Disclosed are systems and methods for clinical trial assessment of skin disease treatment. The disclosure includes obtaining a series of digital images over a period of time, wherein each digital image includes an affected area of the subject; identifying characteristic morphologies and lesions in the affected area of the subject in each of the digital images; classifying each of the detected and segmented morphologies and lesions into one or more identified categories for each of the digital images; assigning a global score to each of the digital images based on a count of the detected and segmented characteristic morphologies and lesions in each of the one or more identified categories; analyzing the global scores of each of the digital images; and making an assessment of the clinical trial based on the analysis of the global scores of each of the digital images.