Biotechnology and CRO

Preclinical CROs and biotech companies managing multiple studies

Real Use Cases in CROs and Biotech

Real-Time Clinical Study Monitoring

Situación:

A CRO manages 15 simultaneous clinical studies with data distributed across multiple systems (EDC, CTMS, IWRS). Project managers take 2-3 days to consolidate information for reports to sponsors, missing opportunities for early intervention against deviations.

Solución:

Layer 1 (Digitalization): Automatic aggregation of data from multiple clinical systems (EDC, CTMS, IWRS) into a single source of truth, without touching existing systems. Layer 2 (Monitoring): Unified dashboard that visualizes recruitment vs. targets, protocol deviations, open queries, and site status per study with alerts when critical metrics fall below thresholds.

Capas Implementadas:

1.Ltoyer 1: Digitalization2.Ltoyer 2: Monitoring

Impacto:

70% reduction in reporting time to sponsors (from 2-3 days to 2-3 hours). Detection of recruitment problems 4-6 weeks earlier, enabling proactive adjustments. 25% improvement in patient retention rate thanks to early visibility of sites with problems.

Clinical Site Performance Analysis

Situación:

A biotech company with 40 active sites in 8 countries needs to identify which have better performance (recruitment speed, data quality, protocol adherence) for future studies. Manual analysis is subjective and takes weeks of work.

Solución:

Layer 1 (Digitalization): Consolidation of objective KPIs from clinical centers across multiple sources (EDC, CTMS, quality systems). Layer 2 (Monitoring): Automatic scoring and benchmarking dashboard that compares sites by patients recruited/month, query resolution time, protocol deviation rate, and % of visits completed on time. Visual ranking by country, site type, and study phase.

Capas Implementadas:

1.Ltoyer 1: Digitalization2.Ltoyer 2: Monitoring

Impacto:

Site selection for new studies based on objective data instead of perception. 30% reduction in recruitment timelines by prioritizing top performers. Identification of 5 sites with systematic underperformance, enabling specific training or exclusion.

Regulatory Compliance Tracking

Situación:

A CRO must ensure compliance with GCP, FDA 21 CFR Part 11, and GDPR across all its studies. Internal audits detect gaps only retrospectively, generating findings in regulatory inspections. Lack of continuous visibility into essential documentation and training status.

Solución:

Layer 1 (Digitalization): Integration of eTMF, LMS (Learning Management), and QMS into a single compliance data source. Layer 2 (Monitoring): Real-time tracking of missing or expired essential documents, expired training, pending protocol deviations, and open CAPAs. Layer 3 (Response): Automatic proactive alerts to responsible parties 15-30 days before expirations, triggering corrective action flows before they become findings.

Capas Implementadas:

1.Ltoyer 1: Digitalization2.Ltoyer 2: Monitoring3.Ltoyer 3: Response

Impacto:

Zero major findings in the last 3 FDA/EMA inspections. 85% reduction in missing essential documents in TMF. 100% of staff with current training thanks to proactive alerts. CAPA closure time reduced by 50% through better tracking.

Proactive Protocol Deviation Management

Situación:

A biotech company detects protocol deviations (visit windows out of range, omitted procedures) only when the monitor visits the site or during data review, weeks after the event. This generates complex queries, data quality problems, and risk of invalidating patients.

Solución:

Layer 1 (Digitalization): Predictive analysis of visit windows through data integration from EDC and IWRS that identifies deviation risks before they occur. Layer 2 (Monitoring): Dashboard that visualizes windows about to expire, pending mandatory procedures, and unverified out-of-range values. Layer 3 (Response): Automatic early alert to the CRA and site 7-10 days before the window closes, enabling rescheduling or corrective intervention.

Capas Implementadas:

1.Ltoyer 1: Digitalization2.Ltoyer 2: Monitoring3.Ltoyer 3: Response

Impacto:

60% reduction in protocol deviations related to visit windows. Issue detection 15-20 days earlier vs. retrospective, enabling timely corrective actions. 40% decrease in patients excluded due to major deviations. Improved data quality as perceived by sponsors.

Specific Dashboards for Biotech and CROs

Solutions adapted to the unique needs of clinical studies, drug development, and regulatory compliance.

Key Metrics We Monitor

Recruitment

  • Patients recruited vs. target per site
  • Screening failure rate per center
  • Average screening-to-enrollment time
  • Dropout rate and reasons for discontinuation
  • Recruitment completion projection

Data Quality

  • Open queries per site and age
  • Protocol deviations (major/minor)
  • % of eCRFs completed on time
  • Missing essential documents (eTMF)
  • Staff training compliance

Timelines

  • Site activation time (FPFV)
  • Projected database lock date
  • Milestones completed vs. planned
  • Delays in CRF entry per site
  • Query resolution time

Site Performance

  • Enrollment rate per site (patients/month)
  • % of visits completed on time
  • Protocol deviation rate per site
  • Site activation time from approval
  • Overall site scoring (aggregated KPIs)

Preparation and Maintenance of Regulatory Certifications

Our dashboards help you achieve and maintain the most demanding accreditations in the industry. With demonstrated experience in preparation for audits and inspections.

AAALAC International

Association for Assessment and Accreditation of Laboratory Animal Care

Requisitos clave:

  • Complete traceability of animal protocols and procedures
  • Documentation of welfare monitoring and veterinary care
  • Staff training records in animal handling
  • Audit of animal use vs. approved protocols
  • Reporting of adverse events and deviations

Cómo te ayudamos:

Layer 1 (Digitalization): We digitalize animal protocols in BPMN with automatic traceability of interventions and procedures. Layer 2 (Monitoring): Animal welfare dashboard that records all interventions, protocol expiration dates, and staff training status. Audit-ready exports generated in seconds. Clients have passed AAALAC inspections with zero findings thanks to 100% documented traceability facilitated by these two layers.

GLP (Good Laboratory Practice)

FDA 21 CFR Part 58 and OECD GLP Principles

Requisitos clave:

  • Raw data integrity and complete audit trails
  • Documented SOPs and version control
  • Technical staff training records
  • Equipment calibration and maintenance logs
  • Quality Assurance Unit independent oversight

Cómo te ayudamos:

Layer 1 (Digitalization): Integration with LIMS, ELN, and calibration systems to consolidate compliance data. Digitalized SOPs with automatic version control. Layer 2 (Monitoring): GLP dashboard that visualizes calibrated equipment, staff with current training, and SOP deviations in real time. QAU report preparation in minutes vs. days. Digitalization and continuous monitoring ensure data integrity without touching critical systems.

GCP (Good Clinical Practice)

ICH E6(R2) and FDA 21 CFR Part 312

Requisitos clave:

  • Complete informed consent documentation
  • Source data verification and query management
  • Continuous protocol adherence monitoring
  • Adverse event reporting within regulatory timelines
  • Essential documents filing in eTMF per TMF Reference Model

Cómo te ayudamos:

Layer 1 (Digitalization): Consolidation of eTMF, EDC, and safety systems into a single source of truth for GCP compliance. Layer 2 (Monitoring): Dashboard that visualizes pending informed consents, queries >30 days unresolved, unreported protocol deviations, AEs outside timeline, and gaps in eTMF. Layer 3 (Response): Proactive alerts that trigger actions before regulatory non-compliances occur. Complete system for avoiding findings in FDA/EMA inspections.

ISO 9001 / ISO 13485

Quality Management Systems for Medical Devices and Life Sciences

Requisitos clave:

  • Documented processes with performance KPIs
  • Non-conformances and CAPA tracking
  • Risk management and mitigation plans
  • Management review with objective data
  • Continuous improvement demonstrated with metrics

Cómo te ayudamos:

Layer 1 (Digitalization): Critical processes documented in BPMN with measurable KPIs. Integration of quality systems (NCRs, CAPAs, risk management). Layer 2 (Monitoring): QMS dashboard that consolidates open NCRs, CAPA effectiveness, critical process KPIs, and risk indicators. Management reviews prepared automatically with 12-month trending. ISO audits passed with the dashboard as objective evidence of continuous data-driven improvement.

Measurable Impact on Clinical Operations

Real results obtained by CROs and biotech companies with our monitoring solutions.

Reduction in Reporting Time

-70%

From 2-3 days to 2-3 hours. Automatic consolidation of data from multiple systems. Reports to sponsors in real time without manual work.

Improvement in Recruitment Rate

-30%

Reduction in timelines. Data-based selection of top performers. Early detection of underperforming sites for intervention.

Reduction in Protocol Deviations

-60%

In visit window deviations. Proactive alerts before visit window expiration. Early identification of pending procedures.

Improvement in Regulatory Compliance

0

Major FDA/EMA findings. Continuous tracking of essential documents, current training, and CAPAs. Permanent preparation for inspections.

Frequently Asked Questions - Biotech and CROs

How do you connect to our clinical trial systems (EDC, CTMS, IWRS)?

We connect via REST APIs when available (e.g., Medidata Rave, Oracle Clinical, Veeva CTMS) or directly to databases in read-only mode. For legacy systems without API, we can work with scheduled exports (SFTP, S3) or integrations via HL7/FHIR. We never modify source data, guaranteeing integrity and compliance with 21 CFR Part 11.

Is data updated in real time or is there a delay?

It depends on the source system and the criticality of the data. For systems with API, we update every 5-15 minutes (configurable). For critical metrics (e.g., serious adverse events, major protocol deviations) we can configure continuous refresh. For historical data or trending (e.g., cumulative enrollment) daily updates are sufficient. The dashboard clearly indicates the timestamp of the last update for each metric.

How do you handle data security and patient privacy?

We comply with GDPR, HIPAA, and GCP throughout the entire data flow. Dashboards work with pseudonymized data (patient IDs, not PII). Infrastructure in certified cloud (AWS/Azure with HITRUST). End-to-end encryption (data in transit and at rest). SSO/MFA authentication and granular role-based access control. Complete audit logs of access. DPA (Data Processing Agreement) contracts signed with all clients.

Can we configure personalized alerts for our studies?

Yes, absolutely. You can define alert rules based on any metric: "If a site's enrollment rate drops below X patients/month for 2 consecutive weeks, alert the PM and CRA". "If open queries > 30 days exceed threshold, escalate to QA lead". "If an essential document is 15 days from expiring, notify the Site Manager". Alerts are sent via email, Slack, or Teams according to preference. You can also configure automatic escalation if there is no response.

How long does implementation take for a new clinical study?

For a study using already-integrated systems (e.g., we already work with Medidata Rave in other studies), configuring a new dashboard takes 1-2 weeks: mapping of protocol-specific data, definition of KPIs and thresholds with the PM, alert setup, and user acceptance testing. If it is a new system that requires integration from scratch, 4-6 weeks including connectivity tests, data validation, and documentation for regulatory. Once in production, adding new sites or metrics is immediate.

Governance System

How were these results achieved?

This organization implemented our 3-Layer Governance System

Compliance, Audit, and Data Integrity: Our Differentiator

The value of Brot in the biotech and CRO sector is not just in the technology, but in our ability to read and integrate multiple complex systems (EDC, CTMS, IWRS, eTMF, LIMS) without the client having to change their way of working. We digitalize Layer 1 by extracting data from different sources, build Layer 2 with dashboards that evidence compliance in real time, and close the cycle with Layer 3 through alerts that prevent findings in audits.

Multi-System Visibility

We integrate data from EDC, CTMS, IWRS, eTMF, LIMS, LMS, and QMS into a single source of truth without touching your critical systems.

Audit-Ready 24/7

Automatic evidence exports for AAALAC, GLP, GCP, FDA/EMA inspections. 100% documented traceability that reduces audit preparation time from weeks to days.

Data Integrity by Design

Read-only architecture that guarantees data integrity per 21 CFR Part 11. Complete audit trails, automatic version control, and GDPR compliance throughout the entire chain.

Security and Transparency

100% EU Cloud

Infrastructure in the European Union. Your data never leaves EU territory.

GDPR Compliant

Full compliance with the General Data Protection Regulation.

No Vendor Lock-In

Grafana open-source, fully exportable data. 3-month transition period guaranteed.

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