Company lists · Data refreshed September 2026

Top 25 Investigator-initiated trial sites worldwide

RevenueBase identified 1,585 investigator-initiated trial sites worldwide as of September 2026 and tracks 66,208 professional contacts across them, including 25,823 with verified work emails. The United States is the largest market and Miami the largest hub.

This list covers investigator-initiated trial sites worldwide, matched on what each company actually does as described in its own words. Ranked by team size, largest first. Every row shows the company's own description, its RevenueBase Smart Search rating, and when it was last checked. Data refreshed September 20, 2026. Country and city lists for investigator-initiated trial sites follow the table.

Published by RevenueBase, a B2B data infrastructure company. This list was built with RevenueBase Smart Search, the natural-language company search RevenueBase customers use to build their own targeted lists and unlock verified emails and direct dials at the companies on them. How these lists are built and judged.

How to read this list HQ checked on every row RevenueBase Smart Search rating on every row Refreshed Sep 20, 2026 86% judged on-target in blind review
1,585Companies
66,208Contacts tracked
25,823Verified emails
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The 25 largest investigator-initiated trial sites worldwide

Ranked by team size
Top 25 of 1,585 investigator-initiated trial sites worldwide, ranked by team size, largest first. Data refreshed Sep 20, 2026. RevenueBase Smart Search rates how each company's information relates to investigator-initiated trial sites: strong evidence (its own description names it), partial (names part of it), indirect (matched on the rest of its profile rather than the description shown). Click a contact count to view that company's people.
#CompanyRevenueBase Smart SearchHeadquartersEmployeesContacts
1Indirect evidenceWaltham, MA, United StatesHQ checked Sep 20, 202610001+20,530 contacts →

Indirect evidence

“The PPD™ clinical research business of Thermo Fisher Scientific, the world leader in serving science, enables customers to accelerate innovation and drug development through…”

Source: RevenueBase Database · checked Sep 20, 2026
2Indirect evidenceRaleigh, NC, United StatesHQ checked Sep 20, 202610001+4,708 contacts →

Indirect evidence

“PRA is now an ICON plc company.”

Source: RevenueBase Database · checked Sep 20, 2026
3Indirect evidenceSingapore, AustraliaHQ checked Sep 20, 20261,001-5,0001,778 contacts →

Indirect evidence

“Novotech is a globally recognized full-service clinical research organization (CRO) and scientific advisory company that provides biotech and small- to mid-sized pharma companies…”

Source: RevenueBase Database · checked Sep 20, 2026
4Indirect evidenceLincoln, NE, United StatesHQ checked Sep 20, 20261,001-5,0001,080 contacts →

Indirect evidence

“Celerion, a leader in early clinical research, delivers Applied Translational Medicine.”

Source: RevenueBase Database · checked Sep 20, 2026
5Partial evidenceCovington, KY, United StatesHQ checked Sep 20, 20261,001-5,0001,043 contacts →

Partial evidence

“CTI Clinical Trial and Consulting Services is a global, privately held, research service organization, delivering a complete spectrum of clinical trial and consulting services…”

Source: RevenueBase Database · checked Sep 20, 2026
6Partial evidenceDurham, NC, United StatesHQ checked Sep 20, 20261,001-5,000971 contacts →

Partial evidence

“Velocity is the world’s leading organization of fully integrated clinical research sites.”

Source: RevenueBase Database · checked Sep 20, 2026
7Partial evidenceNashville, TN, United StatesHQ checked Sep 20, 2026501-1,000868 contacts →

Partial evidence

“Sarah Cannon Research Institute (SCRI) is one of the world’s leading oncology research organizations, conducting community-based clinical trials.”

Source: RevenueBase Database · checked Sep 20, 2026
8Indirect evidenceSalt Lake City, UT, United StatesHQ checked Sep 20, 20261,001-5,000847 contacts →

Indirect evidence

“CenExel is a leading integrated, wholly owned, nationwide clinical research site network comprised of 18 Centers of Excellence in major metropolitan areas across the U.”

Source: RevenueBase Database · checked Sep 20, 2026
9Indirect evidenceRaleigh, NC, United StatesHQ checked Sep 20, 20261,001-5,000758 contacts →

Indirect evidence

“Caidya is a multi-therapeutic clinical research organization (CRO) serving innovators worldwide.”

Source: RevenueBase Database · checked Sep 20, 2026
10Strong evidenceHouston, TX, United StatesHQ checked Sep 20, 2026501-1,000590 contacts →

Strong evidence

“DM Clinical Research is a network of clinical trial investigator sites with headquarters based out of Houston, Texas.”

Source: RevenueBase Database · checked Sep 20, 2026
11Partial evidenceMelbourne, AustraliaHQ checked Sep 20, 2026501-1,000575 contacts →

Partial evidence

“Nucleus Network is the only global provider dedicated to early phase clinical trials, with units in Australia, the USA and the UK.”

Source: RevenueBase Database · checked Sep 20, 2026
12Indirect evidenceMississauga, ON, CanadaHQ checked Sep 20, 2026201-500568 contacts →

Indirect evidence

“Pharma Medica Research is a full service early phase contract research organization.”

Source: RevenueBase Database · checked Sep 20, 2026
13Indirect evidenceHyderabad, IndiaHQ checked Sep 20, 2026201-500535 contacts →

Indirect evidence

“AXIS Clinicals Limited is one of the most experienced and fastest growing Clinical Research Organization.”

Source: RevenueBase Database · checked Sep 20, 2026
14Indirect evidenceDurham, NC, United StatesHQ checked Sep 20, 202610001+532 contacts →

Indirect evidence

“THIS PAGE IS NOT MONITORED.”

Source: RevenueBase Database · checked Sep 20, 2026
15Indirect evidenceCoral Gables, FL, United StatesHQ checked Sep 20, 2026501-1,000389 contacts →

Indirect evidence

“Sitero is a next-generation, site-focused clinical research organization (CRO) for life sciences and institutional research organizations that helps get treatments to market safer…”

Source: RevenueBase Database · checked Sep 20, 2026
16Indirect evidenceAdelaide, AustraliaHQ checked Sep 20, 2026201-500386 contacts →

Indirect evidence

“Avance Clinical is a full-service Contract Research Organization (CRO) headquartered in Australia, with extensive operations across New Zealand, Asia, North America, and Europe.”

Source: RevenueBase Database · checked Sep 20, 2026
17Indirect evidenceLeiden, NetherlandsHQ checked Sep 20, 2026201-500367 contacts →

Indirect evidence

“The CRO for data-intensive, early phase clinical studies.”

Source: RevenueBase Database · checked Sep 20, 2026
18Partial evidenceBlackpool, United KingdomHQ checked Sep 20, 2026201-500333 contacts →

Partial evidence

“MAC Clinical Research is a leading full-service, global Contract Research Organisation (CRO) with over 30 years of experience in clinical trial management.”

Source: RevenueBase Database · checked Sep 20, 2026
19Partial evidenceApex, NC, United StatesHQ checked Sep 20, 2026501-1,000321 contacts →

Partial evidence

“Flourish Research is a fully integrated, multi-site clinical trial network serving sponsors and CROs across North America.”

Source: RevenueBase Database · checked Sep 20, 2026
20Partial evidenceWarszawa, PolandHQ checked Sep 20, 2026201-500312 contacts →

Partial evidence

“Pratia Research Site Network, owns and commands a network of over 100 clinical research sites, establishing strong presence across 9 countries globally.”

Source: RevenueBase Database · checked Sep 20, 2026
21Partial evidenceIstanbul, TürkiyeHQ checked Sep 20, 202651-200308 contacts →

Partial evidence

“MEDEX is an organization that specializes in managing clinical research sites.”

Source: RevenueBase Database · checked Sep 20, 2026
22Strong evidenceAtlanta, GA, United StatesHQ checked Sep 20, 2026201-500295 contacts →

Strong evidence

“Florence is a purpose-built platform that connects sponsors and sites to accelerate clinical trials, improve operational capacity, and reduce risk.”

Source: RevenueBase Database · checked Sep 20, 2026
23Partial evidenceMorrisville, NC, United StatesHQ checked Sep 20, 2026201-500291 contacts →

Partial evidence

“Science 37 is a modern clinical research site that delivers trials directly to patients’ homes.”

Source: RevenueBase Database · checked Sep 20, 2026
24Partial evidenceLiverpool, United KingdomHQ checked Sep 20, 2026501-1,000282 contacts →

Partial evidence

“FutureMeds is an independent, fully-owned European Site Network and DCT service provider dedicated to running patient-centric clinical trials and delivering quality data for the…”

Source: RevenueBase Database · checked Sep 20, 2026
25Partial evidenceUnited StatesHQ checked Sep 20, 2026501-1,000264 contacts →

Partial evidence

“Accellacare delivers clinical trial services to pharmaceutical, biotechnology, medical device industries.”

Source: RevenueBase Database · checked Sep 20, 2026

Showing 25 of 1,585 investigator-initiated trial sites worldwide

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Investigator-initiated trial sites worldwide at a glance

As of Sep 20, 2026
39.0%Verified-email coverage
41.8Average contacts per company
11-50Median size (employees)
3.2%Largest-city concentration · Miami
Sep 20, 2026Page data refreshed

Companies by employee count

1-10
627
11-50
611
51-200
233
201-500
58
501-1,000
24
1,001-5,000
21
10001+
6

Email recency is reported on each country list linked below.

How this list was built

Company categories are rarely black and white. RevenueBase reads each company's own description of its business to decide whether it belongs among investigator-initiated trial sites, so some rows will be adjacent to the category rather than pure plays. The description and RevenueBase Smart Search rating on every row are there so you can check each match yourself.

Source
The RevenueBase company graph: 60 million companies and 398.9 million professional contacts resolved from primary sources, queried with RevenueBase Smart Search, the natural-language company search available to every RevenueBase user.
Coverage
Every country. Country and city lists for investigator-initiated trial sites are linked below.
What qualifies
Companies worldwide whose own description of what they do matches “investigator-initiated trial sites”. Matching reads each company's description, not its industry code or its name.
RevenueBase Smart Search
RevenueBase Smart Search is how this list is assembled and how each row is rated. RevenueBase's data engine and AI assess a company's LinkedIn profile, information supplied directly by the company, its website and other publicly available information, then relate it to a category defined in a user's own words. Each row is rated strong evidence (its own description names investigator-initiated trial sites), partial evidence (it names part of the category) or indirect evidence (the description shown names none of it and the match rests on the rest of the company's profile). The description supporting each rating is quoted on the row.
What we exclude
Companies whose own description does not clearly place them among investigator-initiated trial sites, and records with no verified work email.
Match quality
In blind human judging of this matching method, 86% of matched companies were on target. Expect roughly 1 in 7 rows to be adjacent to the category rather than a pure play. Every row shows the company's own description and its RevenueBase Smart Search rating so you can judge each match yourself. Read the full methodology: how the lists are built, how the judging worked, and what the figure means.
Ranking
Team size, largest first: companies are ordered by the number of professionals RevenueBase tracks at each one. Employee ranges shown are reported bands, for context.
Verification
Every listed company carries at least one verified work email, 25,823 across the full list. Contacts re-verify on a rolling cadence, and each contact's own verification date is shown inside RevenueBase.
Refresh
This page's figures were pulled from the company graph on September 20, 2026. Lists refresh periodically as the graph is re-checked.
Corrections
Wrong category, wrong headquarters, or a company that has closed? Use “Report an issue” on any row. Reports go to the RevenueBase Data Team and feed back into the company graph.

Investigator-initiated trial sites by location

6 lists · largest first

Every Investigator-initiated trial sites list RevenueBase publishes, by country and city. Counts are matching companies in each list as of its own refresh date.

Countries

Frequently asked

What is RevenueBase Smart Search?

RevenueBase Smart Search is how RevenueBase decides which companies belong on this list and how strongly each one fits. Its data engine and AI assess a company's LinkedIn profile, information supplied directly by the company, its website and other publicly available information, then relate it to the category the list is about. Each row is rated strong evidence when the company's own description names investigator-initiated trial sites, partial evidence when it names part of the category, and indirect evidence when the description shown names none of it and the match rests on the rest of the company's profile.

How many investigator-initiated trial sites are there worldwide?

RevenueBase identified 1,585 investigator-initiated trial sites worldwide as of September 2026, matched on each company's own description of what it does rather than its industry code.

What is the largest company on this list?

PPD, headquartered in Waltham, tops this list with the largest team on record.

Which country has the most investigator-initiated trial sites?

The United States leads with 816 companies, followed by India (66) and the United Kingdom (57). Every investigator-initiated trial sites list by country and city is linked on this page.

Which city has the most investigator-initiated trial sites?

Miami leads with 50 headquartered companies, followed by Houston (25) and London (18).

How do I get contact information for these companies?

A free RevenueBase account lets you run this exact search and work the top results, verified emails and direct dials included. Upgrading unlocks all 25,823 verified decision-maker contacts tracked across these 1,585 companies.

How current is this list?

The list refreshes periodically as the company graph is re-checked. This page's figures were pulled on September 20, 2026.

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About this data

RevenueBase is a B2B data infrastructure company. Its company graph covers 60 million companies and 398.9 million professional contacts, with emails verified on a rolling cadence rather than scraped once and left to decay. These company lists are generated directly from that graph with RevenueBase Smart Search, the same natural-language company search every RevenueBase user has: describe a market in plain words, get the companies that match, and add verified emails and direct dials for the people at them. It is the same data that powers RevenueBase's B2B data products, and a free account includes 500 credits to start. How these lists are built and judged.