The European Commission, the Heads of Medicines Agencies (HMA) and the European Medicines Agency (EMA) have published their first quarterly report on progress towards the EU’s 2026–30 clinical trial targets, covering activity from January to March 2026. The report found that 19 additional multinational clinical trials were authorised above the historical average, contributing towards the target of 500 extra multinational trials by 2030, while 40.5% of clinical trials recruited participants within 200 days of application submission, against a target of 66% by 2030. During the quarter, 538 clinical trials were authorised and 668 initial applications were submitted, with the number of multinational trial authorisations increasing from 58 in January to 110 in March. The report noted that commercial sponsors were closer to meeting recruitment timeline targets than non-commercial sponsors. It also stated that more than 13,700 clinical trial applications have been submitted since the launch of the Clinical Trials Information System (CTIS) in 2022 and that over 6,425 trials were ongoing in the EU and European Economic Area as of March 2026. The report said the targets support the proposed EU Biotech Act and wider ACT EU initiatives intended to accelerate clinical trial authorisations and strengthen the EU’s position as a location for high-quality clinical research.