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
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
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
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
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
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
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
Why Clinical Research Sites Should Focus on Adoption, Not More Technology. By Rick Greenfield, Founder & Chief Strategy Officer, RealTime eClinical Solutions If you’re a site owner or overseeing site operations in clinical research today, you know that software is everywhere. There’s a tool for every need: patient engagement, regulatory, source data, payments, scheduling, … Read more
Clinical research sites are speaking up. The average site now juggles 22 different technology systems per study, each with its own logins, training, and data pipelines. That kind of overload leads to staff burnout, compliance risk, and redundant workflows that drain time and quality. But what if the solution isn’t more technology? What if it’s trusting sites to use the … Read more
In clinical research, budgets are always under pressure. So, when a sponsor, CRO, or vendor offers a “free” system, whether it’s a Clinical Trial Management System (CTMS) or an eRegulatory (eReg) platform (also called an electronic Investigator Site File, or eISF), it can sound like a welcome relief. But as many Academic Medical Centers (AMCs), … Read more
