April 30, 2025

How delays in clinical trials drive up costs—and how to prevent them

How delays in clinical trials drive up costs—and how to prevent them

Delays in Clinical Trials

Delays in Clinical Trials

Delays in Clinical Trials

By Ehab Naim

Speed in clinical research is essential given the increasing complexity of treatments, the landscape and regulations associated with the conduct of clinical studies, and the significant costs associated with delays in various domains such as regulatory documentation and submissions. How delays in clinical trials drive up costs—and how to prevent them has become a central question for pharmaceutical and biotech companies looking to accelerate development timelines and reduce financial risk.

Subsets of artificial intelligence (AI), such as Generative AI, have consistently demonstrated significant benefits in terms of reducing costs and speeding up processes that are time consuming, yet do not require significant skills to adopt.

In this article, we will explore the potential of Generative AI in mitigating the costs associated with delays in clinical trials while improving speed, accuracy, and consistency of outputs.

Financial impact of clinical trial delays

There are two financial measures that are utilized to evaluate the cost of delays associated with the conduct of clinical trials:

  • The cost of missing a day to generate sales
  • The cost of a day to conduct clinical studies

The available research highlights that the cost associated with the former is between $600,000 and $8 million, accounting for various factors.

However, a recent study conducted by Tufts Center for the Study of Drug Development (Tufts CSDD) mentioned that these figures represent a broad range and many therapeutic agents fall close to the lower range ($600,000) and only a handful are close to the higher end ($8 million) of the aforementioned number.

Furthermore, they stated that 4 in 10 drugs they assessed averaged $1 million of sales per day.

Estimating annual financial loss

Tufts CSDD researchers revealed that even with the most conservative approach being applied, a daily loss of $500,000 in lost drug or biologics sales is evident.

Applying simple mathematics to the figures, we would find that loss amounts to over $182 million per year.

Not only this figure is large, but it does not even consider the compounded losses associated with the delays reflecting the research and development budgets and the time left on the patent for the pharmaceutical and biotechnology companies to make a profit.

Cost of conducting clinical studies

With regard to the average daily cost associated with conducting clinical studies, figures indicate that the cost is somewhere between $37,000 and $50,000. Researchers from Tufts CSDD (the study that was mentioned earlier) showed that these figures are realistic and reasonable.

Furthermore, they indicated that therapy areas, such as respiratory, rheumatology, oncology, and dermatology have relatively the highest costs. When applying the same logic that was highlighted earlier, the figure magnifies to be over $14.5 million per year.

Again, such figures do not fully capture the picture, meaning that the number could significantly be higher.

Delays in documentation and regulatory submissions

One aspect associated with delays in clinical trials is documentation and submission to regulatory authorities, like the Food and Drug Administration (FDA) and the European Medicines Agency (EMA).

Generative AI technologies have proven their benefits in expediting these processes, allowing significantly faster submissions, reducing financial and time loss associated with delays.

How Narrativa’s generative AI accelerates clinical workflows

With the use of Narrativa’s generative AI technologies to automate regulatory documents submitted to the previously-mentioned regulatory authorities, significant time savings and cost reductions were achieved.

Results from internal polls conducted with our clients showed that:

  • The time to the first draft was reduced by about 90%
  • Time from the first draft to the final output was significantly decreased by over 83%.

The medical writing teams, biostatisticians, statistical programmers, and other team members of our partners mentioned that our solutions, including those that automate tables, listings and figures (TLFs), patient narratives, and clinical study reports:

  • Streamlined their workflow
  • Helped them significantly improve their productivity.

About Narrativa

Narrativa® is the global leader in generative AI content automation. Through the no-code Narrativa® Navigator platform and the collaborative writing assistant, Narrativa® Sidekick, organizations large and small are empowered to accelerate content creation at scale with greater speed, accuracy, and efficiency.

For companies in the life sciences industry, Narrativa® Navigator provides secure and specialized AI-powered automation features. It includes complementary user-friendly tools such as Clinical Atlas, Narrative Pathway, R-Developer for TLFs, and Redaction Scout, which operate cohesively to transform clinical data into submission-ready regulatory documents. From database to delivery, pharmaceutical sponsors, biotech firms, and contract research organizations (CROs) rely on Narrativa® to streamline workflows, decrease costs, and reduce time-to-market across the clinical lifecycle and, more broadly, throughout their entire businesses.

The dynamic Narrativa® Navigator platform also supports non-clinical industries such as finance, marketing, and media. It helps teams drive measurable impact by creating high-quality, scalable content on any topic. Available as a self-serve SaaS solution or a fully managed service, built-in AI agents enable the production, refinement, and iteration of large volumes of SEO-optimized news articles, engaging blog posts, insightful thought leadership pieces, in-depth financial reports, dynamic social media posts, compelling white papers, and much more.

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