What are some of the strategies sponsors or investigators can use to promote diversity in recruitment and project planning? The sponsor should reward sites that recruit quickly to meet enrollment goals, without meeting diversity or inclusivity recruitment goals. The investigator can meet with leaders at potential recruitment locations to reach the study population and convene regular meetings with the team to access progress and provide troubleshooting strategies and solutions. The protocol recruiting plan cannot be adapted to the needs of the patient population to include home visits or flexible hours for study visits. Investigators can hire more persons who are racial and ethnic minorities with the expectation that they will take the lead on recruiting and enrolling racial and ethnic minorities