Germany is a strong player in outsourcing of clinical trials. Well known CROs as PAREXEL, PPD, ICON or PRA Health have whether subsidiaries or headquarters in Germany. There are about 140 Contract Research Organizations (CROs) in Germany and each of them has its own area of specialization. Their geographical spread and focus are summarized in the following info-graphic:
German CRO Structure Infographic (Cyntegrity)

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Data Source: Thesis by Katharina Schaper (2015)