The pharmaceutical industry is inherently global. In addition to the everyday complexities of executing trials involving multiple languages, there are different conventions used between different regions or countries. This article by Rick Morrison of Comprehend Systems describes many of the problems that sponsors are facing when conducting trials on this global scale, and the technologies and processes that can be implemented to ensure success.
http://jforcs.com/jcs/wp-content/uploads/2013/06/11.-Overcomming-Diverse-Language-Challenges-Across-Clinical-Trials..pdf