SOLUTIONS

Six solutions. One aim: an endpoint you can defend.

Three tools that run on live studies, and three expert services that get the right instrument into the field in the first place. They compound: doubtful ratings surfaced by surveillance feed straight into adjudication.

TOOL 1 · ADJUDICATE

Clinical endpoint adjudication tool

The evidence for a single endpoint event usually sits in ePRO, EDC, laboratory, imaging and safety systems that do not talk to each other. We consolidate all source data into a single data lake, and an AI-augmented algorithm stratifies participants — clear-negative, clear-severe, or needs adjudication — so reviewers only see the cases that need them.

An AI-built snapshot report replaces manual file building, and a branching workflow handles determination, follow-up, second review and escalation — with the audit trail embedded from the first click.

  • All source data consolidated into a single data lake
  • Stratification so committees review only genuine cases
  • Snapshot reports instead of hand-built dossiers
  • Determination, second review and escalation in one auditable workflow
Analytics dashboard consolidating trial source data.
Ranked bar chart showing rating anomalies across a trial
TOOL 2 · SURVEIL

Endpoint quality surveillance tool

How do you know a human rating can be trusted? Now you can check every one. Engine 1 runs anomaly detection across the whole of a trial's scoring data, with no reference standard required. Engine 2 is a central over-read: an independent rater re-scores a sample and the system reconciles site against central.

  • Anomaly detection across every rating in the trial
  • Independent central over-read on a defined sample
  • Disagreement worklists, systematic bias, agreement and rater drift
  • Instrument-agnostic: any structured item-level assessment

Doubtful ratings surface early, while there is still time to retrain a rater or re-assess a participant — and they feed straight into adjudication.

TOOL 3 · CERTIFY

Autonomous rater training & certification

Replaces the five-to-six-hour in-person site-initiation visit: digital, self-led, on-demand and fully study-specific. Content is generated from the actual protocol and scale definitions and tailored by role, so every rater is trained on the same rules before the first participant is enrolled.

  • Clinical vignettes and video administration examples
  • Protocol-referenced quizzes with defined pass thresholds
  • Signed, 21 CFR Part 11-compliant certificates
  • On-demand recertification when raters change mid-study
Certification checklist with flagged review items
EXPERT SERVICES

Getting the right instrument into the field.

DEVELOP

Development of new eCOAs

Design and development of new outcome measures, from concept through validation — including instruments intended as non-exploratory endpoints. We bring expert regulatory guidance across both TGA and FDA pathways, so the evidence package is planned from the first draft, not assembled after the fact.

MANAGE

eCOA licence, digitisation & translation management

Most established COAs are licensed by a handful of rights-holders, and every digital migration and translation needs their approval. We manage licence acquisition, copyright approval, faithful digital migration and translation management across study languages — one accountable workstream instead of a chain of hand-offs.

SUPPORT

Digitisation support for eCOAs & digital endpoints

Expert support for digitising eCOAs and other digital endpoints on your platform of choice. We also help academic and investigator-led teams access commercial-grade eCOA tooling that is usually out of reach outside industry — so a university-run study can capture data to the same standard as a sponsored one.

Not sure which solution fits your study?

Send us the protocol and the instrument list. We will come back with a plain assessment of what applies — and what does not.

Talk to us about your study