\begin{tikzpicture} \begin{pgfonlayer}{nodelayer} \node [style=Red Box] (0) at (4, -1.5) {Will Terminate?}; \node [style=Red Box] (1) at (-4.25, -1.5) {Market Measures}; \node [style=Red Box] (5) at (-0.25, 2) {Enrollment Status}; \node [style=emptyBox] (9) at (12.25, 6.25) {Fundamental Efficacy/Safety}; \node [style=emptyBox] (10) at (-0.25, 8) {Previously Observed Efficacy/Safety}; \node [style=emptyBox] (12) at (14, 0.25) {Currently Observed Efficacy/Safety}; \node [style=Gray Box] (18) at (-6.5, 1.5) {Population}; \node [style=Gray Box] (20) at (-0.25, 5) {Decision to procced with Phase III}; \node [style=Gray Box] (21) at (0, -3.5) {Condition}; \node [style=Gray Box] (22) at (7.25, 2.75) {Elapsed Duration}; \end{pgfonlayer} \begin{pgfonlayer}{edgelayer} \draw [style=RightArrow] (18) to (5); \draw [style=RightArrow] (18) to (1); \draw [style=RightArrow] (9) to (10); \draw [style=RightArrow] (10) to (20); \draw [style=RightArrow] (9) to (12); \draw [style=RightArrow] (12) to (0); \draw [style=Light Arrow] (21) to (1); \draw [style=Light Arrow] (21) to (0); \draw [style=Light Arrow, in=-120, out=165, looseness=2.00] (21) to (18); \draw [style=Light Arrow, in=180, out=180, looseness=2.75] (21) to (20); \draw [style=Light Arrow, bend right=60, looseness=1.75] (21) to (9); \draw [style=Light Arrow] (21) to (5); \draw [style=RightArrow, in=-180, out=165, looseness=2.00] (1) to (20); \draw [style=RightArrow] (20) to (5); \draw [style=RightArrow] (22) to (0); \draw [style=RightArrow, bend left] (20) to (0); \draw [style=PurpleArrow] (1) to (0); \draw [style=PurpleArrow] (1) to (5); \draw [style=PurpleArrow] (5) to (0); \draw [style=lightredarrow] (22) to (5); \draw [style=lightredarrow] (5) to (22); \end{pgfonlayer} \end{tikzpicture}