Embedding Implementation Science in Clinical Trials: A Framework for Academic-Life Science Partnerships.

Implementation science offers a systematic approach to bridging the gap between research and clinical practice by promoting the adoption, scale-up, and sustainment of evidence-based therapies. Historically, academic implementation science efforts in the USA have focused on later-stage post-market research through government-funded initiatives, leaving untapped opportunities to engage more proactively with life science partners, such as pharmaceutical sponsors, earlier in the development process. Limited integration with life science partners, especially during early-phase clinical trials, represents a missed opportunity to address implementation challenges that affect real-world uptake proactively. The objective of this current opinion is to explore how implementation scientists can more effectively position their expertise to support the development, evaluation, and delivery of new therapies throughout the entire clinical trial lifecycle with life science partners. This article proposes a conceptual framework for collaboration between implementation scientists and life science partners, emphasizing how early integration can help identify healthcare system constraints, clinician adoption barriers, and patient acceptability issues, factors that often shape a therapy's downstream impact. Even before efficacy or regulatory certainty is established, implementation science can strengthen trial design, inform site and stakeholder selection, and enhance the interpretability and readiness of findings for real-world uptake. By aligning implementation methodologies with the strategic priorities of pharmaceutical sponsors, academic researchers can provide structured actionable insights that increase the likelihood of clinical and commercial success. Stronger partnerships established earlier in the development process may improve return on investment, reduce time to impact, and accelerate the translation of effective therapies into routine care.

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