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Clinical Research In India

India runs hundreds of global and home-grown clinical trials at any time, under one of the most detailed trial laws in the world. Here is the current picture — with live numbers, the rules, the main cities and what it means for careers.

BBy BCRI editorial teamUpdated 5 min readFacts checked

First published

Clinical research in India at a glance

Recruiting trials
490 (ClinicalTrials.gov, Oct 2026)
Phase 3 share
227 of 490 (46%)
Regulator
CDSCO (DCGI)
Main law
NDCT Rules, 2019
Registry
CTRI (mandatory)

Clinical research in India is large and growing. On 8 October 2026, ClinicalTrials.gov listed 490 recruiting interventional trials with a site in India — nearly half of them phase 3, many run by global companies such as AstraZeneca, Eli Lilly, Pfizer and Novartis, and others led by Indian centres such as Tata Memorial Centre and AIIMS. Trials are regulated by CDSCO under the New Drugs and Clinical Trials Rules, 2019, need ethics-committee approval, must be registered with CTRI, and provide compensation for trial-related injury. CROs must register with CDSCO from April 2025.

Key takeaways

  • 490 interventional trials were recruiting in India on 8 Oct 2026; 227 were phase 3.
  • Global sponsors and Indian institutes (Tata Memorial, AIIMS, PGIMER) both lead trials.
  • Cancer and cardiometabolic diseases make up the largest share.
  • Key rules: NDCT Rules 2019, CTRI registration, ethics committees, injury compensation.
  • Hyderabad, Delhi, Mumbai, Bengaluru and Pune have the most recruiting trials.
On this page ⌄
  1. In numbers
  2. Who runs trials
  3. Top cities
  4. The rules
  5. Why India
  6. Careers
  7. FAQs

Clinical research in India in numbers (2026)

We read all 490 trial records listed on ClinicalTrials.gov as recruiting with an Indian site on 8 October 2026. Many Indian trials are listed only on India’s CTRI registry, so the true total is higher.

  • 490 recruiting trials

    Interventional trials enrolling patients at Indian sites right now.

  • 227 phase 3 trials

    Late-stage studies — 46% of the total — that decide whether a drug is approved.

  • 232 multinational trials

    Studies running at 20 or more sites worldwide, with India as one of the countries.

  • 6,652 studies

    Studies on ClinicalTrials.gov that have ever listed a site in India.

Trials (of 490)

Cancer
131
Diabetes, obesity, heart and kidney disease
86
Infectious diseases and vaccines
28
Brain and mental health
28
Immune and inflammatory diseases
27
Respiratory diseases
20

Who runs clinical trials in India?

Recruiting trials in India

AstraZeneca
47
Tata Memorial Centre
25
Eli Lilly and Company
20
Pfizer
18
Novartis
17
Bristol-Myers Squibb
17
PGIMER, Chandigarh
16
All India Institute of Medical Sciences
13

Global pharma companies run trials through CROs and site networks, while Indian academic centres such as Tata Memorial Centre, AIIMS and PGIMER run their own investigator-led studies. Learn how sponsors, CROs and sites fit together in our CRO guide.

Where clinical research happens in India

Recruiting trials

Hyderabad
154
Delhi / New Delhi
149
Mumbai
146
Bengaluru
114
Pune
109
Chennai
48

Many trials run in several cities at once, so city totals add up to more than 490. These cities also host most CRO, data-management and drug-safety teams. See our city guides for Mumbai and our Bangalore classroom course.

Rules for clinical research in India

  • Regulator — the Central Drugs Standard Control Organisation (CDSCO), headed by the Drugs Controller General of India (DCGI).
  • Main law — the New Drugs and Clinical Trials Rules, 2019 (NDCT Rules), under the Drugs and Cosmetics Act, 1940. They replaced Schedule Y.
  • Approval timelines — 30 working days for drugs discovered or developed in India, 90 working days for others; if CDSCO does not reply in time, approval is deemed granted.
  • Ethics committees — must be registered with CDSCO; no trial can start without their approval.
  • CTRI registration — mandatory since 15 June 2009, before the first participant is enrolled.
  • Compensation — Chapter VI of the NDCT Rules requires free medical management and compensation for trial-related injury or death; serious adverse events are reported within 14 days.
  • Local-trial waiver — since a 7 August 2024 order, CDSCO can consider waiving local trials for certain drugs already approved in the USA, UK, Japan, Australia, Canada or the EU.
  • CRO registration — CROs must register with CDSCO (Form CT-07B) from 1 April 2025.

All trials also follow international Good Clinical Practice (ICH E6(R3)). New to the basics? Read what is clinical research.

Why global companies choose India for trials

  • Large, diverse patient population

    Faster recruitment for common diseases such as cancer and diabetes.

  • Experienced hospitals

    Major hospitals and academic centres with research experience.

  • Skilled, English-speaking workforce

    Large pools of doctors, pharmacists and life science graduates.

  • Clear, detailed rules

    Defined timelines, registration and compensation under the NDCT Rules.

Careers in clinical research

Every trial in the tables above needs site coordinators, monitors, data managers, drug-safety associates, statisticians and regulatory staff. Read the full clinical research career guide for roles and salaries.

Best for

CRA Training Program
Site and monitoring roles
Advanced Diploma in Clinical Research
CR, CDM, PV and RA basics, with internship
PG Diploma in Clinical Research
Full programme with Clinical SAS and internship

BCRI students working in clinical research

Recent placements published on the BCRI Career Hub.

Placements across BCRI programmes. Placement assistance, not a job guarantee. See all on the Career Hub

FAQs

How many clinical trials are running in India?

On 8 October 2026, ClinicalTrials.gov listed 490 interventional trials recruiting at Indian sites, 227 of them phase 3. Many Indian trials are listed only on CTRI, so the real number is higher.

Who regulates clinical research in India?

CDSCO, headed by the Drugs Controller General of India, under the New Drugs and Clinical Trials Rules, 2019. Ethics committees approve each trial, and trials must be registered with CTRI.

How long does trial approval take in India?

Under the NDCT Rules, 30 working days for drugs discovered or developed in India and 90 working days for others. If CDSCO does not respond in time, approval is deemed granted.

Do participants get compensation in Indian trials?

Yes. Chapter VI of the NDCT Rules requires free medical management and compensation for trial-related injury or death, decided with CDSCO’s expert committee.

Which cities have the most clinical trials in India?

Hyderabad, Delhi, Mumbai, Bengaluru and Pune had the most recruiting trials on ClinicalTrials.gov in October 2026, followed by Chennai.

Is clinical research a good career in India?

Yes. Hundreds of trials need trained site, monitoring, data, safety and regulatory staff, and India also supports global trials through CRO and IT teams.

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