700+ GCP certified hospitals in China                          

But, for each top major hospitals,

there are large enough patient pool 

Many competing trials at one site
No dedicated resources for conducting clinical trials
No central EC/IRB in China
Complicated process for EC approval and contracts review
Most hospitals are owned by the government , which  have rigid resources management systems and fixed headcount
Tightened compliance supervision from NMPA
Lack of international standard processes and procedures





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