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The clinical trial lifecycle, end to end.

Twenty-three stages, from study design through closeout. Click any stage to open its hub: what the stage does, where AI applies today, and the open questions worth watching.

  1. 01
    Study Design
    Frame the scientific question, endpoints, population, and statistical approach that anchor everything downstream.
  2. 02
    Protocol Design
    Translate the study concept into an executable protocol: schedule of assessments, inclusion/exclusion, and operational detail.
  3. 03
    Trial Feasibility
    Estimate whether the protocol can enroll on time and on budget across the intended geographies.
  4. 04
    Country Selection
    Pick countries balancing patient availability, regulatory timelines, standard of care, and cost.
  5. 05
    Site Selection
    Identify and qualify investigator sites likely to enroll, deliver quality data, and stay engaged.
  6. 06
    Patient Recruitment
    Find, screen, and enroll eligible patients through referral networks, EHR search, and outreach.
  7. 07
    Clinical Operations
    Run the trial day to day: monitoring visits, issue management, vendor oversight, and site support.
  8. 08
    Data Management
    Own data quality end to end: standards, edit checks, query lifecycle, and clean-file readiness.
  9. 09
    EDC / Data Capture
    Design and configure the electronic case report form and the edit checks that guard it.
  10. 10
    Labs
    Coordinate central and local lab data flows, reference ranges, and sample logistics.
  11. 11
    IRT
    Interactive response technology: randomization, drug supply forecasting, and kit management.
  12. 12
    ePRO
    Electronic patient-reported outcomes: compliance, device logistics, and questionnaire validity.
  13. 13
    RBQM
    Risk-based quality management: identify critical-to-quality factors and monitor them centrally.
  14. 14
    Medical Review
    Clinician-led review of safety and efficacy data during conduct, including AE narratives.
  15. 15
    Data Review
    Cross-functional review of listings, patient profiles, and reconciliation status pre-lock.
  16. 16
    SDTM
    Map collected data into the CDISC SDTM standard for submission-ready tabulations.
  17. 17
    ADaM
    Analysis datasets derived from SDTM to support statistical results and traceability.
  18. 18
    Statistics & Programming
    SAP execution: TFLs, primary and secondary analyses, and sensitivity work.
  19. 19
    Medical Writing
    CSR, protocol amendments, and regulatory narratives written to a defensible standard.
  20. 20
    Submission & Regulatory
    Package the evidence into eCTD-ready dossiers and manage agency interactions.
  21. 21
    Inspection Readiness
    Prepare sites, systems, and documents for regulatory inspection at any time.
  22. 22
    Database Lock
    Freeze the clinical database once all data are clean, reconciled, and reviewed.
  23. 23
    Study Closeout
    Close sites, archive documents, and complete final reporting obligations.

Planning

5 stages

Conduct

2 stages

Data

8 stages

Reporting

5 stages

Close

3 stages