\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) {Alternate Drugs}; \node [style=purple box] (5) at (0, 2) {Enrollment}; \node [style=Gray Box] (18) at (-6.5, 1.5) {Population}; \end{pgfonlayer} \begin{pgfonlayer}{edgelayer} \draw [style=RightArrow] (18) to (5); \draw [style=RightArrow] (18) to (1); \draw [style=PurpleArrow] (1) to (5); \draw [style=PurpleArrow] (5) to (0); \draw [style=PurpleArrow] (1) to (0); \end{pgfonlayer} \end{tikzpicture}