.2.3 Flexibility issues are more with on-premise CTMS model 3.3.3 OPPORTUNITIES 3.3.3.1 Shift of clinical trials and resources from AMCs to CROs in the past decade 3.3.3.2 Increasing clinical trial Outsourcing trend form Asian countries 3.3.4 MARKET SHARE ANALYSIS, BY COMPETITOR 4 BENEFITS OF CTMS (KEY NEEDS AND BENEFITS INFLUENCING PURCHASING DECISIONS) 4.1 IMPROVED CLINICAL TRIAL EFFICIENCY WITH OPTIMIZED PROCESS & CENTRALIZED DATABASE 4.2 IMPROVES SITE PERFORMANCE BY ENHANCED INVESTIGATOR RELATIONSHIPS 4.3 HIGHER SUBJECT ACCRUAL RATE & REDUCED WORKLOAD FOR RESEARCH COORDINATORS 4.4 EFFECTIVELY MANAGE THE BUDGETING & BILLING ACTIVITES ASSOCIATED WITH CLINICAL TRIALS 4.5 IMPROVED COST EFFICIENCIES THROUGH REDUCED DATA ENTRY AT MULTIPLE SITE & MANUAL LABOR COSTS 4.6 IMPROVED CLINICAL RESEARCH ASSOCIATE PRODUCTIVITY 4.7 AUTOMATED DATA PROCESSING & REPORT GENERATING 5 CHALLENGES/LIMITATIONS/UNMET NEEDS 5.1 EVOLUTION OF CTMS SYSTEM IN A TIMELY MANNER TO IMPROVE THE BUSINESS PROCESS 5.2 INTEROPERABILITY & INTEGRATION ISSUES 5.3 EXTENSIBILITY 5.4 SKEPTICISM IN USAGE & APPLICATIONS 5.5 COST & DURATION OF DEPLOYMENT 6 COMPONENTS OF A CTMS (DRIVERS INFLUENCING THE BUYING PATTERN) 6.1 INTRODUCTION 6.2 PROTOCOL DESIGN & STUDY START UP 6.3 PATIENT & INVESTIGATOR RECRUITMENT 6.4 FINANCIAL MANAGEMENT & BILLING SOLUTIONS 6.5 CLINICAL DATA TRACKING & DATA ANALYSIS MODULE (PATIENT DATA MANAGEMENT & SITE MANAGEMENT) 6.6 DOCUMENT MANAGEMENT SYSTEM (REGULATORY DOCUMENT MANAGEMENT & PROGRESS REPORTS) 6.7 CLINICAL SUPPLIES MANAGEMENT 6.8 ADVERSE EVENTS (AE) & SERIOUS ADVERSE EVENTS (SAE) MANAGEMENT 6.9 CENTRAL DOCUMENT REPOSITORY 7 MARKET BY END-USER (TARGET MARKET FOR CTMS) 7.1 INTRODUCTION 7.2 CLINICAL RESEARCH ORGANIZATIONS (CROS) CTMS MARKET 7.3 PHARMACEUTICAL CTMS MARKET 7.4 HEALTHCARE PROVIDERS CTMS MARKET 8 MARKET BY DELIVERY MODE 8.1 INTRODUCTION 8.2 WEB-BASED (HOSTED) CTMS 8.3 LICENSED ENTERPRISE (ON PREMISE) CTMS 8.4 CLOUD-BASED (SAAS) CTMS 9 MARKET BY COMPONENTS 9.1 INTRODUCTION 9.2 SOFTWARE 9.3 HARDWARE 9.4 SERVICES 10 MARKET BY CTMS TYPE 10.1 INTRODUCTION 10.2 ENTERPRISE CTMS 10.3 SITE CTMS 11 CTMS PENETRATION 12 GEOGRAPHICAL ANALYSIS 12.1 INTRODUCTION 12.2 NORTH AMERICA 12.2.1 U.S. 12.2.2 CANADA 12.3 EUROPE 12.4 ASIA 12.5 REST OF THE WORLD (ROW) 13 CLINICAL TRIALS 13.1 INTRODUCTION 13.2 MARKET DYNAMICS FOR CLINICAL TRIALS 13.2.1 DRIVERS 13.2.1.1 Globalizing drug development activities 13.2.1.2 Rise in R&D investments expected to boost the clinical trials market 13.2.1.3 High disease prevalence in emerging countries 13.2.2 RESTRAINT 13.2.2.1 Longer approval time for clinical trials – A cause of concern for major pharmaceutical/ biopharmaceutical players 13.2.3 BURNING ISSUES 13.2.3.1 Out skirting boundaries of medical ethics 13.2.4 WINNING IMPERATIVE 13.2.4.1 Leveraging online resources to increase patient recruitment rates in clinical trials 13.3 CLINICAL TRIAL OUTSOURCING & ROLE OF ACADEMIC RESEARCH ORGANIZATIONS & CONTRACT RESEARCH ORGANIZATIONS 13.3.1 TRADITIONAL ROLE OF ACADEMIC RESEARCH CENTERS IN CONDUCTING CLINICAL TRIALS 13.3.2 TRADITIONAL ROLE OF CROS IN CONDUCTING CLINICAL TRIALS 13.3.3 EVOLVING ROLE OF ACADEMIC RESEARCH CENTERS IN CONDUCTING CLINICAL TRIALS 13.3.3.1 Following are considered as the Key reasons for loss of Market share of AMCs in Clinical trials 13.3.3.1.1 Proliferation of global trials 13.3.3.1.2 Clinical trial duration 13.3.3.1.3 Lack of Self financing capability 13.3.3.1.4 Development of In-house CROs of Pharmaceutical companies 13.3.3.1.5 Increasing clinical trial costs 13.3.4 EVOLVING ROLE OF CROS IN CONDUCTING CLINICAL TRIALS 13.3.4.1 Full service model 13.3.4.2 Hourly billing model 13.3.4.3 Full time equivalent model (FTE) 13.3.4.4 Fixed price model 13.4 CLINICAL TRIALS BY PLAYERS 13.4.1 BY INDUSTRY (CRO, NPO, PHARMACEUTICAL INDUSTRY) 13.4.2 BY INDUSTRY + HEALTHCARE PROVIDERS 13.4.3 BY OTHERS (U.S. FEDERAL ADMINISTRATION & NIH, OTHERS) 14 COMPETITIVE LANDSCAPE 14.1 INTRODUCTION 14.2 COMPETITIVE DEVELOPMENTS 14.2.1 MERGERS & ACQUISITIONS 14.2.2 COLLABORATIONS/PARTNERSHIPS/AGREEMENTS/ CONTRACTS 14.2.3 NEW PRODUCTS LAUNCH 14.2.4 EXPANSIONS/NEW FACILITY/INVESTMENTS 14.2.5 OTHERS/FDA APPROVALS/GOVERNMENT GRANTS 15 COMPANY PROFILES 15.1 ARIS GLOBAL LLC 15.1.1 OVERVIEW 15.1.2 FINANCIALS 15.1.3 PRODUCTS & SERVICES 15.1.4 STRATEGY 15.1.5 DEVELOPMENTS 15.2 BIOCLINICA INC. 15.2.1 OVERVIEW 15.2.2 FINANCIALS 15.2.3 PRODUCTS & SERVICES 15.2.4 STRATEGY 15.2.5 DEVELOPMENTS 15.3 BIO-OPTRONICS INC. 15.3.1 OVERVIEW 15.3.2 FINANCIALS 15.3.3 PRODUCTS & SERVICES 15.3.4 STRATEGY 15.3.5 DEVELOPMENTS 15.4 BUSINESS SYSTEMS INTEGRATION AG 15.4.1 OVERVIEW 15.4.2 FINANCIALS 15.4.3 PRODUCTS & SERVICES 15.4.4 STRATEGY 15.4.5 DEVELOPMENTS 15.5 DIGIPORT HOLDINGS PRIVATE LTD 15.5.1 OVERVIEW 15.5.2 FINANCIALS 15.5.3 PRODUCTS & SERVICES 15.5.4 STRATEGY 15.5.5 DEVELOPMENTS 15.6 DSG INC. 15.6.1 OVERVIEW 15.6.2 FINANCIALS 15.6.3 PRODUCTS & SERVICES 15.6.4 STRATEGY 15.6.5 DEVELOPMENTS 15.7 ERESEARCH TECHNOLOGY INC. (ERT) 15.7.1 OVERVIEW 15.7.2 FINANCIALS 15.7.3 PRODUCTS & SERVICES 15.7.4 STRATEGY 15.7.5 DEVELOPMENTS 15.8 FORTE RESEARCH SYSTEMS 15.8.1 OVERVIEW 15.8.2 FINANCIALS 15.8.3 PRODUCTS & SERVICES 15.8.4 STRATEGY 15.8.5 DEVELOPMENTS 15.9 GOBALTO 15.9.1 OVERVIEW 15.9.2 FINANCIALS 15.9.3 PRODUCTS & SERVICES 15.9.4 STRATEGY 15.9.5 DEVELOPMENTS 15.10 INNOVOCOMMERCE LLC 15.10.1 OVERVIEW 15.10.2 FINANCIALS 15.10.3 PRODUCTS & SERVICES 15.10.4 STRATEGY 15.10.5 DEVELOPMENTS 15.11 INTEGRATED CLINICAL SOLUTIONS INC. 15.11.1 OVERVIEW 15.11.2 FINANCIALS 15.11.3 PRODUCTS & SERVICES 15.11.4 STRATEGY 15.11.5 DEVELOPMENT 15.12 MEDIDATA SOLUTIONS 15.12.1 OVERVIEW 15.12.2 FINANCIALS 15.12.3 PRODUCTS & SERVICES 15.12.4 STRATEGY 15.12.5 DEVELOPMENTS 15.13 MEDNET SOLUTIONS 15.13.1 OVERVIEW 15.13.2 FINANCIALS 15.13.3 PRODUCTS & SERVICES 15.13.4 STRATEGY 15.13.5 DEVELOPMENTS 15.14 MERGE HEALTHCARE INCORPORATED 15.14.1 OVERVIEW 15.14.2 FINANCIALS 15.14.3 PRODUCTS & SERVICES 15.14.4 STRATEGY 15.14.5 DEVELOPMENTS 15.15 NEXTRIALS INC. 15.15.1 OVERVIEW 15.15.2 FINANCIALS 15.15.3 PRODUCTS & SERVICES 15.15.4 STRATEGY 15.15.5 DEVELOPMENTS 15.16 OMNICOMM SYSTEMS INC. 15.16.1 OVERVIEW 15.16.2 FINANCIALS 15.16.3 PRODUCTS & SERVICES 15.16.4 STRATEGY 15.16.5 DEVELOPMENTS 15.17 ORACLE CORPORATION 15.17.1 OVERVIEW 15.17.2 FINANCIALS 15.17.3 PRODUCTS & SERVICES 15.17.4 STRATEGY 15.17.5 DEVELOPMENTS 15.18 ORIAM 15.18.1 OVERVIEW 15.18.2 FINANCIALS 15.18.3 PRODUCTS & SERVICES 15.18.4 STRATEGY 15.18.5 DEVELOPMENTS 15.19 PAREXEL INTERNATIONAL CORPORATION 15.19.1 OVERVIEW 15.19.2 FINANCIALS 15.19.3 PRODUCTS & SERVICES 15.19.4 STRATEGY 15.19.5 DEVELOPMENTS 15.20 SPARTA SYSTEMS INC. 15.20.1 OVERVIEW 15.20.2 FINANCIALS 15.20.3 PRODUCTS & SERVICES 15.20.4 STRATEGY 15.20.5 DEVELOPMENTS 15.21 STUDYMANAGER INC. 15.21.1 OVERVIEW 15.21.2 FINANCIALS 15.21.3 PRODUCTS & SERVICES 15.21.4 STRATEGY 15.21.5 DEVELOPMENTS 15.22 TRIAL BY FIRE SOLUTIONS 15.22.1 OVERVIEW 15.22.2 FINANCIALS 15.22.3 PRODUCTS & SERVICES 15.22.4 STRATEGY 15.22.5 DEVELOPMENTS 15.23 OTHERS 15.23.1 ECLINFORCE INC. 15.23.1.1 Overview 15.23.1.2 Financials 15.23.1.3 Products & services 15.23.1.4 Strategy 15.23.2 VOLODYNE TECHNOLOGIES 15.23.2.1 Overview 15.23.2.2 Financials 15.23.2.3 Products & services 15.23.2.4 Strategy 15.23.3 DATABEAN LLC 15.23.3.1 Overview 15.23.3.2 Financials 15.23.3.3 Products & services 15.23.3.4 Strategy 15.23.4 CLINTRIAL WORKS 15.23.4.1 Overview 15.23.4.2 Financials 15.23.4.3 Products & services 15.23.4.4 Strategy LIST OF TABLES TABLE 1 CTMS MARKET SIZE, BY GEOGRAPHY, 2008 – 2016 (MILLION) TABLE 2 GLOBAL CTMS MARKET REVENUE, BY END-USERS, 2008 – 2016 ($MILLION) TABLE 3 CRO CTMS MARKET REVENUE, BY GEOGRAPHY, 2008 – 2016 ($MILLION) TABLE 4 NORTH AMERICA: CRO CTMS MARKET REVENUE, BY COUNTRY, 2008 – 2016 ($MILLION) TABLE 5 PHARMACEUTICAL CTMS MARKET REVENUE, BY GEOGRAPHY, 2008 – 2016 ($MILLION) TABLE 6 NORTH AMERICA: PHARMACEUTICAL CTMS MARKET REVENUE, BY COUNTRY, 2008 – 2016 ($MILLION) TABLE 7 PROVIDER CTMS MARKET REVENUE, BY GEOGRAPHY, 2008 – 2016 ($MILLION) TABLE 8 NORTH AMERICA: PROVIDER CTMS MARKET REVENUE, BY COUNTRY, 2008 – 2016 ($MILLION) TABLE 9 CTMS MARKET REVENUE, BY DELIVERY MODE, 2008 – 2016 ($MILLION) TABLE 10 WEB-BASED CTMS MARKET REVENUE, BY GEOGRAPHY, 2008 – 2016 ($MILLION) TABLE 11 NORTH AMERICA: WEB-BASED CTMS MARKET REVENUE, BY COUNTRY, 2008 – 2016 ($MILLION) TABLE 12 ON-PREMISE CTMS MARKET REVENUE, BY GEOGRAPHY, 2008 – 2016 ($MILLION) TABLE 13 NORTH AMERICA: ON-PREMISE CTMS MARKET REVENUE, BY COUNTRY, 2008 – 2016 ($MILLION) TABLE 14 CLOUD-BASED CTMS MARKET REVENUE, BY GEOGRAPHY, 2008 – 2016 ($MILLION) TABLE 15 NORTH AMERICA: CLOUD-BASED CTMS MARKET REVENUE, BY COUNTRY, 2008 – 2016 ($MILLION) TABLE 16 CTMS MARKET REVENUE, BY COMPONENTS, 2008 – 2016 ($MILLION) TABLE 17 SOFTWARE CTMS MARKET REVENUE, BY GEOGRAPHY, 2008 – 2016 ($MILLION) TABLE 18 NORTH AMERICA: SOFTWARE CTMS MARKET REVENUE, BY COUNTRY, 2008 – 2016 ($MILLION) TABLE 19 HARDWARE CTMS MARKET REVENUE, BY GEOGRAPHY, 2008 – 2016 ($MILLION) TABLE 20 NORTH AMERICA: HARDWARE CTMS MARKET REVENUE, BY COUNTRY, 2008 – 2016 ($MILLION) TABLE 21 SERVICES CTMS MARKET REVENUE, BY GEOGRAPHY, 2008 – 2016 ($MILLION) TABLE 22 NORTH AMERICA: SERVICES CTMS MARKET REVENUE, BY COUNTRY, 2008 – 2016 ($MILLION) TABLE 23 CTMS MARKET REVENUE, BY TYPES, 2008 – 2016 ($MILLION) TABLE 24 ENTERPRISE CTMS MARKET REVENUE, BY GEOGRAPHY, 2008 – 2016 ($MILLION) TABLE 25 NORTH AMERICA: ENTERPRISE CTMS MARKET REVENUE, BY COUNTRY, 2008 – 2016 ($ MILLION) TABLE 26 SITE CTMS MARKET REVENUE, BY GEOGRAPHY, 2008 – 2016 ($MILLION) TABLE 27 NORTH AMERICA: SITE CTMS MARKET REVENUE, BY COUNTRY, 2008 – 2016 ($MILLION) TABLE 28 CTMS PENETRATION, BY GEOGRAPHY, 2010 TABLE 29 NORTH AMERICA: CTMS MARKET REVENUE, BY COUNTRY, 2008 – 2016 ($MILLION) TABLE 30 NORTH AMERICA: CTMS MARKET REVENUE, BY END-USERS, 2008 – 2016 ($MILLION) TABLE 31 NORTH AMERICA: CTMS MARKET REVENUE, BY DELIVERY MODE, 2008 – 2016 ($MILLION) TABLE 32 NORTH AMERICA: CTMS MARKET REVENUE, BY COMPONENTS, 2008 – 2016 ($MILLION) TABLE 33 NORTH AMERICA: CTMS MARKET REVENUE, BY CTMS TYPES, 2008 – 2016 ($MILLION) TABLE 34 U.S: CTMS MARKET REVENUE, BY END-USERS, 2008 – 2016 ($MILLION) TABLE 35 U.S: CTMS MARKET REVENUE, BY DELIVERY MODE, 2008 – 2016 ($MILLION) TABLE 36 U.S.: CTMS MARKET REVENUE, BY COMPONENTS, 2008 – 2016 ($MILLION) TABLE 37 U.S: CTMS MARKET REVENUE, BY CTMS TYPES, 2008 – 2016 ($MILLION) TABLE 38 CANADA: CTMS MARKET REVENUE, BY END-USERS, 2008 – 2016 ($MILLION) TABLE 39 CANADA: CTMS MARKET REVENUE, BY DELIVERY MODE, 2008 – 2016 ($MILLION) TABLE 40 CANADA: CTMS MARKET REVENUE, BY COMPONENTS, 2008 – 2016 ($MILLION) TABLE 41 CANADA: CTMS MARKET REVENUE, BY CTMS TYPES, 2008 – 2016 ($MILLION) TABLE 42 EUROPE: CTMS MARKET REVENUE, BY END-USERS, 2008 – 2016 ($MILLION) TABLE 43 EUROPE: CTMS MARKET REVENUE, BY DELIVERY MODE, 2008 – 2016 ($MILLION) TABLE 44 EUROPE: CTMS MARKET REVENUE, BY COMPONENTS, 2008 – 2016 ($MILLION) TABLE 45 EUROPE: CTMS MARKET REVENUE, BY CTMS TYPES, 2008 – 2016 ($MILLION) TABLE 46 ASIA: CTMS MARKET REVENUE, BY END-USERS, 2008 – 2016 ($MILLION) TABLE 47 ASIA: CTMS MARKET REVENUE, BY DELIVERY MODE, 2008 – 2016 ($MILLION) TABLE 48 ASIA: CTMS MARKET REVENUE, BY COMPONENTS, 2008 – 2016 ($MILLION) TABLE 49 ASIA: CTMS MARKET REVENUE, BY CTMS TYPES, 2008 – 2016 ($MILLION) TABLE 50 ROW: CTMS MARKET REVENUE, BY END-USERS, 2008 – 2016 ($MILLION) TABLE 51 ROW: CTMS MARKET REVENUE, BY DELIVERY MODE, 2008 – 2016 ($MILLION) TABLE 52 ROW: CTMS MARKET REVENUE, BY COMPONENTS, 2008 – 2016 ($MILLION) TABLE 53 ROW: CTMS MARKET REVENUE, BY CTMS TYPES, 2008 – 2016 ($MILLION) TABLE 54 MARKET SHARE OF HEALTHCARE PROVIDERS IN GLOBAL CLINICAL TRIALS, 1998 – 2007 TABLE 55 DRIFT OF NORTH AMERICAN SHARE IN GLOBAL CLINICAL TRIAL, 1990 – 2007 TABLE 56 BIOCLINICA INC: TOTAL REVENUE AND R&D EXPENSES, 2008 – 2010 ($MILLION) TABLE 57 BIOCLINICA INC: TOTAL REVENUE, BY SEGMENTS, 2008 – 2010 ($MILLION) TABLE 58 ERESEARCH TECHNOLOGY INC: TOTAL REVENUE AND R&D EXPENSES, 2008 – 2010 ($MILLION) TABLE 59 ERESEARCH TECHNOLOGY INC: TOTAL REVENUE, BY SEGMENTS, 2008 – 2010 ($MILLION) TABLE 60 ERESEARCH TECHNOLOGY INC: TOTAL REVENUE, BY GEOGRAPHY, 2008 – 2010 ($MILLION) TABLE 61 MEDIDATA SOLUTIONS: TOTAL REVENUE AND R&D EXPENSES, 2008 – 2010 ($MILLION) TABLE 62 MEDIDATA SOLUTIONS: TOTAL REVENUE, BY SEGMENTS, 2008 – 2010 ($MILLION) TABLE 63 MEDIDATA SOLUTIONS: TOTAL REVENUE, BY GEOGRAPHY, 2008 – 2010 ($MILLION) TABLE 64 MERGE HEALTHCARE INCORPORATED: TOTAL REVENUE AND R&D EXPENSES, 2008 – 2010 ($MILLION) TABLE 65 MERGE HEALTHCARE INCORPORATED: TOTAL REVENUE, BY SEGMENTS, 2008 – 2010 ($MILLION) TABLE 66 MERGE HEALTHCARE INCORPORATED: TOTAL REVENUE, BY GEOGRAPHY, 2008 – 2010 ($MILLION) TABLE 67 OMNICOMM SYSTEMS INC: TOTAL REVENUE AND R&D EXPENSES, 2008 – 2010 ($MILLION) TABLE 68 ORACLE CORPORATION: TOTAL REVENUE AND R&D EXPENSES, 2009 – 2011 ($MILLION) TABLE 69 ORACLE CORPORATION: TOTAL REVENUE, BY SEGMENTS, 2009 – 2011 ($MILLION) TABLE 70 ORACLE CORPORATION: TOTAL REVENUE, BY GEOGRAPHY, 2009 – 2011 ($MILLION) TABLE 71 PAREXEL INTERNATIONAL CORPORATION: TOTAL REVENUE AND R&D EXPENSES, 2009 – 2011 ($MILLION) TABLE 72 PAREXEL INTERNATIONAL CORPORATION: TOTAL REVENUE, BY SEGMENTS, 2009 – 2011 ($MILLION) TABLE 73 PAREXEL INTERNATIONAL CORPORATION: TOTAL REVENUE, BY GEOGRAPHY, 2009 – 2011 ($MILLION) LIST OF FIGURES FIGURE 1 PROCESS OF CLINICAL TRIALS FIGURE 2 DRIVERS & RESTRAINTS FOR CTMS MARKET FIGURE 3 MARKET SHARE ANALYSIS, BY COMPETITORS, (BASED ON SOFTWARE LICENSE REVENUE SHARE), 2010 FIGURE 4 MODULES OF CTMS FIGURE 5 CTMS MARKET, BY END-USERS, 2010 FIGURE 6 CTMS MARKET, BY DELIVERY MODE, 2010 VS. 2016 FIGURE 7 CTMS MARKET SHARE, BY COMPONENTS, 2010 FIGURE 8 CTMS PENETRATION, BY GEOGRAPHY, 2010 (%) FIGURE 9 CTMS MARKET REVENUE, BY GEOGRAPHY, 2008 – 2016 ($MILLION) FIGURE 10 MARKET SHARE OF HEALTHCARE PROVIDERS IN GLOBAL CLINICAL TRIALS, 1998 VS 2007 FIGURE 11 DRIFT OF NORTH AMERICAN SHARE IN GLOBAL CLINICAL TRIAL, 1990 – 2007 FIGURE 12 GRANT FUNDED VS. SELF FINANCING TRIALS FIGURE 13 INDUSTRY VS AMC WITH/WITHOUT GRANT VS NIH/U.S. FED ALONE FIGURE 14 INDUSTRY VS. INDUSTRY PLUS AMC FIGURE 15 INDUSTRY VS. AMC VS. U.S. FED PLUS NIH FIGURE 16 INDUSTRY VS. AMC VS. US FED VS. NIH FIGURE 17 KEY GROWTH STRATEGIES, 2008 – 2011