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.
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


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.
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

Getting the right instrument into the field.
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.
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.
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