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4Regression · Trial Enrollment

Clinical Trial Enrollment

Which sites will meet enrollment targets?

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A real-world example

Which sites will meet enrollment targets?

80% of clinical trials fail to meet enrollment timelines. Each day of delay costs a sponsor $600K-$8M in lost patent life. A Phase III trial with 150 sites where 40% underperform wastes $50M in site management costs alone. Site selection today relies on investigator surveys and historical spreadsheets, missing the network dynamics between investigators, referring physicians, and patient populations.

How KumoRFM solves this

Graph-learned clinical intelligence across your entire patient network

Kumo builds a graph connecting studies, sites, investigators, and patient catchment areas. It learns that sites where the principal investigator has co-published with the medical monitor and has referring relationships with 5+ PCPs in high-prevalence ZIP codes enroll 2.3x faster. The model captures investigator network effects, competing trial cannibalization, and seasonal patient availability patterns.

From data to predictions

See the full pipeline in action

Connect your tables, write a PQL query, and get predictions with built-in explainability — all in minutes, not months.

1

Your data

The relational tables Kumo learns from

STUDIES

study_idtherapeutic_areaphasetarget_enrollment
STU001OncologyPhase III1200
STU002CardiologyPhase II450

SITES

site_idstudy_idinstitutionregionactivated_date
SITE01STU001Mass GeneralNortheast2025-01-15
SITE02STU001Mayo ClinicMidwest2025-01-20
SITE03STU002Cleveland ClinicMidwest2025-02-01

INVESTIGATORS

investigator_idsite_idnamepublicationsprior_trials
INV01SITE01Dr. Chen4712
INV02SITE02Dr. Patel236
INV03SITE03Dr. Lopez319

PATIENTS

patient_idsite_idscreened_dateenrolledscreen_fail_reason
PT01SITE012025-02-10Y
PT02SITE012025-02-15NExclusion criteria
PT03SITE022025-02-20Y
2

Write your PQL query

Describe what to predict in 2–3 lines — Kumo handles the rest

PQL
PREDICT COUNT(PATIENTS.*, 0, 90, days)
FOR EACH SITES.SITE_ID
WHERE PATIENTS.ENROLLED = 'Y'
3

Prediction output

Every entity gets a score, updated continuously

SITE_IDSTUDY_IDPREDICTED_ENROLLED_90DTARGET_PCT
SITE01STU0013485%
SITE02STU0011230%
SITE03STU0022893%
4

Understand why

Every prediction includes feature attributions — no black boxes

Site SITE02 -- Mayo Clinic, STU001

Predicted: 12 patients in 90 days (30% of target)

Top contributing features

Investigator prior trial enrollment rate

0.4x avg

29% attribution

Competing trials at same institution

3 active

24% attribution

Screen failure rate (first 30d)

62%

20% attribution

Referral network size (connected PCPs)

2 PCPs

15% attribution

Patient catchment prevalence

Low

12% attribution

Feature attributions are computed automatically for every prediction. No separate tooling required. Learn more about Kumo explainability

Bottom line: A Phase III trial sponsor identifying underperforming sites 60 days earlier saves $50M in reallocation costs and accelerates enrollment by 4 months. Kumo captures investigator networks and competing trial dynamics that spreadsheet-based site selection misses.

Topics covered

clinical trial enrollment predictionsite selection AItrial recruitment optimizationinvestigator performance modelpatient enrollment forecastinggraph neural network clinical trialsKumoRFM clinical trialspharma trial optimizationenrollment rate prediction

One Platform. One Model. Predict Instantly.

KumoRFM

Relational Foundation Model

Turn structured relational data into predictions in seconds. KumoRFM delivers zero-shot predictions that rival months of traditional data science. No training, feature engineering, or infrastructure required. Just connect your data and start predicting.

For critical use cases, fine-tune KumoRFM on your data using the Kumo platform and Data Science Agent for 30%+ higher accuracy than traditional models.

Book a demo and get a free trial of the full platform: data science agent, fine-tune capabilities, and forward-deployed engineer support.