As clinical trials have become increasingly complex, building systems that can address privacy and security concerns are paramount for driving collaboration that can accelerate therapies to market. The ability to quickly and cost effectively deliver new drugs to market and help ensure safety, is one of the greatest challenges faced by the health care ecosystem today. Real World Data (RWD) has the potential to increase the efficiency of the traditional drug development process and improve future clinical trial design. At Leidos, we've been looking for ways to streamline and accelerate the clinical drug trial and approval process. A huge challenge we have found is gathering real-world data from hospitals, clinics, and medical groups. This must be accomplished while preserving patient privacy and complying with HIPAA and other regulations. We have partnered, with Intel, Microsoft and Fortanix to develop a reference architecture for collecting and analyzing real-world data securely. We have integrated medical images and electronic health records using a standard common data model form. We used Intel Software Guard extension enclaves, also known as Intel SGX. Orchestrated using Fortanix, Confidential computing manager. to create a distributed, trusted computing infrastructure that provides a secure service for conversion management and sharing of DICOM healthcare image data. We created a centralized research portal using Intel SGX to capture, anonymize, encrypt, and analyze protected health care data. These secure enclaves at distributed real-world data endpoints receive queries, verify policy approvals, gather data, and return requests to the centralized portal for aggregated analysis. This network is running on Azure confidential computing infrastructure with full auditability using the Fortanix data security manager as a centralized key management system running on Azure confidential computing with Intel SGX. Clinical data is tokenized and remains encrypted at rest in transit and in use, allowing agencies like the FDA, CDC, and NIH to drive better health care outcomes.