What’s Broken in Clinical Trial Oversight

Why Site Network Leaders Need a New Layer of Operational Intelligence to Scale, Compete, and Win   Site networks have become the dominant operational model in clinical research. Sponsors and CROs increasingly rely on networks to deliver consistent performance across multiple geographies, investigators, and patient populations.   This shift has elevated the role of site network leadership. The … Read more

How AI Is Changing ClinicalTrials.gov and Why Trial Execution Still Matters 

AI Can Read the Trial Registry. Institutions Still Have to Run the Trials.  For decades, clinical research teams have relied on the same public source of truth to understand the global trial landscape: ClinicalTrials.gov.  It’s where sponsors register studies, where regulators ensure transparency, and where research institutions look to understand what trials exist, who is running them, and how … Read more

Operational Risk in Clinical Research: What Leaders Don’t See Until It’s Too Late

This brief is intended to help AMC, hospital, and health system leaders reframe how operational risk shows up in modern research environments.   Most clinical research leaders track budgets, enrollment, timelines, and compliance closely. Yet one of the most expensive operational costs in research rarely shows up anywhere formal. It doesn’t appear in licensing. It doesn’t appear in budgets.  It shows up in people.  It shows up in the invisible … Read more

The Blind Spot in AMC, Hospital, and Health System Research Operations

Legacy CTMS Works. That’s the Problem.  Legacy and similar homegrown CTMS platforms do exactly what they were designed to do:  Track studies  Support compliance  Store data  But modern research operations don’t break at the point of documentation. They break in the spaces between systems, teams, and workflows where no CTMS was ever designed to look.  This creates an … Read more

Why Clinical Research Sites Miss Trial Milestones (And It’s Not Staffing) 

Clinical research sites rarely fall behind on trial milestones because of a single failure. More often, delays build slowly, day by day, through friction that is hard to see, hard to measure, and easy to normalize. The number one reason why clinical research sites miss trial milestones is not staffing, motivation, expertise, or even protocol complexity. It’s operational drag caused by fragmented research workflows.  When trial milestones slip, the same explanations … Read more

2026 Predictions for Site-based Clinical Trial Technology

Clinical research has entered a defining decade. Technology isn’t just supporting trials; it’s reshaping how research is planned, executed, and experienced by every stakeholder involved. For Academic Medical Centers (AMCs), hospitals, health systems, and site networks, 2026 will be about moving from adoption to deeper integration of unified, enterprise-grade eClinical ecosystems that connect every operational workflow. The most successful organizations will be those that connect their technology, people, and processes … Read more

RealTime Keynote Recap: The Recruitment Playbook for Clinical Trials

RealTime Keynote Recap: The Recruitment Playbook for Clinical Trials

Watch the Replay: RealTime Keynote: The Recruitment Playbook for Clinical Trials   Patient recruitment continues to be one of the most challenging aspects of running a clinical trial. Common pitfalls often include low enrollment, underutilized tools, and lack of data visibility. In this RealTime Keynote Recap: The Recruitment Playbook for Clinical Trials, our experts revealed what top-performing … Read more

Introducing EDC Connect: The End of Duplicate Data Entry from eSource to EDC in Clinical Trials

Why manual transcription from eSource to EDC is now the industry’s biggest and most fixable bottleneck.    Clinical trials are entering a new era of technology innovation and adoption. We’ve seen AI-assisted site selection, decentralized models, real-time analytics, and fully digital workflows. Yet one of the most time-consuming, error-prone, and universally hated tasks in research has barely changed at all. Since the day eSource entered … Read more

RealTime Keynote Recap: The Next Chapter of eSource

Watch the Replay: The RealTime Keynote – The Next Chapter of eSource  Every coordinator knows the drill: collect the data once, type it again, fix the errors, and reconcile the queries. It’s a burden that has never truly been solved – eSource to EDC. And for decades, clinical research has accepted the contradiction of collecting … Read more

Why AMCs and Health Systems Are Switching to a Unified Site Operations Management System (SOMS) + Devana

Smiling doctor sitting at desk looking at computer screen

The Challenge: Legacy Systems Everywhere Why the most advanced AMCs, hospitals, and health systems ow are leaving legacy systems behind.  Academic Medical Centers (AMCs) and health systems are at the forefront of scientific discovery. They run hundreds of trials across departments, manage dozens of sponsor relationships, and balance regulatory, financial, and ethical oversight, often while advancing research that directly … Read more