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Peer-Reviewed Publication
Contemp Clin Trials Commun2025;48101581.December 1, 2025Journal Article

Frontier sites in clinical trials: Opportunities, challenges, and models.

Andrea Bastek1, Amanda Zenere1, Heather Manley2, Camille Finkle3, Chad Jaeger4, Janet Matthews5, Kristie Moffett6, Megan Solomon7, Paula Underhill8
1Florence Healthcare, United States.
2Clinvest Headlands, United States.
3Nuvance Health, United States.
4Banner Research, United States.
5Drexel University, College of Medicine, United States.
6Moffitt Cancer Center, United States.
7Northwest Georgia Oncology Centers, P.C., United States.
8PPD Clinical Research Services, Thermo Fisher Scientific, United Kingdom.

Abstract

BACKGROUND: The clinical trials industry faces a growing capacity gap driven by an increasing number of studies combined with site and staff shortages. The Site Enablement League (SEL) Task Force on Frontier Sites was established to explore the potential of non-traditional research sites-termed "frontier sites"-to address these issues by expanding access to underserved populations and embedding cl…

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