Free tool · PlanningUpdated September 28, 2026

Clinical trial timeline calculator, from start-up to topline

Enter start-up time, sites, activation, enrolment rate and follow-up. The calculator simulates enrolment week by week and shows when you reach first participant in, last participant in, database lock and topline results.

  • Week-by-week enrolment
  • Staggered site activation
  • Nothing stored

Free sandbox · No credit card · 21 CFR Part 11 aligned

Example timeline · 6 sites, 120 participants
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Quarters

Start-up
Enrolment
Treatment and follow-up
Lock
Topline
Enrolment usually drives the critical path

What drives trial timelines

  • Start-up (contracts, approvals, site activation) often takes longer than planned and delays everything after it.
  • Enrolment is usually the critical path: sites open gradually and enrol below their feasibility estimates.
  • Treatment and follow-up per participant adds a fixed tail after the last participant enrols.
  • Close-out and database lock depend on how clean the data already is; continuous cleaning shortens it.
  • Use realistic, preferably historical, enrolment rates. Feasibility questionnaires tend to be optimistic.

Calculator

Estimate your timeline

Sites are assumed to open evenly across the activation period, each enrolling at the rate you enter once open. Nothing you type is stored.

First participant in

Week 16

about 3.7 months

Last participant in

Week 79

about 18.2 months

Database lock

Week 111

about 25.5 months

Topline results

Week 117

about 26.9 months

Start-up
Enrolment
Treatment and follow-up
Close-out and lock
Analysis and topline

Enrolment takes 63 weeks with sites opening evenly over the activation period. Defaults are placeholders, not benchmarks: use your own feasibility data.

Levers

Where you can actually save time

Once you see the timeline, the question is where it can be shortened. The biggest gains usually come from the start-up phase and from enrolment, not from the treatment period, which the protocol fixes.

Start-up

Contract and budget negotiation, ethics review and database build run partly in parallel. Building and testing the study while approvals are pending takes the database off the critical path; in Capture the AI Study Generator drafts the study from the protocol, and the free sandbox lets you test before anything is signed. See study start-up software.

Enrolment

More sites help only if they enrol; slow-activating sites add cost without speed. Pre-screening, QR enrolment and remote consent reduce the steps between a candidate and an enrolled participant. The sample size calculator and a realistic screen-failure rate tell you how many people you need to reach.

Close-out

Studies that resolve queries as they arise and verify critical data continuously reach database lock in weeks rather than months after the last visit.

AI Study Generator
phase2_protocol_v4.pdfStep 2 of 3
  • Reading protocol
  • Building visits and windows
  • Drafting forms

11

visits

9

draft forms

2

diaries

Take the database off the critical path

Build and test the study in the free sandbox while approvals run.

Start building your study free

Worked example

Reading the default scenario

With the defaults (16 weeks of start-up, 6 sites opening over 12 weeks, 1.5 participants per site per month, 120 participants, 24 weeks of treatment and follow-up, 8 weeks to lock and 6 weeks to topline), enrolment takes 63 weeks. The first participant enrols in week 16, the last in week 79, the last visit is in week 103, the database locks in week 111 and topline results arrive in week 117, about 27 months after the start.

Two quick experiments show the sensitivity. Increasing to 10 sites cuts enrolment from 63 to 40 weeks. Dropping the enrolment rate from 1.5 to 1.0 participants per site per month stretches it to 92 weeks, more than seven extra months. The enrolment rate is the input most worth checking against real data, for example from a pilot study or previous trials at the same sites.

Inputs

Where to get each input

InputBest sourceCommon mistake
Start-up to first site openPast studies with the same sites and approvalsAssuming contracts and approvals run faster than last time
Number of sitesFeasibility and site selectionCounting sites that will enrol little or nothing
Activation periodSite activation historyAssuming all sites open at once
Enrolment rateHistorical rates, pilot dataUsing feasibility questionnaire estimates unadjusted
Treatment and follow-upThe protocolForgetting the safety follow-up after last dose
Lock and reportingData management planPlanning lock without continuous cleaning

Planning

Plan a range, then track against it

A single timeline is a guess. Run the calculator three times, with optimistic, expected and pessimistic inputs for start-up and enrolment, and plan budgets and funding around the expected case with a clear view of the pessimistic one. Funders and boards react better to a range agreed in advance than to a delay announced later.

Once the study is running, compare actual enrolment by site with the plan every month. If enrolment falls behind, the options are the same levers the calculator shows: open more sites, extend the enrolment period, or review eligibility criteria through a protocol amendment if screen failures are the cause. The earlier the gap is seen, the cheaper each option is. A live enrolment dashboard makes that comparison routine; see clinical trial management software.

FAQ

Questions teams ask before they switch

Something not covered here? Ask us directly.

How long does a clinical trial take?

It depends on start-up, the number of sites, enrolment rates, treatment duration and close-out. The calculator estimates each phase from your inputs.

Why does enrolment take longer than planned?

Sites open gradually and often enrol below feasibility estimates. Use historical rates where possible.

How is enrolment calculated?

Week by week, with sites opening evenly over the activation period and each open site enrolling at the rate you enter.

Are the defaults benchmarks?

No. They are placeholders to show how the calculation works.

Is anything stored?

No. The calculator runs in your browser.

Start building while you plan

Draft your study from the protocol in the free sandbox.

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