Over 500,000+ Patients Navigated Across 8,500+ Sites in 28 Countries

Global Reach, Regional Agility,
Patient-Centric Clinical Research.

AstraClinical Research is a full-service international Contract Research Organization (CRO) delivering Phase I–IV clinical trials, pharmacovigilance, regulatory affairs, and biostatistics with proven scientific excellence and cost efficiency.

INTERNATIONAL CLINICAL FOOTPRINT

Worldwide Study Involvement Across 28+ Countries

From our corporate headquarters in Montreal (Canada) and regional operations in Boston (USA), London (UK), Mumbai (India), Faridabad (India), Chennai (India), Bogotá (Colombia), and Warsaw (Poland), AstraClinical conducts clinical research in North America, Latin America, Europe, the Middle East, and Asia-Pacific.

• Established agreements with top-tier hospital sites and academic medical centers • Advanced risk-based monitoring (RBM) and decentralized clinical trial methodologies • Seamless multi-national ethics committee and health authority clearances
500,000+ Patients Enrolled Worldwide
8,500+ Investigator Hospital Sites
28+ Countries with Active Trials
100% Inspection Success (Zero 483s)
AstraClinical Central Clinical Research Laboratory

Audited GLP & GCP Clinical Research Facilities

State-of-the-art bioanalytical laboratories and automated clinical trial monitoring across 28 international territories.

COMPREHENSIVE CRO SERVICES

End-to-End Clinical Development Solutions

From early-phase protocol design to post-marketing safety, we cover all scientific and operational aspects of clinical research.

PHASE I TO IV

Clinical Operations & Site Management

Full-service management of early and late-phase trials. Rapid site feasibility, patient recruitment campaigns, investigator management, and remote & risk-based monitoring (RBM) aligned with ICH-GCP.

  • Comprehensive site identification & startup
  • Decentralized & Hybrid clinical trials (DCT)
  • High-velocity patient retention strategies
Consult Operations →
24/7/365 SAFETY

Pharmacovigilance & Drug Safety

End-to-end drug safety services for clinical trials and post-marketing. 24/7 medical triage, ICSR processing, aggregate reporting (PSUR/PBRER/DSUR), signal detection, and Qualified Person (QPPV) coverage.

  • E2B(R3) compliant safety database hosting
  • Risk Management Plans (RMP) & REMS authoring
  • Expedited reporting to US FDA, EMA & local agencies
Inspect PV Systems →
GLOBAL SUBMISSIONS

Regulatory Affairs & Strategic Filings

Comprehensive regulatory authoring and submission management. Navigating IND, NDA, BLA, MAA, and clinical trial authorizations (CTA/CTIS) with health authorities in North America, Europe, and Asia.

  • Pre-IND briefings & Scientific Advice meetings
  • eCTD publishing & lifecycle dossier submissions
  • In-country authorized representative sponsorship
Review Regulatory Pathways →
SCIENTIFIC WRITING

Medical Writing & Scientific Dossiers

Authored by PhD and MD medical writers with specialized disease expertise. Clear, scientifically robust, and audit-ready documentation compliant with ICH E3, E6, and ICMJE guidelines.

  • Clinical Study Protocols & Investigator Brochures
  • ICH E3 compliant Clinical Study Reports (CSR)
  • Clinical Evaluation Reports (CER) for Medical Devices
Request Protocol Writing →
CDISC GOLD STANDARD

Biostatistics & Clinical Data Management

Statistical programming in SAS and R. Production of CDISC SDTM and ADaM dataset packages, electronic data capture (EDC) setup, MedDRA/WHO-DD medical coding, and validated statistical analysis plans (SAP).

  • 21 CFR Part 11 compliant EDC & eCRF builds
  • Database lock within 15 business days
  • Interim futility and DSMB statistical support
Explore Data Solutions →
EU MDR & FDA 510(K)

Medical Devices & Real-World Evidence (RWE)

Dedicated clinical evaluations for Class I, II, and III medical devices under EU MDR 2017/745 and ISO 14155, along with longitudinal patient registries and Post-Authorization Safety Studies (PASS).

  • Post-Market Clinical Follow-up (PMCF) registries
  • Health Economics & Outcomes Research (HEOR)
  • Comparative effectiveness research dossiers
Consult Device Specialists →
CLINICAL DEVELOPMENT SPECTRUM

End-to-End Trial Execution Across Every Phase

From First-in-Human dose escalation to multinational pivotal registrational trials, AstraClinical combines regulatory agility with investigator site reach.

EARLY PHASE CLINICAL EXCELLENCE

Phase I First-in-Human (FIH) & Translational Pharmacology

Early-stage drug development demands flawless volunteer safety monitoring, precise pharmacokinetic sampling, and rapid bioanalytical quantification. Our dedicated Phase I medical directors design adaptive dose-escalation protocols (3+3, Bayesian CRM) that deliver actionable PK/PD data safely and rapidly.

Single & Multiple Ascending Dose (SAD/MAD) safety governance with 24/7 telemetry
Validated LC-MS/MS bioanalytical assays for rapid analyte quantification
Direct submission to FDA, EMA, and Health Canada with accelerated 30-day clearance

Phase I Execution Benchmarks

6-8 Wks
Ethics & Health Authority Approval Speed
100%
First-in-Human Safety Compliance Record
48 Hrs
Interim PK Blood Analysis Turnaround
>12,000
Screened Healthy Volunteers in Verified Registry
PROOF-OF-CONCEPT & EFFICACY

Phase II Dose Exploration & Surrogate Endpoint Validation

Phase II studies are the crucible of biopharma development. We deploy targeted patient recruitment algorithms, specialized site networks in Oncology, CNS, and Rare Diseases, and interim adaptive analysis models to confirm clinical signals while protecting sponsor capital.

Specialized investigator networks with verified diagnostic imaging & pathology
Adaptive group sequential and response-adaptive randomization protocols
Decentralized ePRO/eCOA modules supporting localized patient convenience

Phase II Performance Benchmarks

10-12 Wks
Full Multi-Site Activation Velocity
96.4%
Target Patient Retention Across Disease Indication
15 Days
Clean Database Lock from Last Patient Out
350+
Phase II Trials Successfully Completed
GLOBAL REGISTRATIONAL STUDIES

Phase III Multinational Pivotal Trials with Scale & Speed

Large-scale confirmatory trials require robust global logistics, harmonized multi-country regulatory clearances, and vigilant risk-based monitoring. AstraClinical coordinates multicenter trials across 28+ countries with high recruitment volume and pristine audit records.

8,500+ pre-qualified hospital sites with established master clinical trial agreements (MCTA)
Centralized 24/7 Medical Monitoring and independent DSMB / Endpoint Adjudication
Complete CDISC SDTM/ADaM package ready for direct FDA/EMA NDA submissions

Phase III Performance Benchmarks

28+
Countries Integrated into Active Study Footprint
114%
Average Patient Enrollment Target Realization
Zero 483s
Perfect Regulatory Inspection Track Record
500k+
Total Patients Managed in Registrational Cohorts
POST-MARKETING & RWE

Phase IV, Real-World Evidence & Post-Authorization Safety

Demonstrating real-world effectiveness, expanding market access, and fulfilling post-authorization commitments (PASS/PAES) require deep epidemiological insight. AstraClinical leverages electronic health record (EHR) registries, patient-reported outcomes, and long-term pharmacovigilance.

Longitudinal disease registries and Post-Market Clinical Follow-up (PMCF) under EU MDR
Health Economics & Outcomes Research (HEOR) for payer reimbursement dossiers
24/7 spontaneous reporting ingestion with automated signal detection

Phase IV Performance Benchmarks

>120k
Annual Safety Reports Processed with 99.8% On-Time Rate
98.9%
Registry Patient Follow-up Completion Rate
40+
Active PASS/PAES Registries Across North America & EU
ISO 9001
Certified Global Data Quality Management Systems
DEMONSTRATED RESULTS

Case Studies in Clinical Execution

How AstraClinical helped biopharmaceutical and medical device sponsors overcome recruitment bottlenecks, regulatory hurdles, and compressed timelines.

+114% Target Enrollment Oncology • Phase III Global Trial

Pivotal Non-Small Cell Lung Cancer Multi-Regional Study

A US biotech faced severe enrollment stagnation in North America due to competing trials. AstraClinical activated 42 additional vetted hospital sites across Eastern Europe and India within 9 weeks, completing full enrollment 3 months ahead of corporate milestones.

Timeline: -3 Months Sites: 68 Total Data Cleanliness: 99.6%
6 Weeks IND Clearance Rare Disease • Phase II PoC

Expedited Orphan Drug Authorization for Pediatric Neurodegenerative Indication

Sponsor needed synchronized submissions across FDA, EMA, and Health Canada for an ultra-rare pediatric formulation. Our regulatory team drafted complete eCTD Modules 1-5, secured orphan drug designation (ODD), and obtained ethical approvals with zero clinical holds.

Regulatory Speed: 6 Weeks Agency Holds: Zero Retention: 100%
99.8% On-Time Submission Pharmacovigilance • Global Outsourcing

Enterprise Safety & ICSR Processing for Commercialized Biologic Portfolio

Mid-sized commercial pharma needed to outsource post-marketing safety oversight for 14 licensed oncology therapeutics. AstraClinical deployed a 24/7 multi-lingual intake and automated signal detection pipeline processing 45,000 cases annually without a single late filing.

Annual Cases: 45,000+ Audit Result: Clean Pass Cost Savings: 38%
INTERNATIONAL REACH

Strategic Regional Hubs & Clinical Operations

Coordinated global trials with seamless local execution across the Americas, Europe, and Asia.

CA HQ

Montreal, Canada

Corporate Global Headquarters

Clinical study oversight, medical writing, international biostatistics center, and North American sponsor relations.

Phone: +1 (514) 934-0805 Sites Managed: 3,200+ Hospitals
USA

Boston & California, USA

FDA Regulatory & Biotech Center

Pre-IND submissions, FDA agency liaison, and US academic oncology & rare disease clinical site networks.

Phone: +1 (617) 849-9319 FDA Track Record: 100% First-Pass
INDIA

Mumbai & Faridabad, India

High-Volume Operational Hub

Rapid clinical trial execution, centralized pharmacovigilance safety triage, and CDISC statistical programming.

Phone: +91 7738804988 Recruitment Velocity: 2.4x Industry Benchmark
LATAM

Bogotá, Colombia

Latin America Regional Center

Access to major hospital institutions across Colombia, Mexico, Argentina, and Brazil with high patient retention.

Coverage: INVIMA & ANVISA Regulatory Retention Rate: 96.8% Average
Global Clinical Monitoring Directorate

Global Clinical Operations & Medical Affairs Directorate

Over 1,200+ clinical scientists, MD investigators, and regulatory liaisons collaborating across 6 corporate hubs.

DISEASE FOCUS

Therapeutic Areas of Distinction

Experienced medical directors and specialized investigative sites dedicated to your indication.

Oncology & Hematology

Solid tumors, CAR-T, immuno-oncology, and biomarker-driven clinical protocols.

CNS & Neurology

Alzheimer's, Parkinson's, ALS, Epilepsy, and Neuro-psychiatric trials.

Immunology & Inflammation

Rheumatoid arthritis, Lupus, IBD (Crohn's/Colitis), and Psoriasis studies.

Rare & Orphan Indications

Pediatric and adult orphan designations with specialized decentralized logistics.

Orthopedics & Surgery

Surgical implants, regenerative orthobiologics, and musculoskeletal devices.

Infectious Diseases & Vaccines

Rapid surge enrollment, respiratory vaccines, and antimicrobial therapeutics.

WHO WE SERVE

Tailored Clinical Partnerships for Every Sponsor Scale

Whether you are an emerging biotechnology firm conducting a critical First-in-Human trial, or a global pharmaceutical enterprise requiring turnkey pharmacovigilance across 20 markets, our agile structure adapts directly to your operating rhythm.

AstraClinical delivered our Phase II oncology trial 4 months ahead of schedule with 99.4% data completeness. Their responsiveness and regulatory insights made all the difference.
Chief Medical Officer Clinical-Stage US Oncology Sponsor
QUALITY & COMPLIANCE

Rigorous Standards, Certified Quality

Fully audited and compliant with worldwide healthcare agency mandates.

US FDA 21 CFR Part 11 Validated
ICH-GCP E6(R2/R3) Standard of Care
EMA & MHRA European Directives
CDISC SDTM & ADaM Platinum
ISO 9001:2015 Quality Management
HIPAA & GDPR Data Privacy Guard
INSTANT PROTOCOL ESTIMATOR

Calculate Your Study Feasibility & Timelines

Select your trial phase and therapeutic focus to generate preliminary site startup intervals, site network projections, and database lock targets.

Feasibility Projection ALIGNED WITH ICH-GCP

Site Initiation & Startup: 12 - 14 Weeks
Recommended Hospital Sites: 15 - 19 Sites (Multi-Region)
Clean Database Lock Speed: 4 Weeks Post LPO
AstraClinical Feasibility Index: 98.4%
CLINICAL INSIGHTS & WHITEPAPERS

Latest Perspectives in Clinical Research

Expert analyses on decentralized trials, global regulatory harmonization, AI in pharmacovigilance, and advanced biostatistics.

Clinical Strategy 6 min read
September 15, 2026

Accelerating Oncology Trials Through Decentralized Architecture & Home Nursing

How combining centralized academic hospital monitoring with localized home nursing and mobile health technologies increased patient retention by 34% in complex Phase II/III solid tumor protocols.

SJ
Dr. Sarah Jenkins
VP Clinical Operations
Read Article →
Regulatory Affairs 7 min read
September 08, 2026

Navigating ICH E6(R3) Modernization: Risk-Based Quality Management in Global Submissions

A critical analysis of the finalized ICH E6(R3) guidelines and practical guidance on implementing governance frameworks that satisfy both US FDA and European EMA inspectors.

MC
Michael Chen, RAC
Senior Director Regulatory
Read Article →
Pharmacovigilance 5 min read
August 29, 2026

Machine Learning Signal Detection in High-Volume Post-Marketing Pharmacovigilance

How AstraClinical implemented automated natural language processing (NLP) to reduce ICSR intake triage latency by 62% while maintaining a 99.8% regulatory on-time filing benchmark.

ER
Dr. Elena Rostova
Global Head of Drug Safety
Read Article →
Biostatistics 8 min read
August 14, 2026

Adaptive Clinical Trial Designs: Optimizing Sample Size Re-Estimation & Interim Analyses

Examining Bayesian adaptive algorithms and group sequential designs that permit sample size recalculation and early futility stopping without inflating Type I error rates.

RV
Dr. Robert Vance
Chief Biostatistician
Read Article →
SPONSOR INQUIRIES

Frequently Asked Questions

Essential answers on study start-up speed, investigator site oversight, electronic systems, and rescue trial management.

Our average site startup velocity across North America and Western Europe is 10 to 12 weeks from finalized protocol synopsis to First Patient In (FPI). In high-recruiting regional hubs such as Eastern Europe and India, we frequently achieve regulatory approval and site initiation within 7 to 9 weeks due to pre-negotiated Master Clinical Trial Agreements (MCTAs) with over 8,500 qualified hospital institutions.
We operate fully validated 21 CFR Part 11 compliant environments supporting industry-standard platforms including Medidata Rave, Oracle InForm, Castor, and Veeva Vault CDMS. Our data management team standardizes all eCRF builds directly onto CDISC SDTM structures, accelerating clean database locks to within 15 business days post Last Patient Out (LPO).
Yes. Over 25% of our historical Phase II and III workload consists of study rescue transitions. Our rapid-response Transition Task Force performs comprehensive regulatory gap analyses, reconciles investigator trial master files (eTMF), stabilizes site relationships, and activates backup patient recruitment sites within 30 days of sponsor handover.
Our safety directorate operates 24/7/365 multi-lingual medical triage handling ICSR intake, medical coding (MedDRA), and serious adverse event (SAE) narratives. We maintain direct electronic gateways (E2B-R3) to US FDA FAERS, EMA EudraVigilance, and MHRA, consistently maintaining a 99.8% on-time submission rate for 7-day and 15-day expedited alerts.
AstraClinical maintains an unblemished regulatory inspection track record, with zero FDA Form 483 critical observations and zero European inspection findings across all corporate headquarters and audited investigator sites. We are ISO 9001:2015 certified and offer sponsors unrestricted audit access to our Quality Management System (QMS).
CONFIDENTIAL STUDY CONSULTATION

Initiate Your Clinical Study RFP

Connect with our Medical Directors and Biostatistical leads for a preliminary feasibility review.

Study Proposal Received

Our Medical Review Team will contact you under NDA within 24 hours.