
Writing about the operational realities behind modern drug development.
| Platform | Pricing | Only free issues | Publishes | Weekly | |
|---|---|---|---|---|---|
| Issues | 45 | Founded | a year ago | Last Issue | 10 days ago |
| Active | |||||

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The most optimistic people I’ve worked with in clinical research are rarely the most cheerful.
They’re usually the ones asking the hardest questions.
The ones challenging enrollment assumptions.
The ones asking whether a t...
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Over the years, I’ve visited sites ranging from some of the most respected academic medical centers in the world to small community practices tucked into suburban office buildings.
Some had international reputations.
Some h...
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Most people start by looking at the dashboard.
It’s understandable. Dashboards give us something tangible. Enrollment trends, site activations, protocol deviations, data quality metrics, issue logs—these are the indicators m...
Something happened in your last trial.
Or it will happen in your next.
A patient reports perfect adherence.
Six weeks straight. Not a single missed dose.
But what if they’re not telling the full truth?
If you’ve worked in clinical tri...
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The FDA recently launched one of its first “real-time” clinical trial review pilots.
That may not sound remarkable until you realize most clinical trials are still reviewed more like historical reconstruction than live obser...
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The writers behind this newsletter.
Writing about the operational realities behind modern drug development.
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