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The background to this is the declining proportion of clinical trials in Germany over the past few years. A joint analysis by EFPIA, IQVIA, and Vaccines Europe from 2024 shows that the number of commercial clinical trials in phases I to IV fell from 618 to 417 between 2018 and 2023. The proportion of clinical trials also declined across Europe. In many cases, the complex and non-standardized contract negotiations with hospitals and medical practices were identified as a major contributing factor.
A crucial step has now been achieved with the approval of the Federal Council of the corresponding regulation. This establishes the legal basis for binding standard contractual clauses between sponsors and medical institutions in industry-initiated clinical trials. The Federal Ministry of Health can now implement the regulation promptly.
The participating associations see this as an important step forward for Germany as a location for clinical trials. Standardized contract clauses should make it possible to conclude contracts more quickly and efficiently, and to make Germany more attractive again in the international competition for clinical trials.
Clinical trials require close collaboration between companies and medical institutions. In hospitals and clinics, patient consultations, examinations, treatments, and the documentation of study progress all take place. Often, multiple institutions in different federal states are involved, which further complicates contract negotiations.
Until now, individually negotiated contracts often led to significant delays. Other European countries, however, were able to conduct studies more quickly because they already use binding standard clauses. With the Medical Research Act passed in October 2024, the possibility of introducing such binding contractual clauses was created in Germany for the first time.
The draft regulation, now adopted, was approved by the Federal Cabinet at the end of May 2025 and subsequently submitted to the Federal Council for approval. Once the regulation enters into force, the standard contractual clauses for industry-initiated studies will become binding. Deviations will only be permitted in justified exceptional cases and by mutual agreement.
The new standard contract template is intended to serve as a guideline for specific contract drafting and to ensure a fair balance between the interests of sponsors and the implementing medical institutions. Representatives from university hospitals, the KKS network, research-based pharmaceutical companies, the pharmaceutical industry, medical device manufacturers, and medical contract research organizations were among those involved in its development.
Previously existing model contracts were merely advisory and failed to significantly expedite contract negotiations. The new, government-mandated standard clauses now establish binding frameworks for the first time.
Regardless, supplementary recommendations regarding the remuneration of services provided by trial centers remain applicable. This is because, in addition to legal issues, economic aspects, particularly the remuneration for complex patient care, play a central role. These should continue to be negotiated individually and are not subject to a uniform fee schedule.
The introduction of binding standard contractual clauses is intended to significantly speed up the setup of clinical trials in the future. At the same time, transparency will be increased and legal certainty improved for all parties involved. This will allow pricing for study services to be more closely aligned with market conditions, without being bogged down by lengthy contract negotiations.
Overall, the new standard contracts are expected to make an important contribution to making Germany more attractive for clinical trials again and accelerating patients' access to innovative therapies.
Following approval by the Federal Council, the Federal Ministry of Health can enact the corresponding regulation. From this point on, the standard contractual clauses for industry-initiated studies are mandatory.
Your law firm LIFE SCIENCES LAW - Ralph Schäfer – Lawyer.
Monday – Saturday 8:00 AM – 10:00 PM