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Late-stage Clinical Development Solutions

Transform your promising therapies into successful market-ready treatments with our expert late-stage clinical services

From seamless Phase 2 and Phase 3 trials to strategic regulatory navigation, our dedicated team ensures precision, compliance, and speed every step of the way.

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late clinical trials demonstrating efficacy safety

SOLUTIONS

What we can help you achieve:

Clinical Trials
CMC & QA
Market Access
Vigilance
Regulatory
  • Phase 2 and Phase 3 trial design and protocol development
  • Clinical data management and biostatistics​
  • Development of informed consent forms and investigator brochures
  • Preparation of clinical study reports
  • CMC and regulatory strategy for marketing registration (MAA, BLA, NDA)
  • CMC compliance, support for CRO/CDMO selection and management
  • Authoring Module 3 of MAA, BLA, NDA
  • Health Economics and Outcomes Research (HEOR) including value proposition development and cost-effectiveness analysis​
  • Early access program design and execution​
  • Payer and HTA interaction & engagement

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  • Pharmacovigilance (PV), including safety signal detection, risk management planning, Adverse Event reporting, and Periodic Safety Updates Reports (PSURs)/Development Safety Update Reports (DSURs)​
  • Post-Market Surveillance (PMS) & device vigilance services

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  • Guidance on regulatory requirements and compliance for global markets (FDA, EMA, etc.).
  • Preparation and submission of INDs, NDAs, BLAs, MAAs, and CTAs.
  • Interaction with regulatory agencies

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​Comprehensive End-to-End Clinical Development Services for Seamless Market Entry

Our end-to-end services encompass everything from regulatory strategy to market access, providing a seamless and integrated approach that streamlines your path to market approval.

​Proven Track Record of Success

We have a history of successfully guiding biotech companies through regulatory hurdles and market entry challenges. Our experience spans multiple therapeutic areas and regulatory frameworks, ensuring that your project is handled by experts who understand the biotech landscape from every angle.

FAQs

How many patients do we need to recruit in Phase 3 trials?

The number of patients needed in a Phase 3 clinical trial varies significantly based on factors like the primary endpoint, disease type, expected treatment effect size, statistical power, and regulatory requirements.

 

 

The main considerations for determining sample size are:

  • Statistical power and significance level
  • Effect size, including expected treatment effect and minimally clinically important difference
  • Primary endpoint
  • Control group and randomization ratio
  • Dropout rate
  • Regulatory guidance and disease specifics

 

Finally, consulting with a biostatistician early in trial design is essential to determine an accurate sample size that balances scientific rigor with practical feasibility.

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What are the main endpoints for Phase 3 trials?

The main endpoints of Phase 3 trials are chosen to demonstrate the efficacy, safety, and clinical benefit of a treatment, as they serve as the basis for regulatory approval and subsequent clinical use.

 

The primary endpoint is typically the key measure of the treatment’s effectiveness. Examples include overall survival (OS), progression-free survival (PFS), event-free survival (EFS), symptom relief or improvement, cure rate or remission rate.

 

Regulatory agencies like the FDA and EMA provide guidance on acceptable endpoints for specific indications. Aligning endpoints with regulatory expectations is crucial. Endpoints that are meaningful to patients – including survival, symptom relief, and improved functionality – enhance the likelihood of the treatment’s acceptance and real-world use. Endpoints should also reflect outcomes that significantly impact patient health and quality of life, ensuring that trial results translate into real-world clinical benefits.

 

Therefore, Phase 3 trial endpoints are thus carefully selected to balance scientific rigor, regulatory requirements, and patient relevance, ensuring that the data generated will support regulatory approval and demonstrate meaningful benefits to patients.

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How do we ensure the scalability of our manufacturing process?

To ensure scalable drug manufacturing, start by designing processes with Quality by Design (QbD) principles, identifying critical quality attributes early.

 

Pilot and engineering runs validate the process, and process analytical technology (PAT) enables real-time monitoring to maintain quality as production scales. Standardize documentation and have a robust technology transfer plan to enable smooth transitions across facilities. Establish reliable suppliers to ensure raw material consistency, and consider modular and flexible production systems like single-use technology to simplify scale-up. Engage with regulatory authorities early to align expectations, and maintain continuous process improvement to ensure efficiency and compliance in commercial-scale production.

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How do we plan for the regulatory submission process for a BLA or MAA in late-stage clinical development?

At the late clinical stage, plan for a BLA (Biologics License Application) or MAA (Marketing Authorization Application) by ensuring comprehensive clinical and CMC (chemistry, manufacturing, and controls) data are in place.

 

Engage with regulatory authorities early through pre-submission meetings to align on requirements. Prepare the Common Technical Document (CTD) format for submission, covering quality, clinical, and nonclinical data. Conduct internal audits and mock submissions to identify gaps. Coordinate cross-functional teams (clinical, CMC, regulatory) for timely document preparation. Ensure readiness for post-submission queries and potential inspections. Aim for a smooth submission process by adhering to regional regulatory guidelines (FDA for BLAs, EMA for MAAs).

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When do we engage with stakeholders and prepare for market access?

We highly recommend to engage with stakeholders early, ideally at the preclinical or early clinical stages, to align on market access strategies and ensure that the product meets their needs.

 

Start building relationships with regulators, payers, healthcare providers, and patient advocacy groups early to understand reimbursement requirements and market dynamics. Prepare for market access by gathering health economics, clinical, and real-world evidence to demonstrate the product’s value. Plan for pricing, reimbursement, and access strategies well before product approval. This proactive approach helps ensure a smooth transition from development to market launch, optimizing early access and commercial success.

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Related Glossary

Clinical Study Report (CSR)
EU Joint Clinical Assessment (JCA)
Marketing Authorization Application (MAA)
LCM (Life Cycle Management)
Biologic License Application (BLA)

Questions? Get the answers from our expert team ​

No two product development paths are the same. Talk to our experts about your development challenges and we will provide you actionable recommendations.​