Site growth

How many studies should a site run at once?

Overhead view of a coordinator organizing five color coded study binders beside lab kits and a planner
Short answerThere is no universal number; capacity depends on coordinator hours, protocol complexity, visit volume, and how much the studies compete for the same patients. Calculate it from the bottom up: each study's visits, data entry, monitoring, and training time, which alone averages 17.5 hours per study per month. Warning signs of overload are slipping data timelines, rising deviations, and studies enrolling nobody.

Why is there no standard number?

Because studies differ enormously. Tufts CSDD data shows the average Phase III trial grew from 187 to 301 procedures between 2020 and 2025 (Bourne Partners, citing Tufts CSDD), and total procedures are up 61% versus ten years ago (SCRS via Clinical Leader). One complex oncology study can consume more time than three simple observational ones.

How do you calculate your capacity?

  1. Count available hours per coordinator per month, minus administration.
  2. Estimate each study's monthly hours: visits times average visit length, plus data entry, query resolution, monitoring visits, and regulatory upkeep.
  3. Add training: an average of 17.5 hours per study per month (SCRS).
  4. Add recruitment time for studies still enrolling.
  5. Compare the total with available hours, leaving buffer for surprises.

When do studies compete with each other?

When two protocols target the same patients. Overlapping studies split your patient pool and can mean neither enrolls well. In a typical trial 11% of sites enroll no patients (Tufts CSDD); taking a study you cannot fill is a common way to become one of them.

What are the warning signs of overload?

  • Data entry falling behind sponsor windows.
  • Rising protocol deviations or monitoring findings.
  • Staff working evenings to keep up, a path to turnover that runs 35% to 61% a year at sites (SCRS).
  • Open studies with no enrollment.

How do sites add capacity safely?

Cross train staff, decline studies that overlap heavily, and move recruitment work out of coordinators' hours. Sites at SCRS stressed shifting staff toward enrollment as studies open (Bourne Partners). Physician outreach that runs as a system, rather than as coordinator phone calls, is one of the easiest pieces to take off their plate. See why coordinators leave.

Get your study in front of the right local physicians

TrialNotice builds a physician referral pipeline around one active study. We identify relevant local physicians within driving distance of your site, send study aligned direct mail, follow up by email and LinkedIn, track engagement with recipient level QR codes, and route warm responses into your site team's workflow.

Talk to TrialNotice

Sources

  1. Society for Clinical Research Sites, "Leading the Cut: 4 Organizations Take on Site Training Reduction"
  2. Clinical Leader, "Endpoints, Procedures, And Deviations Are On The Rise" (2025 SCRS Landscape Survey Report)
  3. Bourne Partners, "Update on the Fundamentals of Clinical Trial Sites" (SCRS Global Site Solutions Summit takeaways, October 2025)
  4. Tufts CSDD, patient recruitment and retention practices study (Jan 2013), via Fierce Biotech
  5. Society for Clinical Research Sites, Workforce Challenges at Clinical Research Sites