Insights

Operational intelligence from the field.

What we are seeing, what we are thinking, and what it means for clinical research and life-science market entry.

Editorial

These pieces are written from operational experience — not from conference panels or vendor briefings. They reflect what we are actually seeing in clinical trials, market entry engagements, and physician innovation programs.

Clinical AIAugust 202612 min read

Two years of agentic AI in clinical trials: what we learned

We have been running agentic AI on live clinical trials since 2024. Here is what actually happened — the wins, the failures, and the things we did not expect.

Market EntryJuly 20268 min read

The five things international companies get wrong about the U.S. market

After running the 90-day market entry program for companies from 12 countries, the same mistakes appear in the same order. Here they are.

Physician InnovationJune 202610 min read

Why clinicians stop at the idea stage

Seven years of running DIUP has given us a detailed picture of where clinician-innovators get stuck. The answer is not what most people think.

RegulatoryMay 20269 min read

FDA's position on AI-generated outputs in regulatory submissions

What FDA has said, what it has not said, and what our experience submitting AI-assisted documents tells us about where the line is.

Global ExpansionApril 202611 min read

Reimbursement is not an afterthought: lessons from EU market entry

Companies that get EU regulatory approval and then discover the reimbursement landscape have made a sequencing error. Here is how to avoid it.

Clinical AIMarch 202614 min read

The serialization problem: a technical explanation

Why clinical trials are slow is not a mystery. The work is serialized. Here is a precise description of the problem and what collapsing it actually requires.

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