INDEPENDENT AUDIT
Enrollment Feasibility Audit
Test the assumptions behind your patient enrollment forecast.
Know what must be true for the forecast to hold.
We test the evidence behind it and model the range it can support, before site count, timeline and budget harden around a number that was never true.
Site count, timeline, staffing, budget and monthly burn all follow from one enrollment rate. We analyzed three anonymized proposals from large global CROs for the same study. Identical protocol, identical patient population. The rate of patients per site per month varied fourteen-fold. None of the three is necessarily wrong. But the sponsor chose one without seeing the reasoning, then built the timeline, the budget and the site list on it.
Everyone models the top. We model every stage, per site. Before you sign off the protocol or the site list, you see what each decision costs you in patients, and which few levers move the number most, because a change at the bottom of the funnel compounds all the way to the top.
The accepted model, per site, with its assumptions written beside it. The range it supports, not a single rate. The few decisions that move the number most, and what each costs in patients and months.
Make trade-offs while they are still choices, not consequences, and defend the timeline, budget and site list to the people who will hold you to them.