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This publication discsusses whether or not open-source clinical trial data management will improve the likelihood that good clinical trials are conducted in resource-constrained settings.
Fegan, G. and Lang, T.: Could an Open-Source Clinical Trial Data-Management System Be What We Have All Been Looking For? PLOS Medicine, 2008, 5(3):347-349.
I think that it could easily do since there are many good systems out there even some bad ones that have evolved.