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Making Life Easier for Investigators:
A Shared Solution for Smarter,
Faster Clinical Trials
The industry’s Shared Investigator Platform significantly reduces
the time and cost of clinical trials, simplifying work for investigators
and bringing promising therapies to market more quickly.
Executive Summary
Life sciences companies are under continual
pressure to reduce clinical trial costs and the
time it takes to bring a new therapy to market.
Clinical trial challenges include subject retention,
medical adherence and managing the huge
volume of administrative documents and tasks
required of investigative sites. The administra-
tive work necessary for startup and management
represents approximately 30% of the activities
required for any given study.
Individual biopharma companies have attempted
to address administrative inefficiencies by using
Web-based portals to streamline information
flow, document exchange and data access among
study teams and investigative site staff. It is well-
recognized that investigators complete the same
administrative documents every time they work
on a study for a sponsor. What’s more, clinical
trials increasingly require dynamic, interdepen-
dent relationships among sponsors, investiga-
tors and regulators — relationships that must be
better managed to increase study efficiency and
productivity.
Finally, new technologies ranging from social
media to smartphones offer new capabilities that
offer the opportunity to influence the clinical trial
process and reshape the study experience for
patients and investigators.
With the goal of improving clinical trial efficiency,
a group of pharmaceuticals companies is
supporting the development of a new technology
platform that can be shared among multiple
sponsors, with the goal of streamlining how
investigators interact with biopharma companies
across the industry. The new platform will
enhance organizational productivity by providing
investigators and site staff with a more central-
ized access point to clinical trial information,
enhancing accuracy and reducing study startup
time. It will also help pharmaceuticals companies
improve quality, regulatory compliance, process
visibility and capacity, while reducing investigator
efforts related to training, document exchange
and support.
In the future, the platform may provide regulators
with an efficient electronic audit process and
better insight into clinical trials, as well as func-
cognizant 20-20 insights | june 2015
• Cognizant 20-20 Insights
cognizant 20-20 insights 2
tionalities that match investigators and patients
with studies that are the best fit. This white paper
details a cross-industry effort to create a col-
laboration platform to help biopharma companies
better facilitate their interactions with clinical
trial sites, thereby accelerating and simplifying
the research and development of new therapies.
Clinical Trial Operations: Streamlining
a Shared Burden
The vast majority of delays in clinical trials is
related to the need to log into various clinical
systems and complete administrative documents
and tasks for financial and trial management, as
well as to fulfill regulatory requirements. Inves-
tigators often feel out of touch with sponsors
and are burdened by redundant tasks and
the management of multiple user names and
passwords for systems and tools, known as “trial
fatigue.” At the same time, sponsors struggle to
make decisions with incomplete data and slow
information flows. These factors make it more
difficult for biopharma companies to quickly bring
effective treatments to patients.
Fortunately, biopharma companies now have the
technologies and tools to transform clinical trial
processes and practices. These technologies have
been used by individual life sciences companies
to create information portals for their own inves-
tigators. Yet these individual efforts have had
little impact on trial costs and efficiencies for
several reasons:
•	An individual portal does not enable a biophar-
ma company to reduce duplicate efforts by its
sites related to clinical research and recording-
keeping, which contributes to trial inefficiencies
and costs.
•	Investigators still must log into multiple
sponsor portals and systems, each with its own
user name and password and a different user
experience.
•	Individual portals don’t effectively support the
increasingly complex web of connections now
required to bring a proven therapy to market.
Studies involve a wide variety of stakeholders
beyond patients and investigators, including
multiple business partners, such as contract
research organization (CRO) and regulatory
bodies. Addressing these issues as part of a
shared industry solution enables improvements
in clinical trial management, communication and
stakeholder collaboration. In essence, technology
can now help resolve many of the persistent pain
points that plague clinical trials.
Developing such a tool requires an understand-
ing of which processes can be simplified and
streamlined across the industry to improve the
experience of investigators.
A shared platform should:
•	Strengthen the relationships between biophar-
ma companies, investigators and regulators,
both online and offline.
•	Support near real-time communication
between investigators and sponsors.
•	Improve the investigative site experience.
•	Simplify and optimize clinical trials.
•	Streamline access and integration of clinical
trial data.
•	Create collaborative solutions across stake-
holders focused on efficiency and value.
•	Increase data reliability, transparency and reg-
ulatory compliance.
•	Improve efficiency and scalability.
Accelerating New Therapies with
Shared and Simplified Clinical Trial
Management
The life sciences industry is working toward such
a solution with the Shared Investigator Platform
(SIP), conceived by TransCelerate BioPharma, Inc.
TransCelerate is a nonprofit industry group com-
posed of the world’s leading biopharmaceutical
companies, and formed with the vision of accel-
erating and simplifying the research and develop-
ment of innovative new therapies. The SIP pro-
vides a common workspace to simplify the clinical
trial process, enable sponsors to collaborate more
effectively with sites, and share data and clinical
trial information between a sponsor and its clini-
cal sites. The platform is designed to provide a
faster, more cost-effective means to manage clini-
cal trials by improving interactions between spon-
sors and investigators (see Figure 1, next page).
In essence, technology can
now help resolve many of the
persistent pain points that
plague clinical trials.
3
Data and user privacy is paramount to any cross-
industry portal. With SIP, general information
about investigators will be shared among member
companies, as appropriate, while maintaining the
security of each company’s proprietary informa-
tion and safeguarding the investigator’s privacy
rights. Clinical operations data is secured within
the company’s firewalls. Clinical teams set up a
study workspace, sharing forms and templates
for ethics review, as well as the trial master files
that reside at the site and with the sponsor.
In the future, the platform could simplify clinical
trial design with early and direct collaboration with
the investigators. Clinical development teams will
then be able to gain early feedback on patient pop-
ulations and standards of care within the country
or regions before submitting the trial design to the
regulatory agencies for review and approval.
Streamlining Clinical Trial Operations
The SIP roadmap initially focuses on simplifying
clinical trial startup; additionally, it adds efficien-
cies to ease the administrative burden for clinical
investigators and makes it easier for investiga-
tors to participate and collaborate in the clinical
trial environment. For example, SIP supports
single sign-on, allowing investigators to register
once across all participating companies for a
single trial and/or for multiple trials within the
same therapeutic area across companies. Single
sign-on eliminates the need for investigators to
have multiple user names, account forms and
passwords.
Access to sponsor systems is also managed for
the investigator through single sign-on. This focus
on efficiency provides a similar user experience
for both investigators and clinical trial sponsors,
reducing clinical trial startup and completion
time. These seemingly small efficiencies can
result in breakthrough therapies and drugs being
made available sooner, given that operational
processes account for 45% to 75% of the time
and cost of clinical trials.
Future SIP enhancements will focus on additional
operational efficiencies, more collaboration and
increased innovation using multiple digital touch-
points across patients, investigators and life
sciences companies. Key technologies such as
social, mobile, analytics and cloud, integrated with
best-of-breed capabilities, will make this possible.
Areas of future focus for SIP may include:
•	Drug supply ordering.
•	Mentoring, training and communications for
aiding patient retention and providing inves-
tigator support based on social and mobile
solutions.
•	Patient identification, screening and recruit-
ment through database services and analytics.
Anatomy of the Shared Investigator Platform
Figure 1
1 2 3
4 5 6
7 8 9
Single Sign-on Study Workspace User Profile
Facility Profile Training
Home Pages
1
Secure access across
sponsors and studies
Specific workspace
sponsored for
each study
Centralized personnel
information for use
across studies
Centralized information
of institutions for
association across
studies
Survey creation, distribution,
completion and response
management
Training certificates eligible
for mutual recognition by
participating sponsors
Dashboards, news,
links, reports, metrics
and more
Consolidated information
across all studies
Posting and retrieval of
documents
Tasks, Alerts and
Notifications
Document
Exchange
Feasibility &
Sponsor Surveys
R 1 An intuitive and harmonized interface
for delivery of content and services to research sites
•	Operational services, such as paperless
financial, regulatory and performance
reporting data, leveraging database services,
analytics and report templates.
In addition, it is also anticipated that SIP may
expand to include more efficient ways to process
investigative site payments according to clinical
trial progress. Clinical trial recruitment metrics
are another potential development priority, as is
the automatic mailing of adverse event reports.
Looking Ahead: The Future Built on a
Shared Vision
SIP will be the first multi-tenant, single sign-on
platform through which clinical trial information,
operations, administrative documents and tasks
can be shared among sponsors and their sites.
Several TransCelerate member companies and
investigators developed the features that inform
the design and development of the platform. They
also provided oversight to ensure the platform
provides an intuitive user experience and delivers
the right functionality.
The vision for SIP is to enable a true working
partnership across all stakeholders aligned with
a common goal, making it easier for the investi-
gative site to conduct clinical trials. SIP fosters a
community for support and mentoring, as well as
the promotion of frequent and just-in-time com-
munication for investigative sites and their staff.
It is critical that platforms designed to support
more collaborative and communicative trials
offer the scalability and open design required to
integrate new technology developments. These
very well may include the use of electronic
medical records in the patient setting to identify
potential trial participants.
SIP will continually evolve as technology advances
to support the best, most efficient practices for
streamlining clinical trials. The vision is that
biopharma companies and investigative sites
will reduce both time and cost on administrative
tasks. At the same time, communication and col-
laboration between a sponsor and its sites, as well
as data accuracy, should improve. SIP is driven by
a shared vision for optimizing clinical trials to help
the industry meet the demand for less expensive,
more effective therapies, in a timely manner.
cognizant 20-20 insights 4
Note: TransCelerate selected Cognizant last year to develop a platform that will transform the way
clinical sites collaborate with pharmaceuticals companies on clinical trials. Learn more here.
About the Author
Beenu Kapoor is a Director in Cognizant Business Consulting with a focus on clinical operations
and data management in the life sciences industry. Beenu has more than 20 years of experience in
pharma, biotech and CROs. She has worked and consulted in transforming clinical trial management
and operations. She has defined strategies and roadmaps, and implemented solutions (processes and
tools) for clinical trials. She earned an Executive M.B.A. in finance from Rutgers Business School and a
master’s of science in computer application from Delhi University, India. Beenu can be reached at Beenu.
Kapoor@cognizant.com.
About Cognizant
Cognizant (NASDAQ: CTSH) is a leading provider of information technology, consulting, and business
process outsourcing services, dedicated to helping the world’s leading companies build stronger busi-
nesses. Headquartered in Teaneck, New Jersey (U.S.), Cognizant combines a passion for client satisfac-
tion, technology innovation, deep industry and business process expertise, and a global, collaborative
workforce that embodies the future of work. With over 100 development and delivery centers worldwide
and approximately 217,700 employees as of March 31, 2015, Cognizant is a member of the NASDAQ-100,
the S&P 500, the Forbes Global 2000, and the Fortune 500 and is ranked among the top performing and
fastest growing companies in the world. Visit us online at www.cognizant.com or follow us on Twitter: Cognizant.
World Headquarters
500 Frank W. Burr Blvd.
Teaneck, NJ 07666 USA
Phone: +1 201 801 0233
Fax: +1 201 801 0243
Toll Free: +1 888 937 3277
Email: inquiry@cognizant.com
European Headquarters
1 Kingdom Street
Paddington Central
London W2 6BD
Phone: +44 (0) 20 7297 7600
Fax: +44 (0) 20 7121 0102
Email: infouk@cognizant.com
India Operations Headquarters
#5/535, Old Mahabalipuram Road
Okkiyam Pettai, Thoraipakkam
Chennai, 600 096 India
Phone: +91 (0) 44 4209 6000
Fax: +91 (0) 44 4209 6060
Email: inquiryindia@cognizant.com
­­© Copyright 2015, Cognizant. All rights reserved. No part of this document may be reproduced, stored in a retrieval system, transmitted in any form or by any
means, electronic, mechanical, photocopying, recording, or otherwise, without the express written permission from Cognizant. The information contained herein is
subject to change without notice. All other trademarks mentioned herein are the property of their respective owners.
Codex 1385
About Cognizant’s Healthcare and Life Sciences Practice
Cognizant’s Healthcare and Life Sciences practice is committed to helping change millions of lives for the
better by working with clients to build solutions to healthcare challenges, continually improve the way
they do business, set the pace in clinical development, strengthen their regulatory infrastructure, and
increase competitiveness. With over $3 billion in annualized revenue, Cognizant’s healthcare practice
is consistently ranked among the top 10 on the Healthcare Informatics Top 100. Cognizant serves 28
of the top 30 global pharmaceutical companies, 16 of the top 20 health plans in the U.S., 4 of the top
5 pharmacy benefit management companies in the U.S., 9 of the top 10 biotech companies, and 12 of
the top 15 medical device companies. With a large team of dedicated professionals — including doctors,
pharmacologists, physicians, biomedical engineers, pharmacists, biostatisticians, medical writers, and
GxP consultants — the practice provides domain-aligned consulting, IT, business process and analytics
solutions globally.

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Making Life Easier for Investigators: A Shared Solution for Smarter, Faster Clinical Trials

  • 1. Making Life Easier for Investigators: A Shared Solution for Smarter, Faster Clinical Trials The industry’s Shared Investigator Platform significantly reduces the time and cost of clinical trials, simplifying work for investigators and bringing promising therapies to market more quickly. Executive Summary Life sciences companies are under continual pressure to reduce clinical trial costs and the time it takes to bring a new therapy to market. Clinical trial challenges include subject retention, medical adherence and managing the huge volume of administrative documents and tasks required of investigative sites. The administra- tive work necessary for startup and management represents approximately 30% of the activities required for any given study. Individual biopharma companies have attempted to address administrative inefficiencies by using Web-based portals to streamline information flow, document exchange and data access among study teams and investigative site staff. It is well- recognized that investigators complete the same administrative documents every time they work on a study for a sponsor. What’s more, clinical trials increasingly require dynamic, interdepen- dent relationships among sponsors, investiga- tors and regulators — relationships that must be better managed to increase study efficiency and productivity. Finally, new technologies ranging from social media to smartphones offer new capabilities that offer the opportunity to influence the clinical trial process and reshape the study experience for patients and investigators. With the goal of improving clinical trial efficiency, a group of pharmaceuticals companies is supporting the development of a new technology platform that can be shared among multiple sponsors, with the goal of streamlining how investigators interact with biopharma companies across the industry. The new platform will enhance organizational productivity by providing investigators and site staff with a more central- ized access point to clinical trial information, enhancing accuracy and reducing study startup time. It will also help pharmaceuticals companies improve quality, regulatory compliance, process visibility and capacity, while reducing investigator efforts related to training, document exchange and support. In the future, the platform may provide regulators with an efficient electronic audit process and better insight into clinical trials, as well as func- cognizant 20-20 insights | june 2015 • Cognizant 20-20 Insights
  • 2. cognizant 20-20 insights 2 tionalities that match investigators and patients with studies that are the best fit. This white paper details a cross-industry effort to create a col- laboration platform to help biopharma companies better facilitate their interactions with clinical trial sites, thereby accelerating and simplifying the research and development of new therapies. Clinical Trial Operations: Streamlining a Shared Burden The vast majority of delays in clinical trials is related to the need to log into various clinical systems and complete administrative documents and tasks for financial and trial management, as well as to fulfill regulatory requirements. Inves- tigators often feel out of touch with sponsors and are burdened by redundant tasks and the management of multiple user names and passwords for systems and tools, known as “trial fatigue.” At the same time, sponsors struggle to make decisions with incomplete data and slow information flows. These factors make it more difficult for biopharma companies to quickly bring effective treatments to patients. Fortunately, biopharma companies now have the technologies and tools to transform clinical trial processes and practices. These technologies have been used by individual life sciences companies to create information portals for their own inves- tigators. Yet these individual efforts have had little impact on trial costs and efficiencies for several reasons: • An individual portal does not enable a biophar- ma company to reduce duplicate efforts by its sites related to clinical research and recording- keeping, which contributes to trial inefficiencies and costs. • Investigators still must log into multiple sponsor portals and systems, each with its own user name and password and a different user experience. • Individual portals don’t effectively support the increasingly complex web of connections now required to bring a proven therapy to market. Studies involve a wide variety of stakeholders beyond patients and investigators, including multiple business partners, such as contract research organization (CRO) and regulatory bodies. Addressing these issues as part of a shared industry solution enables improvements in clinical trial management, communication and stakeholder collaboration. In essence, technology can now help resolve many of the persistent pain points that plague clinical trials. Developing such a tool requires an understand- ing of which processes can be simplified and streamlined across the industry to improve the experience of investigators. A shared platform should: • Strengthen the relationships between biophar- ma companies, investigators and regulators, both online and offline. • Support near real-time communication between investigators and sponsors. • Improve the investigative site experience. • Simplify and optimize clinical trials. • Streamline access and integration of clinical trial data. • Create collaborative solutions across stake- holders focused on efficiency and value. • Increase data reliability, transparency and reg- ulatory compliance. • Improve efficiency and scalability. Accelerating New Therapies with Shared and Simplified Clinical Trial Management The life sciences industry is working toward such a solution with the Shared Investigator Platform (SIP), conceived by TransCelerate BioPharma, Inc. TransCelerate is a nonprofit industry group com- posed of the world’s leading biopharmaceutical companies, and formed with the vision of accel- erating and simplifying the research and develop- ment of innovative new therapies. The SIP pro- vides a common workspace to simplify the clinical trial process, enable sponsors to collaborate more effectively with sites, and share data and clinical trial information between a sponsor and its clini- cal sites. The platform is designed to provide a faster, more cost-effective means to manage clini- cal trials by improving interactions between spon- sors and investigators (see Figure 1, next page). In essence, technology can now help resolve many of the persistent pain points that plague clinical trials.
  • 3. 3 Data and user privacy is paramount to any cross- industry portal. With SIP, general information about investigators will be shared among member companies, as appropriate, while maintaining the security of each company’s proprietary informa- tion and safeguarding the investigator’s privacy rights. Clinical operations data is secured within the company’s firewalls. Clinical teams set up a study workspace, sharing forms and templates for ethics review, as well as the trial master files that reside at the site and with the sponsor. In the future, the platform could simplify clinical trial design with early and direct collaboration with the investigators. Clinical development teams will then be able to gain early feedback on patient pop- ulations and standards of care within the country or regions before submitting the trial design to the regulatory agencies for review and approval. Streamlining Clinical Trial Operations The SIP roadmap initially focuses on simplifying clinical trial startup; additionally, it adds efficien- cies to ease the administrative burden for clinical investigators and makes it easier for investiga- tors to participate and collaborate in the clinical trial environment. For example, SIP supports single sign-on, allowing investigators to register once across all participating companies for a single trial and/or for multiple trials within the same therapeutic area across companies. Single sign-on eliminates the need for investigators to have multiple user names, account forms and passwords. Access to sponsor systems is also managed for the investigator through single sign-on. This focus on efficiency provides a similar user experience for both investigators and clinical trial sponsors, reducing clinical trial startup and completion time. These seemingly small efficiencies can result in breakthrough therapies and drugs being made available sooner, given that operational processes account for 45% to 75% of the time and cost of clinical trials. Future SIP enhancements will focus on additional operational efficiencies, more collaboration and increased innovation using multiple digital touch- points across patients, investigators and life sciences companies. Key technologies such as social, mobile, analytics and cloud, integrated with best-of-breed capabilities, will make this possible. Areas of future focus for SIP may include: • Drug supply ordering. • Mentoring, training and communications for aiding patient retention and providing inves- tigator support based on social and mobile solutions. • Patient identification, screening and recruit- ment through database services and analytics. Anatomy of the Shared Investigator Platform Figure 1 1 2 3 4 5 6 7 8 9 Single Sign-on Study Workspace User Profile Facility Profile Training Home Pages 1 Secure access across sponsors and studies Specific workspace sponsored for each study Centralized personnel information for use across studies Centralized information of institutions for association across studies Survey creation, distribution, completion and response management Training certificates eligible for mutual recognition by participating sponsors Dashboards, news, links, reports, metrics and more Consolidated information across all studies Posting and retrieval of documents Tasks, Alerts and Notifications Document Exchange Feasibility & Sponsor Surveys R 1 An intuitive and harmonized interface for delivery of content and services to research sites
  • 4. • Operational services, such as paperless financial, regulatory and performance reporting data, leveraging database services, analytics and report templates. In addition, it is also anticipated that SIP may expand to include more efficient ways to process investigative site payments according to clinical trial progress. Clinical trial recruitment metrics are another potential development priority, as is the automatic mailing of adverse event reports. Looking Ahead: The Future Built on a Shared Vision SIP will be the first multi-tenant, single sign-on platform through which clinical trial information, operations, administrative documents and tasks can be shared among sponsors and their sites. Several TransCelerate member companies and investigators developed the features that inform the design and development of the platform. They also provided oversight to ensure the platform provides an intuitive user experience and delivers the right functionality. The vision for SIP is to enable a true working partnership across all stakeholders aligned with a common goal, making it easier for the investi- gative site to conduct clinical trials. SIP fosters a community for support and mentoring, as well as the promotion of frequent and just-in-time com- munication for investigative sites and their staff. It is critical that platforms designed to support more collaborative and communicative trials offer the scalability and open design required to integrate new technology developments. These very well may include the use of electronic medical records in the patient setting to identify potential trial participants. SIP will continually evolve as technology advances to support the best, most efficient practices for streamlining clinical trials. The vision is that biopharma companies and investigative sites will reduce both time and cost on administrative tasks. At the same time, communication and col- laboration between a sponsor and its sites, as well as data accuracy, should improve. SIP is driven by a shared vision for optimizing clinical trials to help the industry meet the demand for less expensive, more effective therapies, in a timely manner. cognizant 20-20 insights 4 Note: TransCelerate selected Cognizant last year to develop a platform that will transform the way clinical sites collaborate with pharmaceuticals companies on clinical trials. Learn more here. About the Author Beenu Kapoor is a Director in Cognizant Business Consulting with a focus on clinical operations and data management in the life sciences industry. Beenu has more than 20 years of experience in pharma, biotech and CROs. She has worked and consulted in transforming clinical trial management and operations. She has defined strategies and roadmaps, and implemented solutions (processes and tools) for clinical trials. She earned an Executive M.B.A. in finance from Rutgers Business School and a master’s of science in computer application from Delhi University, India. Beenu can be reached at Beenu. Kapoor@cognizant.com.
  • 5. About Cognizant Cognizant (NASDAQ: CTSH) is a leading provider of information technology, consulting, and business process outsourcing services, dedicated to helping the world’s leading companies build stronger busi- nesses. Headquartered in Teaneck, New Jersey (U.S.), Cognizant combines a passion for client satisfac- tion, technology innovation, deep industry and business process expertise, and a global, collaborative workforce that embodies the future of work. With over 100 development and delivery centers worldwide and approximately 217,700 employees as of March 31, 2015, Cognizant is a member of the NASDAQ-100, the S&P 500, the Forbes Global 2000, and the Fortune 500 and is ranked among the top performing and fastest growing companies in the world. Visit us online at www.cognizant.com or follow us on Twitter: Cognizant. World Headquarters 500 Frank W. Burr Blvd. Teaneck, NJ 07666 USA Phone: +1 201 801 0233 Fax: +1 201 801 0243 Toll Free: +1 888 937 3277 Email: inquiry@cognizant.com European Headquarters 1 Kingdom Street Paddington Central London W2 6BD Phone: +44 (0) 20 7297 7600 Fax: +44 (0) 20 7121 0102 Email: infouk@cognizant.com India Operations Headquarters #5/535, Old Mahabalipuram Road Okkiyam Pettai, Thoraipakkam Chennai, 600 096 India Phone: +91 (0) 44 4209 6000 Fax: +91 (0) 44 4209 6060 Email: inquiryindia@cognizant.com ­­© Copyright 2015, Cognizant. All rights reserved. No part of this document may be reproduced, stored in a retrieval system, transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the express written permission from Cognizant. The information contained herein is subject to change without notice. All other trademarks mentioned herein are the property of their respective owners. Codex 1385 About Cognizant’s Healthcare and Life Sciences Practice Cognizant’s Healthcare and Life Sciences practice is committed to helping change millions of lives for the better by working with clients to build solutions to healthcare challenges, continually improve the way they do business, set the pace in clinical development, strengthen their regulatory infrastructure, and increase competitiveness. With over $3 billion in annualized revenue, Cognizant’s healthcare practice is consistently ranked among the top 10 on the Healthcare Informatics Top 100. Cognizant serves 28 of the top 30 global pharmaceutical companies, 16 of the top 20 health plans in the U.S., 4 of the top 5 pharmacy benefit management companies in the U.S., 9 of the top 10 biotech companies, and 12 of the top 15 medical device companies. With a large team of dedicated professionals — including doctors, pharmacologists, physicians, biomedical engineers, pharmacists, biostatisticians, medical writers, and GxP consultants — the practice provides domain-aligned consulting, IT, business process and analytics solutions globally.