In the midst of gaining more experience in pursuing scientifically sound approaches of adaptive designs in clinical trials, a panel discussion with international representatives from industry, academia, and regulatory agencies was held at the Basel Biometric Society Spring Conference, March 12, 2010. The goal was to develop some consensus among industry, government, and academic statisticians concerning requirements and methods for adaptive designs in clinical trials. In this paper, we summarize the panelists' perspectives given at that session.