Insights

No Patient Left Behind:

Elevating Multilingual Inclusion in Clinical Trials

May 8, 2025

In a post-COVID world, as the global pharmaceutical industry continues to evolve, one truth has become increasingly undeniable: no patient should ever be left behind from receiving potentially life-saving treatment. Yet today, countless potential trial participants are left unseen and unaccounted for —not due to clinical ineligibility, but due to preventable communication gaps. Is this a good enough reason to deny any patient from receiving potentially life-saving therapy?

In our increasingly diverse world, shouldn’t language be a means for connection not division? Why hasn’t a stronger voice been raised for the significant population of global patients who are not enrolled into trials? Simply due to inadequate resources to support these multilingual backgrounds.

All these questions and more were discussed during a recent global market engagement panel—elevating voices from leading pharma companies, NHS trusts, and academic research institutions —highlighting the glaring need to strategically advance and prioritize equity in clinical trials.

“We often forget that these are also patients in need of the treatment being offered – just because they do not speak English, we don’t represent their voices? That should not be acceptable. We must prioritize diversity of clinical trial inclusion and success for all patient populations.”

- MSD, Global Clinical Trial Lead
The conversation was clear: for clinical trials to be truly inclusive and generalizable, multilingual technology must be embedded at every touch point across the patient journey. A need that was further echoed in a recent 2025-2027 strategic delivery plan published by Paddington Life Sciences, a division of NHS Imperial College and a leading global organization in life sciences and clinical research.

The panel’s message was clear: pharma and life science companies have a social responsibility to ensure their therapies are tested across the full spectrum of humanity. That means embracing tools that meet patients where they are—linguistically, culturally, and emotionally.

Why Equity & Language Access Matters in Trials

Clinical trials depend on trust, clarity, and connection. Furthermore, the ability to discover and adopt newly developed clinical therapies deeply depends on generalizable outcomes data – in a patient population not representative of races, cultures and ethnic backgrounds, that data remains unreliable for a wider population– as do the associated therapies.

In multicultural societies like the United States and the United Kingdom—where nearly 30% of the population identifies as limited or non-English speaking—clinical trials fail to reflect the full spectrum of the communities they aim to serve. When enrollment, consent, follow-up care, and educational materials are only available in English, non-English patients face obvious exclusion from participation on potentially life-saving treatment options.

Excluding these voices not only skews recruitment and undermines the diversity of trial participants, but also compromises the reliability and equity of the data. Without inclusive representation, trial results do not accurately predict generalizable real-world clinical outcomes, leading to treatments that are less reliable —or even unsafe—for wider patient populations. True progress in healthcare requires that every community be seen, heard, and scientifically included.

Creating an Interconnected & Inclusive Trial Journey

Language needs not only represent a significant barrier to trial recruitment, but to also successful support and retention across the journey. This is where technology plays a critical role in enhancing and supporting the multi-stage interventions across the clinical trial journey – in specific, where Aavaaz steps in to redefine equity across the clinical trial lifecycle.

Inclusion & Recruitment

  1. Extending trial opportunities to a diverse and inclusive patient population by introducing seamless technology that immediately equips all providers to be multilingual voice that listens, understands and empowers their patient.
  2. Removing context loss and biases typically seen with 3rd-party translators in sensitive situations such as trial discussions – especially when it comes to cultural taboos and biases often inherently present with a 3rd party human translator in sensitive discussions.
  3. Elevating the patient's voice exactly "as is," with real-time, contextually aware, and culturally attuned voice communication.
A bridge ensuring the inclusion of diverse patients who fully understand the trial — building trust and enhancing the likelihood of enrollment—particularly among underrepresented populations.

Retention & Follow-Up Care

On-demand voice technology that empowers sensitive communication with patients where context and the patient voice are essential to reducing dropout rates. Whether addressing concerns around side effects, managing adverse events, or helping patients navigate social and emotional barriers, Aavaaz allows the patient's voice to be heard where education, engagement or adherence may be a challenge.

Documentation & Data Automation

Aavaaz streamlines back-end operations by automating transcripts, summaries, and insight generation from every voice interaction—reducing administrative burden while maintaining both accuracy and regulatory compliance.

Patient Education

From consent forms to educational materials, Aavaaz ensures that all content is delivered in clear, accessible language—addressing low literacy levels and cultural nuance to improve comprehension and patient empowerment.

Patient Messaging

Supports both voice-to-voice and text-to-text communication for outreach, reminders, and ongoing support—making the clinical journey more equitable, connected and patient-centric.

Outcome: Aavaaz doesn’t just expand recruitment—it ensures companies are responsibly running clinical trials that are inclusive, engaging, and successful at every stage — where empathy and equity, meet innovation and efficiency.

Driving Equity and Global Impact

The message is resounding clear across borders: pharma has a responsibility to ensure their therapies are tested across the full spectrum of humanity. That means embracing technology and innovation that reaches all patients – not just those who speak English.

As these multilingual technologies gain traction, they are not just breaking down language barriers—but also redefining what equitable, patient-centric trials look like in a global world. At Aavaaz the central mission stands firm in challenging outdated norms which leave behind many voices and many patients. The time for a new era of equitable patient care has arrived – empathy-driven and culturally inclusive.