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ClinicalTrials.gov 5,482 recruiting now below national open share #1 of 52 states

California: below-average open trial sites

5,482 of 16,646 in-state trials are recruiting (33%); below the 37% national average by 4 percentage points.

According to ClinicalTrials.gov-derived indexes, California sits in the top decile of US states by in-state trial count (#1 of 52 states by registered in-state trial count).

California: 16,646 US clinical trials with in-state sites, 5,482 recruiting.

California has 16,646 registered US clinical trials with a study site in-state, 5,482 of them currently recruiting (below the 37% national average by 4 percentage points). 3,494 of these trials are in Phase 3 (late-stage) and 3,780 in Phase 2. The most frequently studied condition in California is HIV Infections, with 303 linked trials.

Peer research-density states

California is in the top decile by in-state trial count. Nearest hubs by indexed volume (not open-share twins):

Ranked from 51 other states with active in-state trials by how close each state's indexed trial count sits to California's.

Below-average open enrollment

California still shows 5,482 recruiting of 16,646 in-state trials (33% open), but below the 37% national average by 4 percentage points, so archived statuses weigh heavier than the national baseline.

33%
open (below national share)
5,482
still recruiting despite cool share
3,780
Phase 2 rows in this footprint
303
top: HIV Infections

Recruiting share is below the 37% national average by 4 percentage points. Counts include every study with at least one recorded site in the state. Registry reference only, not medical advice.

California vs all states by indexed in-state trial count

Where this state's ClinicalTrials.gov site count sits among every state with at least one listed trial (coverage density, not care quality)

16,646 Top 2% more indexed trials than 98% of 52 states

States, banded by indexed in-state trial count

Each bar is a band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov · 2026-08-08

Key findings

What ClinicalTrials.gov does not surface for California on its own pages , computed from the registry mirror as of 2026-08-08. Each line carries its own denominator so it can be quoted as it stands.

  1. California open-enrollment share sits below the national baseline.

    5,482 of 16,646 in-state trials (32.9%) are recruiting, against 37% nationally (-4.1 percentage points). Counts include every study with at least one recorded site in the state.

  2. California trial sites spread across 8 city hubs.

    Los Angeles lists 5,523 of 16,646 in-state trials (33.2%) across 2,141 named facilities. Cities need five or more listed trials to appear here; locations are as filed by sponsors.

  3. HIV Infections is the most-studied condition in California.

    303 of 16,646 in-state trials (1.8%) list HIV Infections. That is a local concentration figure, not a national disease ranking.

  4. California sponsorship is fragmented across many organizations.

    University of California, San Francisco appears on 587 of 16,646 in-state trials (3.5%). Sponsor identity is as filed on ClinicalTrials.gov.

  5. 7,436 California trials carry a completed status.

    7,436 of 16,646 (44.7%) are completed. The open share above is the remainder that still lists recruiting.

Phase 23,780NA3,630Phase 33,494Phase 12,881Phase 4650Early Phase 1129
Treemap Treemap of 15 categories, sized proportional to value. HIV Infections 303 Breast Cancer 298 Non-Small Cell… 220 Prostate Cancer 202 Obesity 197 Diabetes Me… 149 Healthy 149 Cancer 142 Colorectal C… 133 Schizophrenia 131 Asthma 127 Multiple Myel… 120 Depression 116 Heart Failure 113 Ovarian Cancer 105

By Status

StatusTrial count
Completed 7,436
Recruiting 5,482
Active 3,728

By Phase

PhaseTrial count
Phase 2 3,780
NA 3,630
Phase 3 3,494
Phase 1 2,881
Phase 4 650
Early Phase 1 129

Where trials run in California

Los Angeles carries 5,523 of California's 16,646 indexed trials (33%) across 2,141 named sites, ahead of San Francisco at 3,254. 8 cities clear five listed trials, together naming 6,220 distinct sites.

City Trials Listed sites
Los Angeles 5,523 2,141
San Francisco 3,254 1,016
San Diego 2,539 1,076
Sacramento 1,668 546
La Jolla 1,495 502
Orange 1,375 459
Palo Alto 1,350 336
Duarte 1,341 144

Distinct trials and named sites per city, as filed with ClinicalTrials.gov; cities under five trials omitted. Vintage 2026-08-08.

Volume high

California indexes 16,646 in-state trials (p100 by registry volume among 52 states with sites).

California: in-state trial volume sits in the high tercile

Sites spread across 8 cities with five or more listed trials, led by Los Angeles (5,523, 33% of the state total) and San Francisco (3,254), together naming 6,220 distinct research locations.

Phase mix: 3,494 Phase 3 vs 3,780 Phase 2 (balanced across stages).

Top condition: HIV Infections (303 trials); top sponsor University of California, San Francisco (587).

high-volume · mid-open figures (16,646 trials · 33% open) describe registry geography under the volume high read, not clinic capacity or protocol fit. Confirm status on ClinicalTrials.gov before acting.

States near California on in-state trial volume

Cross-state peers under the volume high read (high-volume · mid-open), not the same-state browse list.

Similar high-volume hubs (± open share)

Similar mid-open peers (± trial volume)

Source: ClinicalTrials.gov, the US trial registry maintained by the National Library of Medicine, part of the NIH. California series (high-volume · mid-open · volume high) retrieved and formatted by PlainTrial, see methodology.