Researchers introduce TrialPanorama, a structured resource of about 1.6 million clinical trial records from fifteen registries, linked to ontologies and literature. From it they build 152,000 samples across eight clinical research tasks such as systematic review and trial design. Generic large language models lag on clinical reasoning, but an 8 billion parameter model fine-tuned and reinforced on the dataset outperforms 70 billion parameter general models across all eight tasks, with relative gains of up to 73.7%. Caveat: these are benchmark gains on constructed tasks, not proven improvements in live trial operations.