
Clinical trials are evolving toward decentralized, patient-centered models, but enrollment challenges, outdated protocols, and infrastructure gaps persist.
Arturo Loaiza-Bonilla, MD, is network chief of Hematology and Oncology at St. Luke’s University Health Network, and associate professor of medicine at Temple University, Lewis Katz School of Medicine.

Clinical trials are evolving toward decentralized, patient-centered models, but enrollment challenges, outdated protocols, and infrastructure gaps persist.