SERVICES

Clinical trial enrollment support. Before the study starts. While it runs.

From enrollment feasibility and strategy to delivery oversight and rescue, we help biotech and pharma teams identify constraints, improve patient conversion and coordinate the work with their CROs and sites.

Free Enrollment Assessment

Free 1-hour enrollment assessment, delivered by one of our principals

ONE SYSTEM

Every service runs on the same four disciplines, applied since 2012.

What changes from one service to the next is the question the study is asking. The disciplines stay the same. The system that carries them has run on every study since 2012, so the result does not depend on who happens to be in the room.

Small changes compound when every stage is designed and managed.

EXPLORE ENROLLMENT ENGINEERING

Four disciplines. One system.

01

Modeling. What the protocol and the site list will cost you in patients, per site, before you sign them off.

02

Behavioral science. How patients and sites decide, and the ads, conversations and site list designed from that.

03

Operational design. The constraints your study's workflows place on the sites and their healthcare system, found and resolved before activation.

04

Live control. Every stage, every site, every week. Problems surfaced the week they happen, given an owner, fixed.

BEFORE THE STUDY STARTS

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.

STRATEGY

Enrollment Strategy

Connect recruitment, screening, consent and retention in one study-specific plan.

The enrollment strategy most studies don't have.

One strategy that connects sites, patients, channels, materials and handoffs. We work out what each site needs to put your study first, and how we support it. What will slow enrollment is found and fixed before it does.

It starts with how patients and sites decide. The patients you reach say yes and stay, and the sites you choose put your study first, because both were designed around what those people are actually weighing. That applies to the coordinator choosing between twenty studies as much as to the patient choosing one.

Then the constraints your study's workflows place on the sites and their healthcare system are found and resolved before activation, so the study runs the way the strategy says, not the way the clinic forces it to. We have run the site, the CRO and the sponsor side. We know which constraints are coming because we have been on the receiving end of them.

One enrollment strategy connecting sites, patients, channels, materials and handoffs, with a plan per site inside it. The ad guide and the conversation guide. A site list chosen for engagement, not procedures.

Give every team on the study, yours, the CRO's and each site's, one strategy to work to, with an owner on every handoff.

WHILE IT RUNS

MANAGED SERVICE

Enrollment Control Tower

Monitor conversion across sites and stages, with clear ownership of the response.

Act while there is still time to change the outcome.

We run the delivery as well as the numbers: advertising and patient channels, patient contact, and the work with sites that keeps your study at the top of their list. Every stage, every site, every week, each problem is traced, owned and fixed.

On the large studies we have seen, the most senior person whose job includes recruitment gives it roughly two hours a week, between the other things the role carries. The know-how for getting a patient from a phone call to a chair sits with the call center, the coordinator and the ad agency. Three organizations, three contracts. The handoffs between them belong to nobody. The Control Tower is a team whose whole week it is.

Problems surface the week they happen, at the site, in the ads, in the referral route, and are given an owner and fixed, so the study corrects in weeks rather than quarters. A problem a site raises is fixed that week, not reported to the sponsor.

Advertising and its spend, patient contact and the call center, referral routes and patient groups, site support and participant logistics are run by a delivery team brought together for the study, led by Kym or Liam and working to the same model. Where your CRO, a site or an existing recruitment partner already owns part of the work, we manage the handoff to them rather than duplicate it.

Variance, cause, owner, action, result, weekly. A model that stays true. And the delivery itself, run and reported against that model: advertising, patient contact, referral routes, site support and participant logistics.

Correct the study in weeks rather than quarters, with every problem owned and fixed.

AUDIT AND FIRST FIXES

Enrollment Rescue Audit

Find what is slowing enrollment and prioritize the changes most likely to improve it.

Don't spend more on recruitment to fix a problem that isn't recruitment.

We rebuild the funnel from the study's own data, then act in three ways: close the leaks costing you patients now, add volume at the top only where the funnel can convert it, and redesign the stages holding the study back.

When a study falls behind, the reflex is to add more: more sites, more advertising, more amendments, more time. A patient saved at the bottom is a patient enrolled. A patient added at the top still has to survive every leak on the way down.

We rebuild the funnel stage by stage and site by site, and find where patients are being lost, delayed or blocked, and why. The cause can sit in an assumption, the protocol, the patient's decision, a site, the care pathway, a handoff or the advertising. Then we close the leaks costing you patients now, and rank the rest of the fixes by which will move the number soonest. The recovery after that runs through the Enrollment Control Tower.

Sometimes the constraint really is supply: too few patients within reach of the sites. When it is, we say so, and the recovery starts by adding volume at the top, where the funnel can convert it.

The funnel rebuilt from the study's own data, with the fixes ranked. The leaks costing you patients now, closed. The assumptions that failed, and the evidence for each. Recovery scenarios, with what each costs.

Replace the pressure to add more with fixes you can defend, and put time and money behind the stage that is actually losing patients.

PRACTICAL QUESTIONS

Where Renable fits and how to begin.

Where does Renable fit if we already have a CRO or a recruitment vendor?

Alongside both, on the sponsor's side. Your CRO keeps running the trial. Trial management monitors conduct, and it should. We own the funnel alongside you and your CRO: we manage conversion, run the delivery that moves it, and keep the relationships that carry it. Where the CRO, a site or a recruitment vendor already owns part of the work, we bring it into the strategy and manage the handoffs rather than duplicate it. You keep governance and every decision.

When is the right time to involve Renable?

Earlier is cheaper. For a planned study, before the protocol, the forecast, the site list and the budget become commitments, while the trade-offs are still choices. For a live study, when the first real variance appears. The earlier the cause is found, the more options the recovery has.

Can Renable help if enrollment is already behind?

Yes. That is what the Enrollment Rescue Audit is for. We rebuild the funnel from the study's own data, close the leaks costing you patients now and rank the rest of the fixes, before another site is opened or another campaign bought. Once the fixes are ranked, we can run the recovery as well, through the Enrollment Control Tower.

What do you need from us to begin?

For an assessment or an audit, whatever you have. The protocol or synopsis, the forecast and its assumptions, site and feasibility data, and for a live study the current funnel. You do not need a perfect dataset. We separate what is known from what is assumed, and the gaps become the first questions.

Who does the work?

Kym or Liam leads every engagement and stays in the decisions and the work. The delivery is run by a team brought together for the study: patient contact and call-center staff, advertising and creative specialists, site-engagement leads, participant logistics and support, and behavioral scientists where the study needs them. They work to the same system and the same model, so the result does not depend on who happens to be in the room. We have built teams like this before, growing one clinical organization from 20 people to more than 400.

Is the diagnostic assessment a sales call?

No. Sixty minutes with Kym or Liam, free, for studies that qualify. You leave with a diagnosis and a recommendation, and if we are not the right answer we say so. The assessment does not include the analysis or modeling of a paid audit. If deeper work is warranted, we tell you which service and why.

START WITH THE STUDY IN FRONT OF YOU

Does your study qualify?

  1. If it qualifies, a diagnostic assessment with Kym or Liam. Sixty minutes. Free. Not a sales call. You leave with a diagnosis and a recommendation, and if we're not the right answer, we say so.
  2. Then, if you're right for us and we're right for you, a selection of services.
Free Assessment

Free 1-hour enrollment assessment, delivered by one of our principals