trialdesignbench

TrialDesignBench is a community-driven benchmark for evaluating AI agents in clinical trial design. The benchmark currently focuses on two core tasks:

• Design reproduction: Given a Statistical Analysis Plan (SAP) or study protocol, evaluate how accurately AI agents can reproduce the trial design using R.
• Design generation: Given high-level clinical requirements, evaluate the ability of AI agents to draft new clinical trial designs using R.

How it works

trialdesignbench is a Python package and a thin evaluation framework. It owns the task schema, task materialization, the grader, scoring rules, aggregation, and provenance.

Harbor is the execution backend that runs agent harnesses in Docker. The two interact only through files: Harbor task directories, a generated job.yaml, and the job directory that Harbor writes. The currently supported agents are:

• Claude Code (claude-code)
• Codex CLI (codex)
• Grok Build (grok-build)
• OpenCode (opencode)

Other Harbor agents are refused because they cannot verifiably run closed book. Reasoning effort is a first-class run setting next to the agent and model. It is checked per agent before launch, recorded with every job, and kept apart in reports.

Installation

uv add trialdesignbench           # dataset, build, grade, report
uv add "trialdesignbench[judge]"  # + Anthropic SDK for the Anthropic rubric judge
uv add "trialdesignbench[harbor]" # + Harbor to run agents

For development:

git clone https://github.com/BBSW-org/TrialDesignBench.git
cd TrialDesignBench
uv sync --dev

Quick start

Canonical dataset from curated submissions and protocol/SAP Markdown:

uv run tdb dataset import \
	data/json/*.json \
	--out tmp/dataset \
	--documents docs/
uv run tdb dataset check tmp/dataset

Shared environment image, then Harbor tasks:

uv run tdb env build
uv run tdb build \
	tmp/dataset \
	--out tmp/tasks

Run an agent with the network canary, then aggregate. The agent reads its provider's API key (here the ANTHROPIC_API_KEY). The rubric judge needs the key of its backend, ANTHROPIC_API_KEY by default.

export ANTHROPIC_API_KEY=...
uv run tdb run \
	--tasks tmp/tasks \
	--agent claude-code \
	--model anthropic/claude-opus-5-5 \
	--effort high \
	--n-attempts 3 \
	--canary
uv run tdb report \
	"jobs/<job-name>" \
	--format md

Grade any directory with output.json and output.R, no Harbor needed:

uv run tdb grade \
	path/to/submission \
	--rubrics "tmp/dataset/<task_id>/rubrics.json" \
	--out "graded/<task_id>" \
	--trajectory path/to/trajectory.json

See the documentation for the dataset format, supported agents and their credentials, the judge, environment and network policy, grading rules, and reproducibility guarantees.

Design principles

• Hidden rubrics. Agents see the prompt template, the question skeleton, and the source document. Rubrics live only in each task's tests/ directory, which runs in a separate verifier container.
• Decoupled grading. tdb grade is a pure function of the submission (output.json, output.R, trajectory), the rubrics, and the judge configuration. It runs the same inside Harbor, standalone, and in tests, so recorded runs can be regraded and external submissions compared.
• Fail loudly. Every grading error is an explicit status and zeroes the reward; a missing R runtime or trajectory is never a pass.
• Closed book is enforced. While the agent runs, egress is an allowlist of model API hosts; server-side web tools are disabled in the harness, the grader scans the trajectory for violations, and a network canary proves the policy holds.
• One pinned image for agent and verifier: R with a dated CRAN snapshot, Python, Node, pinned agent CLIs and closed book agent settings, and the pharma skills.