Discover how early engagement with key opinion leaders transforms clinical trial outsourcing decisions, reduces program risk, and optimizes clinical operations for higher-impact trial outcomes.

1. Thierry Schulmann, Senior Director, Medical Affairs Strategy, Sumitomo Pharma (LinkedIn)

This episode—recorded live at COG Europe—features Thierry Schulmann, Senior Director, Medical Affairs Strategy at Sumitomo Pharma, in a highly practical session focused on the operational value of engaging key opinion leaders (KOLs) early in clinical research.

Listeners will gain a clear framework for involving KOLs at each stage of clinical trial outsourcing, from initial design and feasibility to trial execution and market access. Drawing from real-world case studies, Thierry Schulmann illustrates how underestimating KOL input can lead to misalignment on endpoints, failed market launches, or unmet regulatory expectations—even in otherwise well-executed trials.

The discussion covers:

1. Why CRO selection should account for KOL expertise and therapeutic alignment
2. How to use KOL engagement to build patient-centered protocols and enhance feasibility, recruitment, and retention
3. The impact of KOLs on regulatory strategy, payer acceptance, guideline inclusion, and real-world implementation

For clinical operations professionals, outsourcing leads, and vendor managers, the episode provides actionable strategies to protect trial value, avoid program pitfalls, and ensure the commercial relevance of new therapies through smarter stakeholder engagement and clinical study optimization.

00:02:10 – Framing the risks: Why approved products still fail to launch due to misaligned trial endpoints and weak stakeholder input

00:03:13 – Case study: The commercial impact of not localizing active comparators for European market expectations

00:04:58 – Why strategic KOL engagement is a form of "outsourcing" critical expertise beyond CRO selection

00:07:13 – Clinical operations best practice: Focusing on endpoints that drive real-world adoption, not just statistical significance

00:09:28 – Bridging gaps: KOLs as operational connectors between academic protocols, regulatory requirements, and patient needs

00:10:40 – Regulatory navigation: How global KOL networks inform region-specific trial design and submission strategies

00:13:19 – Leveraging KOL and patient group relationships for evidence generation in rare and serious diseases

00:14:47 – Ensuring real-world effectiveness: The role of KOLs in validating trial design beyond controlled settings

00:18:30 – Lessons learned: When missed KOL input on comparator choice, unmet need assessment, or side effect profiles led to program failures

00:21:36 – When to engage KOLs: Practical recommendations for biotech and pharma, starting as early as Phase 1

1. Proactive KOL engagement in early trial design is essential for successful clinical trial outsourcing and market access—don't wait until later phases to bring real-world and regulatory perspectives into protocol development.
2. Aligning clinical study endpoints and comparators with both therapeutic practice and payer requirements optimizes trial relevance and supports smoother regulatory acceptance—a key consideration...

Learn how small biotech’s can streamline clinical trial outsourcing, optimize CRO selection, and establish truly patient-centered operations for rare disease studies—while maintaining high data quality and speed.

1. Jurate Lasiene, VP Clinical Operations, North Sea Therapeutics
2. LinkedIn: Jurate Lasiene

This episode of The COG Review: Building Better Clinical Studies is recorded live at COG Europe in Amsterdam. Jurate Lasiene, VP Clinical Operations at North Sea Therapeutics, shares firsthand insights from managing a first-in-human, early-phase rare disease trial with a small, agile biotech team. The session explores critical decision points and real-world solutions in clinical trial outsourcing, CRO selection, and effective sponsor–vendor collaboration.

Key topics include designing adaptive, patient-first protocols for challenging rare disease populations, the shift from traditional full outsourcing models to targeted FSP (Functional Service Provider) or hybrid approaches, and optimizing budget, speed, and quality by retaining operational control in-house where it matters most. Jurate Lasiene offers a practical breakdown of site and partner selection, early regulatory and KOL engagement, and hands-on clinical operations best practices.

This episode equips clinical research professionals in biotech, pharma, and CROs with actionable frameworks for clinical study optimization—especially useful for those navigating complex trials with lean teams and limited resources. Listeners gain concrete guidance on the sponsor-side leadership choices and process refinements that reduce common failure points and accelerate study timelines.

00:01:40 – The unique operational challenges of rare disease trials: small, dispersed patient populations and high rates of trial discontinuation

00:03:41 – Why small biotech’s are driving the majority of clinical trial starts and how their outsourcing strategies have evolved

00:04:31 – Clinical trial protocol design: avoiding rigid endpoints and restrictive eligibility to improve enrollment and retention

00:05:16 – The necessity of integrating patient and caregiver input early for truly patient-centered clinical trials

00:06:45 – How to select clinical trial sites: speed, fit, and operational capacity versus academic prestige

00:08:31 – Practical cost-savings from targeted FSP models: 30% budget reduction by outsourcing only specialty capabilities

00:10:23 – Engaging KOLs and patient advocacy groups at the protocol development stage for better outcomes

00:11:41 – Keeping oversight in-house with dedicated monitors/PMs: advantages for quality and site engagement

00:13:27 – Building a “meshwork” of specialist partners to keep small teams agile, responsive, and in control

00:16:46 – Simulating the patient journey to optimize protocol, logistics, and site operations for clinical study optimization

1. Early and deep integration of clinical operations into trial and protocol design is essential for avoiding downstream roadblocks—making this a core clinical operations best practice.
2. Targeted outsourcing and deliberate CRO selection (favoring fit and flexibility over scale alone) enables small teams to maintain control, ensure sponsor oversight, and optimize budgets.
3. Mapping the exact patient (and caregiver) journey—through direct simulation and advocacy group...

Discover operational strategies to move beyond traditional clinical trial outsourcing—learn how the clinical mesh approach can optimize study speed, oversight, and cost efficiency for today’s clinical operations leaders.

1. Maria Expósito Lorido (LinkedIn)
2. Venture Partner, Vu Venture Partners
3. Extensive experience in clinical development, clinical trial outsourcing, and operational leadership within pharma/biotech

This live session from COG Europe in Amsterdam features Maria Expósito Lorido, a leading venture partner with hands-on experience designing and implementing innovative clinical outsourcing strategies. Maria offers a compelling presentation shifting the conversation from conventional CRO selection and outsourcing models to a new paradigm: sponsor-led orchestration through the clinical mesh playbook.

Listeners gain practical guidance on clinical operations best practices by contrasting traditional outsourcing with platform and ecosystem-based models. Maria reveals why most studies fall short on recruitment, what it costs, and how an orchestrated mesh of specialized partners can reduce delays and increase value for sponsors and patients alike.

Specific areas covered include how to tailor sourcing architecture to your study’s needs, which operational components to retain or externalize, and ways to apply clinical study optimization principles for faster, more flexible trial delivery. The episode also addresses implementation steps, measurable KPIs, and critical sponsor responsibilities in this emerging model.

Ideal for clinical operations, outsourcing managers, and vendor strategy professionals seeking to future-proof their approach to CRO selection and clinical trial outsourcing.

00:03:00 – Why 80% of clinical studies miss recruitment targets and the financial impact of delays

00:05:00 – Comparing small, agile biotech teams vs large pharma R&D models for clinical trial delivery

00:06:55 – The Nvidia platform analogy: platform business models vs linear development pipelines

00:07:10 – Introduction to the “clinical mesh” model: moving from fixed structures to reconfigurable networks

00:08:33 – Three sourcing architecture types—full-service CRO, functional service provider, and clinical mesh—and when each works best

00:11:23 – Governance challenges and sponsor responsibilities under the mesh model

00:14:04 – Early-stage oncology case study: cost, timelines, and screen failure rate compared across outsourcing models

00:16:27 – Quality management, risk, and safety oversight: what sponsors must own when orchestrating a clinical mesh

00:18:57 – KPIs for clinical study optimization: measuring cost per qualified patient, time to first contact, and more

00:19:43 – 90-day roadmap for piloting a clinical mesh approach with stepwise best practices

1. Orchestrate, don’t just outsource: Sponsors retain strategy, quality, and data oversight even when leveraging a network of specialized vendors—this increases flexibility and operational control compared to traditional outsourcing.
2. Match sourcing architecture to study needs: Evaluate each study to determine the best-fitting sourcing model (full-service CRO, hybrid/FSP, or clinical mesh), rather than defaulting to a single approach for all trials.

Navigating Global Clinical Trial Outsourcing: Risk, Strategy & CRO Partnerships in a Changing World

Gain operational clarity on the evolving landscape of clinical trial outsourcing—discover the risk factors, partnership models, and geographic strategies reshaping CRO selection and clinical operations.

1. Heike Schoen, CEO, Loomis International (LinkedIn)
2. 20+ years in clinical operations, global trial strategy, and vendor management
3. Bart Scheerder, Host
4. Authority in European clinical operations and outsourcing trends
5. David Jones, Head of Content, The PBC Group

Recorded live at COG Europe, Amsterdam.

This episode of The COG Review: Building Better Clinical Studies features Heike Schoen, CEO of Loomis International, in a keynote session from COG Europe. The discussion centers on the global shift in clinical trial outsourcing, with a sharp focus on how sponsors and CROs are adapting to rapid changes in regulation, geopolitics, and technological innovation.

Heike Schoen explores the evolution of sponsor–CRO partnerships, from transactional service agreements to nuanced hybrid models, where flexibility and deep therapeutic expertise are essential for success. Practical examples from Novartis–PPD and Moderna–Medidata illustrate both functional service partnerships and the impact of digital, decentralized trials.

Key areas include CRO selection strategies for emerging markets, navigating regulatory changes, and building operational agility in the face of supply chain fragility and geopolitical risk. Insights are tailored for professionals involved in clinical operations best practices, outsourcing decisions, and those seeking to optimize clinical studies through smarter partnerships and technology use.

The session closes with real-world challenges and live audience questions on how to structure outsourcing models, respond to regulatory shifts, and future-proof location choices for clinical trials.

00:03:37 – Global clinical trial outsourcing market growth and drivers

00:04:45 – The rise of hybrid CRO partnerships: strategic alliances vs. modular models

00:06:06 – Digital platforms and AI: boosting operational efficiency in decentralized trials

00:07:00 – CROs must demonstrate deep therapeutic expertise and flexible service models

00:08:15 – Geographic diversification: assessing emerging markets for clinical study optimization

00:10:06 – AI’s impact on CRO value pools: standardization and resource allocation

00:12:09 – Comparative advantages of clinical outsourcing in the US, Asia-Pacific, Europe, Latin America, Africa, and the Middle East

00:14:24 – Geopolitical risks in outsourcing: contingency planning for disruption and instability

00:16:08 – Supply chain fragility and cross-border data management: lessons for clinical operations best practices

00:18:10 – Key drivers for outsourcing strategy: cost pressure, patient diversity, regulatory speed

00:19:49 – Location strategy essentials and what sponsors should expect from CROs

00:24:29 – Guidance for small biotechs on engaging CROs and designing flexible outsourcing models

1. Hybrid CRO partnership models are becoming standard—sponsors should seek partners who can offer both full-service and functional...

Pipeline Strategy: Balancing Science, Feasibility, and ROI in Clinical Development Decisions

What does it take to make confident, cross-functional pipeline decisions that drive approval speed and sustainable value for companies in today’s clinical research landscape?

Moderated by Emily Roberts-Thomson, Development Operations Leader

Featuring:

• Raj Patel, Chief Operating Officer, ReacX Pharmaceuticals

• Nikhil Dube, Lifecycle Management Strategy Lead, Biogen

• Mukhtar Ahmed, Director, Project and Portfolio Strategy, Greenstone Biosciences

Recorded live at COG Bay Area, this panel brings together senior voices from leading biotech and pharma organizations to tackle the realities of pipeline prioritization and clinical operations best practices. Moderated by Emily Roberts-Thomson, the discussion centers on actionable frameworks and leadership judgment required for effective clinical trial outsourcing, CRO selection, and cross-functional portfolio management.

The panelists break down how organizations decide which programs to advance, weighing scientific potential against development feasibility, market factors, risk, and resource constraints. They candidly explore trade-offs inherent to outsourcing strategies, clinical study optimization, and how changes in ROI, timelines, or operational setbacks impact pipeline decisions.

Essential listening for clinical operations leaders, outsourcing specialists, and study owners, the episode delivers practical insights on moving from scientific conviction to commercial success—and ensuring alignment across sponsors, CRO partners, and governance bodies in a rapidly shifting environment for clinical trial outsourcing.

Key topics include:

1. Balancing science, feasibility, and business drivers in pipeline advancement decisions
2. Managing cross-functional alignment across R&D, clinical operations, and commercial teams for better governance
3. The critical role of financing, investor expectations, and real-world feasibility in CRO selection and vendor management

00:03:20 – Emily Roberts-Thomson frames the multifactor decision: “It’s never just about how good the science is. It’s about feasibility, market dynamics, and resource allocation.”

00:04:00 – Raj Patel outlines a practical pipeline selection matrix: fastest to approval, least cost, minimal risk—plus the real-world influence of boardroom priorities and investor interests.

00:05:00 – Nikhil Dube shares a three-pronged approach: scientific value, clinical development feasibility, and commercial opportunity—all critical for clinical study optimization and vendor selection frameworks.

00:06:37 – Mukhtar Ahmed describes a hybrid model leveraging academic depth and operational agility, focusing on robust human data and milestone-driven inflection points for outsourcing viability.

00:08:02 – Panel debate: How companies trade off first-in-class scientific programs against downstream commercial opportunity when making outsourcing or CRO selection decisions.

00:13:28 – Emily Roberts-Thomson and Raj Patel candidly discuss the reality of reprioritizing clinical studies based on changing business needs and operational feasibility—impacting CRO and vendor engagement.

00:14:29 – Achieving cross-functional consensus: Lessons from balancing scientific advocacy, operational feasibility, and business priorities in pipeline governance.

00:17:05 – Raj Patel on how investors and shifting market landscapes dictate which programs move forward—and how funding realities drive clinical outsourcing strategies.

00:19:13 – Nikhil Dube unpacks how project leads in large pharma orchestrate...

AI Integration in Clinical Trial Outsourcing: Best Practices for Operational Efficiency and CRO Selection

Learn how AI agents are reshaping clinical study optimization, enhancing quality and scalability in clinical trial outsourcing—and what you need to know for smarter CRO selection and oversight.

Featuring:

1. Paulius Ojeras, Head of Clinical Operations, Perceive Biotherapeutics (LinkedIn),
2. 18+ years’ experience in biotech and global CRO management; specialist in innovative trial designs, outsourcing strategy, and the operational application of emerging technologies.

This live session, recorded at COG Bay Area, features Paulius Ojeras, Head of Clinical Operations at Perceive Biotherapeutics, as he shares hands-on insights about integrating AI agents into clinical operations and outsourcing models. The discussion is grounded in practical experience, with real examples from Perceive’s studies.

The core theme revolves around how clinical trial outsourcing strategies evolve—and sometimes fundamentally change—when sponsors adopt AI-driven solutions for process automation, team scalability, and quality management. Paulius Ojeras breaks down where AI makes the biggest difference, from TMF (Trial Master File) management to site startup and document QC, offering lessons learned for sponsor teams evaluating new outsourcing approaches.

Key topics include frameworks for CRO selection, managing vendor relationships in an AI-enabled environment, and de-risking operational transitions. The episode emphasizes clinical operations best practices—particularly how to balance technology adoption with oversight, accountability, and regulatory requirements—giving actionable guidance for teams focused on clinical study optimization and sponsor–CRO partnership models.

00:02:43 – Why the real question isn’t if AI will disrupt clinical trials, but how smart and fast sponsors will adopt AI solutions

00:05:00 – Breakdown of AI integration levels: from basic automation to autonomous, agentic AI teammates in clinical operations

00:09:47 – Case study: Applying AI agents to TMF management—quality gains and lessons from real deployment at Perceive Biotherapeutics

00:13:43 – AI-driven QC finds up to 25% errors in TMF documentation, challenging norms in clinical trial outsourcing

00:15:13 – Real-time document feedback and task tracking—how automation improves speed and regulatory compliance

00:18:11 – Vendor selection due diligence: key criteria for assessing AI-focused clinical trial outsourcing partners

00:21:31 – Addressing the challenge of outcome consistency: why it’s critical for regulated clinical trials and CRO selection

00:24:38 – Rethinking process design for end-to-end automation, not just adding tools to legacy workflows

00:25:37 – The importance of training internal teams for AI literacy and prompt engineering to maximize value from technology

00:26:31 – Final guardrail: Success depends on thoughtful, disciplined AI adoption—not just speed or hype

1. Prioritize solutions over tools: When evaluating clinical trial outsourcing options, select vendors who offer true operational support (setup, oversight, supervision), not just technology. This is key for effective CRO selection and minimizing added complexity.
2. Redesign processes for automation: For clinical operations best practices, rethink workflows to fully leverage AI agents—instead of layering automation on top of manual...

Embedding the Patient Voice: Best Practices for Patient Engagement in Clinical Trial Outsourcing

Discover how integrating meaningful patient engagement strategies throughout clinical trial outsourcing can drive study optimization, reduce recruitment delays, and create more inclusive, effective clinical research.

1. Lisa Lea
2. Director of Patient Insights, Merck
3. Over 20 years of biotech and clinical expertise
4. Specialist in pulmonary arterial hypertension and patient-centered trial design
5. LinkedIn

This episode, recorded live at COG Bay Area, features Lisa Lea, Director of Patient Insights at Merck, sharing actionable frameworks for incorporating real patient perspectives into every stage of clinical trial outsourcing and operations. In a session tailored to trial sponsors, CROs, and operational leaders, Lisa Lea draws on two decades of industry and clinical site experience to address the operational and strategic value of authentic patient engagement.

You'll gain a grounded perspective on how early, frequent patient input enhances CRO selection and clinical study optimization. From adjusting inclusion criteria and endpoint selection to reducing recruitment challenges and addressing protocol burdens, learn how patient-centered approaches create efficiencies and improve outcomes across the outsourced trial lifecycle.

Key topics include:

1. The regulatory evolution of patient engagement, with lessons for clinical outsourcing models
2. Operational benefits, such as fewer delays and more relevant data through improved trial design
3. Practical methods for embedding patient voice in trial protocols and vendor collaboration
4. 
   
5. This session offers both strategic guidance and frontline examples you can apply to clinical operations best practices, CRO selection, and effective sponsor–CRO–patient partnerships.

00:02:45 – Defining “patient engagement” and why it matters for clinical trial operations

00:03:59 – The real-world operational risks of omitting patient voice: recruitment shortfalls and study delays

00:06:55 – Historical drivers: How patient advocacy reshaped regulatory expectations and clinical outsourcing approaches

00:08:08 – Balancing patient risk–benefit preferences in protocol and CRO/vendor collaboration

00:09:07 – Impact of patient engagement on diverse recruitment, site selection, and CRO performance

00:10:42 – Actionable steps: Where and how to embed patient insights in the clinical development and outsourcing pathway

00:13:03 – Real example: Protocol design oversights leading to lost sites, and learnings for sponsor–CRO study teams

00:14:40 – Participants’ desire for real influence, not token feedback—building feedback loops for operational improvement

00:16:09 – Key regulatory guidances and industry resources for patient-centric trial design and clinical outsourcing decisions

00:17:15 – Overcoming practical barriers: Internal advocacy, framework creation, and...

Optimising Stakeholder Engagement: Clinical Trial Outsourcing, CRO Selection, and Delivery Best Practices with Kimberly Guedes

Discover actionable strategies to align incentives, clarify roles, and streamline communication for faster, more predictable clinical trial delivery—essential listening for anyone involved in clinical trial outsourcing, CRO selection, or operational leadership.

1. Kimberly Guedes
2. Vice President, Clinical Operations, Intensity Therapeutics
3. 30+ years’ experience in global drug development across preclinical to Phase IV studies
4. Leader in process improvement, vendor management, and clinical operations strategy
5. LinkedIn

Recorded live at a Clinical Outsourcing Group (COG) Bay Area event and introduced by David Jones, this episode features Kimberly Guedes, VP Clinical Operations at Intensity Therapeutics. In her keynote, Kimberly addresses the operational realities and leadership challenges of optimising stakeholder engagement in clinical trial delivery.

The session offers practical insight into the core factors behind study delays, the importance of early alignment, and communication strategies that underpin successful clinical trial outsourcing programmes. Clinical operations professionals, outsourcing leads, and vendor managers will find a grounded framework for ensuring clarity between sponsors, CROs, service vendors, and research sites.

Topics include:

1. The dynamics of stakeholder collaboration in clinical outsourcing models
2. Criteria for effective CRO selection and ongoing governance
3. Methods for bridging communication gaps and achieving clinical study optimisation
4. Handling team changes, fostering trust, and responding to practical constraints

This episode is designed for those seeking proven clinical operations best practices to help accelerate timelines, improve outsourcing partnerships, and enhance delivery outcomes.

00:03:20 – Defining stakeholder engagement in the context of clinical trial outsourcing and delivery

00:04:11 – Understanding unique perspectives and constraints of sponsors, CROs, vendors, sites, and patients

00:05:09 – Building predictability and trust through early, honest communication

00:06:54 – Risks of poor engagement: delays, rework, low morale, and project failure

00:08:02 – The importance of joint project planning and cross-functional team training

00:10:03 – Creating a culture of mutual respect, transparency, and recognition with partners

00:12:03 – Establishing clear roles, responsibilities, and governance for effective CRO/vendor partnerships

00:14:56 – The impact of understanding team members' strengths, backgrounds, and communication styles

00:18:16 – Shifting from reactive blame to collaborative problem solving in clinical operations

00:19:26 – Empowering all stakeholders to ask questions and contribute new ideas for study optimisation

00:27:15 – Best practices for engaging remote or distributed teams in clinical outsourcing delivery