Clinical research support for AMCs & Cancer Centers
Academic Medical Centers, Cancer Centers & Research Hospitals
Your teams are stretched thin, activation backlogs are growing, and high-priority trials need to open yesterday. We have sat in your chair.
Your Challenges
What slows you down, and what we do about it
- Study activation takes months
- Startup and activation support, from essential documents through IRB/EC and ancillary committee approvals, with milestone tracking and escalation.
- Backlogged budgets, contracts, and regulatory submissions
- Senior startup and regulatory coordinators who clear the queue and keep the dependencies between Finance, Legal, and the IRB moving.
- Coordinator and regulatory staff turnover
- CRC and regulatory coordinator backfill with a documented handover, so studies do not stall when someone leaves.
- Staff on leave with no coverage plan
- Time-boxed coverage from our Coverage & Backfill package: a vetted professional for the leave period, then a clean handback.
- Investigator-initiated trials without IND or GCP infrastructure
- IND documentation, annual reports, and GCP guidance for sponsor-investigators.
- Inspection anxiety before an audit
- Inspection Readiness Review: a gap assessment of regulatory files and investigator site files, with a remediation plan.
- Pressure to open more industry-sponsored trials
- Activation Cycle-Time Assessment, SOPs, and training that make startup faster and more predictable across the portfolio.
Roles We Place
Professionals who fit AMCs & Cancer Centers
Study Start-Up Specialist
Gets trial sites ready to enroll patients. Collects and reviews essential documents, prepares IRB/EC submissions, tracks approvals, and coordinates with sites so each one opens on time and in compliance with Good Clinical Practice (GCP).
Study Start-Up Manager
Leads the full startup process for one or more studies, from site selection through activation. Sets timelines, manages the startup team, removes contract, budget, and regulatory roadblocks, and reports progress to leadership.
Regulatory Coordinator
Prepares and maintains IRB submissions, regulatory binders, and essential documents at the research site.
Clinical Research Coordinator (CRC)
Runs the study at the hospital or clinic: recruits and consents patients, schedules visits, collects data, and acts as the link between patients, doctors, and the sponsor.
Site Contracts & Budget Specialist
Negotiates clinical trial agreements and budgets between sponsors and sites. Delays here are one of the most common reasons trials open late.
Regulatory Affairs Specialist
Handles communication and paperwork with regulators such as the FDA. Prepares and submits applications (such as an IND), amendments, and annual reports, and keeps the trial compliant from start to finish.
Fixed-Scope Packages
Defined deliverables when you need an outcome, not a headcount
Site Activation Sprint
Full startup support for one or more sites through activation.
Regulatory Start-Up Package
Regulatory binder, IRB/EC submission, and essential documents, quality-checked.
ICF Development & Harmonization
Plain-language consent form plus site-specific negotiation across your trial sites.
TMF Health Check
Completeness and quality review of your Trial Master File with a remediation plan.
Inspection Readiness Review
Gap assessment of regulatory files and TMF before an audit or inspection.
Activation Cycle-Time Assessment
Stage-by-stage analysis of your startup timeline, the bottlenecks, and a fix-it plan.
Coverage & Backfill
A time-boxed regulatory coordinator or CRC for leave coverage or open roles, with a documented handover.
Fractional Clinical Lead
A senior startup or clinical operations lead, part-time, embedded in your team.
From Our Team's Experience
Related work
Work our clinical research lead has led in prior roles, presented to show the depth behind the practice.
Leading complex activations at a top cancer center
We directed study startup across a multi-specialty oncology portfolio at an NCI-designated cancer center, managing cross-departmental coordination and a startup team.
Read moreMulti-department activation portfolioUsing cycle-time metrics to find activation bottlenecks
We tracked stage-by-stage cycle times across a multi-department activation portfolio, built dashboard reports, and surfaced the specific bottlenecks slowing study startup.
Read moreOncology: thoracic and Phase IInspection-ready regulatory operations for early-phase oncology
We led regulatory operations for early-phase oncology trials, maintaining IND documentation and audit-ready files as the primary liaison between investigators, sponsors, and regulators.
Read moreGet Started
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