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
Our strategic expansion into India, Colombia, and Eastern Europe enables biopharma clients to access vast, diverse patient populations with rapid recruitment velocity, while maintaining strict compliance with US FDA, EMA, Health Canada, and local health authorities.
• Access to key opinion leaders (KOLs) and high-volume investigator sites• Multi-lingual clinical research associates (CRAs) with in-depth local knowledge• 30% to 50% cost optimization without compromising data integrity
Our success depends on our people. Our team brings together senior physicians, board-certified medical monitors, doctoral-level biostatisticians, certified regulatory affairs specialists, and seasoned project managers across four continents.
• Dedicated project teams assigned throughout the complete study lifecycle• 24/7 Medical Monitoring and Pharmacovigilance safety oversight• Customer-centric culture providing agile responses to regulatory amendments
As an international mid-tier niche CRO, we work with global pharmaceutical giants, emerging biotechnology companies, and innovative medical device and nutraceutical sponsors. Biotechnology companies rely on our agile, consultative approach, while large pharma leverages our niche post-marketing surveillance and pharmacovigilance services.
• Early Phase I–II First-in-Human & Proof-of-Concept execution• Large-scale multinational Phase III registrational studies• Post-marketing Phase IV, Real-World Evidence (RWE), and PASS/PAES studies
500,000+Patients Enrolled Worldwide
8,500+Investigator Hospital Sites
28+Countries with Active Trials
100%Inspection Success (Zero 483s)
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.
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
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.
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
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).
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).
Bridging Breakthrough Science with Compassionate Care
With over 500,000 enrolled subjects across 8,500 investigator hospital networks, our trial teams prioritize ethical retention, diverse cohort enrollment, and seamless patient experience.
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.
✓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
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 EnrollmentOncology • 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.
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.
99.8% On-Time SubmissionPharmacovigilance • 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.
Phone: +91 7738804988Recruitment 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 RegulatoryRetention Rate: 96.8% Average
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.
Biotechnology Innovators
Knowledgeable project teams, flexible approaches, and dedicated C-suite attention.
Global Pharmaceutical
Niche post-marketing services, multi-country site networks, and inspection readiness.
Medical Device Companies
EU MDR and FDA 510(k)/PMA clinical investigations with full ISO 14155 adherence.
“
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 OfficerClinical-Stage US Oncology Sponsor
QUALITY & COMPLIANCE
Rigorous Standards, Certified Quality
Fully audited and compliant with worldwide healthcare agency mandates.
US FDA21 CFR Part 11 Validated
ICH-GCPE6(R2/R3) Standard of Care
EMA & MHRAEuropean Directives
CDISCSDTM & ADaM Platinum
ISO 9001:2015Quality Management
HIPAA & GDPRData 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.
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.
Examining Bayesian adaptive algorithms and group sequential designs that permit sample size recalculation and early futility stopping without inflating Type I error rates.
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 INQUIRY
Request Clinical Trial Proposal
Submit your protocol criteria. Our Medical Directors will reply within 24 business hours.
Clinical StrategySeptember 15, 2026 • 6 min read
Article Headline
SJ
Dr. Sarah Jenkins
VP Clinical Operations
Published by AstraClinical Research Scientific Intelligence Unit
Study Proposal Received
Our Medical Review Team will contact you under NDA within 24 hours.