Protocol Design Intelligence Suite

Our Protocol Design Intelligence Suite transforms traditionally manual, fragmented processes into a dynamic, insight-rich design environment. Built on the principles of augmentation—not replacement—it empowers trial architects with verifiable evidence, interactive modeling, and end-to-end traceability.

Clinical Trial Amendment Analyzer

Clinical Trial Amendment Analyzer

Proactively identifies design elements and operational risks that could lead to future protocol amendments.

  • Flags inconsistencies, feasibility challenges, and regulatory misalignments.
  • Provides a transparent evidence trial for every risk signal.
  • Helps teams reduce costly and time-consuming amendments before they occur.
Schedule of Assessment (SOA) Optimizer

Schedule of Assessment (SOA) Optimizer

Optimizes patient visits, assessments, and procedures to balance scientific validity with operational efficiency.

  • Minimizes patient burden while maintaining study rigor.
  • Models cost-per-patient and drop-out probability.
  • Allows users to adjust variables and immediately visualize impact across cost, burden, and risk.
Country Adaptation Engine

Country Adaptation Engine

Evaluates protocol readiness for global deployment and identifies required region-specific adaptations.

  • Assesses compatibility with multiple regulatory environments.
  • Suggests modifications needed for compliance, feasibility, or recruitment considerations.
  • Ensures faster, more confident global rollout of clinical trials.

AI-Driven Digital Data Flow

DIGITAL STUDY EXECUTION

Connected Data.
Every Step.
Start to Finish.

Ceresity's AI-driven Digital Data Flow transforms clinical trials from document-heavy processes into structured, interoperable, and reusable data assets — traceable across the entire study lifecycle.

// DIGITAL SYNAPSE • LIVE TRACING

Annotated CRF

study.crf • structured metadata

Ingested

SDTM Domains

auto-mapped • 47 variables

Mapped

ADaM Datasets

ADSL • ADAE • ADEFF

Ready

TLF Shells

auto-generated • 23 outputs

Generated

END-TO-END ARCHITECTURE

The Digital Data Flow,
Layer by Layer

Digital Synapse establishes structured, persistent linkages across every layer of the clinical trial lifecycle — from study design inputs through to final reporting outputs.

PROTOCOL

Protocol & Endpoints

Procedures, SoA, study design parameters

ACRF

Annotated CRF

Structured data collection fields & metadata

SDTM

SDTM Domains

Standardized clinical datasets & variables

ADAM

ADaM Datasets

Analysis-ready data with derivation logic

TLF

TLF Shells

Auto-generated tables, listings & figures

REPORT

Final Outputs

Validated, submission-ready reporting

DIGITAL SYNAPSE — Persistent Traceability Layer

Automated linkage maintained continuously across all layers. Any change propagates instantly. Full audit trail preserved.

100% TRACEABLE

PLATFORM VALUE

What the Platform Delivers

From automation to regulatory readiness — Digital Data Flow addresses every friction point in modern clinical trials.

Automated Mapping & Validation

Eliminates manual effort in linking data collection elements to analysis structures and output layouts. Intelligent mapping logic runs continuously, keeping everything synchronized.

🔗

End-to-End Traceability

A persistent, verifiable linkage is maintained from every CRF question through SDTM and ADaM transformations to final TLF outputs — ensuring complete transparency and reuse across the lifecycle.

📉

Reduced Manual Errors

By replacing document-based handoffs with structured, interoperable data assets, the platform dramatically reduces rework, late-stage surprises, and the errors that come with manual data handling.

🌐

Global Standards Compliance

Built in alignment with CDISC, ICH, FDA, and EMA requirements. The framework is platform-independent, ensuring portability across sponsor systems and submission environments.

🏗

Foundation for Study Analytics

Creates the data infrastructure needed for automated study setup, dynamic readiness monitoring, and downstream reuse — enabling a truly data-centric operating model for sponsors.

🔍

Earlier Insights

As raw or interim data becomes available, the platform enables early population and preview of outputs — supporting validation of study design assumptions long before database lock.

Three Steps.
One Connected System.

STEP 01

Ingest Study Design

The flow begins with finalized annotated CRFs and structured study metadata, read alongside mappings and analysis parameters to build a complete picture of the study architecture.

  • Annotated CRF parsing
  • Study metadata ingestion
  • Analysis parameter mapping
STEP 02

Auto-Generate TLF Shells

Structured shells are automatically suggested for all planned analyses — aligned to sponsor standards and pre-populated with layout, variable references, and derivation details ready for programming teams.

  • Sponsor-standard shell generation
  • Exportable specifications
  • Variable & derivation pre-fill
STEP 03

Preview Outputs with Live Data

Once raw or interim data flows in, transformations are applied and outputs are previewed in real time — surfacing gaps, flagging issues, and confirming the planned data structure can support the SAP.

  • Live data transformation
  • Gap detection & issue flagging
  • SAP readiness confirmation

CORE CAPABILITIES

Built for the
Complexity of Modern Trials

Four foundational capabilities that keep every layer of your study synchronized, auditable, and ready.

01

Automatic TLF Shell Generation

Shells are generated automatically from annotated CRFs and associated specifications — removing the time-consuming manual drafting process and ensuring consistency from the start.

02

Intelligent Mapping Logic

Links collection fields to analysis structures and output layouts through smart, rule-based mapping that accounts for sponsor standards and CDISC conventions.

03

Continuous Synchronization

Shells and previews stay synchronized with every change in CRFs, specifications, or data. No more version drift — what you see is always current.

04

Exportable Programming Specifications

Delivers complete, structured specifications to programming and validation teams — including layout, variable references, and derivation details — ready to use without interpretation.

WHO IT HELPS

The Right Insight,
For Every Team

Digital Data Flow delivers tangible value to every function involved in study execution and reporting.

Stats & Programming

EFFICIENCY GAINS

Less time spent drafting and maintaining shells. Earlier confirmation that the planned data structure can actually support the SAP — before issues become expensive.

Clinical & Medical Writing

EARLIER ALIGNMENT

Visibility of key displays much earlier in the process. Improved alignment between endpoints, narratives, and final reporting needs — reducing late-stage rewrites.

Data Management & Ops

TIGHTER FEEDBACK LOOP

A direct feedback loop from expected outputs back into CRF and edit check design. Catch issues at the source, not at database lock — avoiding rework and late surprises.

Aligned with
Global Standards

Digital Data Flow is built in alignment with the industry's transition toward Digital Protocols and Digital Study Execution — supporting the shift from document-based processes to structured, interoperable data assets.

CDISCSDTM IGADaM IGICH E6(R3)FDA 21 CFR Part 11EMA Data StandardsTransCelerate DDF

AutoQC

Automated QC for documents, data, and formats that ensures accuracy throughout the trial lifecycle.

Cut QC turnaround from days to hours for complex study reports.

Cut QC turnaround from days to hours for complex study reports.

Reduce rework from late‑identified inconsistencies.

Reduce rework from late‑identified inconsistencies.

Standardize QC across writers, vendors and studies.

Standardize QC across writers, vendors and studies.

What the tool does

  • Formatting and structural validation
  • Error summaries and actionable outputs
  • Automates cross-checks against protocol, SAP and TFLs.
  • Flags inconsistencies in text, tables, figures and appendices.
  • Designed by medical writers, statisticians and QA teams.

Core capabilities 

The platform runs a configurable set of automated QC rules and lets you add your own checks so they match internal templates, style guides, and SOPs. It compares your clinical documents against key source materials, including protocol, SAP, TFLs, relevant SDTM/ADaM datasets, and safety narratives or summary sections. The engine works with standard authoring formats such as Word and PDF, avoiding disruption to existing workflows. 

Typical Documents Managed within the Tool 

  • Full Clinical Study Reports and related appendices. 
  • Protocols and protocol amendments. 
  • Statistical Analysis Plans and statistical result descriptions. 
  • Individual patient safety narratives. 
  • Risk Management Plans and other regulatory or submission‑critical documents. 

How it works

Define checks

Define checks

Configure rule sets using shared + org-specific checks

Add content

Add content

Upoad CSR + protocol, SAP, TFLs, datasets 

Execute QC

Execute QC

Run QC instantly or schedule for automation 

Triage results

Triage results

Dashboard highlights failure with guidance

Key features

  • AI‑driven checks: Combines NLP with rule‑based logic to find inconsistencies in wording, values, and document structure that are easy to miss in manual review.
  • Cross‑document linkage: Connects statements and in‑text tables in the CSR to the underlying TFLs or datasets so mismatches are immediately visible.
  • Template and section validation: Confirms that required sections are present, correctly named, and aligned with your organization’s templates.
  • Version‑smart automation: Detects new versions and reruns checks so late edits are also covered without extra effort.
  • QC analytics: Produces QC summaries and trend views to monitor defect patterns and cycle times across studies and vendors.
  • Flexible deployment: Can be offered as a cloud service, a managed environment, or installed in your own infrastructure, depending on IT and compliance needs.

Benefits for stakeholders

Feature 1

For medical writers

  • Frees up time for interpretation, messaging, and scientific storytelling by offloading repetitive consistency checks.
  • Lowers the risk of missed discrepancies between text, tables, and appendices.
Feature 1

For biostatistics and programming

  • Provides assurance that reported numbers and analysis descriptions in documents match the validated TFLs and underlying datasets
  • Reduces urgent correction requests close to submission deadlines.
Feature 1

For QA and operations

  • Brings a harmonized QC framework that can be applied across internal teams and outsourced partners.
  • Delivers objective, trackable indicators of document quality and QC productivity to support continuous improvement.
Feature 1

Technical and compliance

  • Architecture: Web‑based application with a configurable rules engine and centralized repository for QC checks and results.
  • Integrations: Can hook into document management systems and statistical or data platforms via APIs or connectors where required.
  • Compliance posture: Designed to support GxP‑aligned processes, robust audit trials, and appropriate data protection and security controls, while allowing you to describe your specific certifications separately.

Business Consulting

OUR APPROACH

Where advanced technology meets human expertise

Most protocol optimization tools are powerful but complex. Teams invest in the platform yet struggle to extract actionable recommendations. Our integrated design partnership pairs your clinical team with seasoned SMEs who configure, run, and interpret simulations on your behalf — turning raw output into clear, decision-ready protocol choices.

WHAT'S INCLUDED

Integrated design
partnership at every stage

Three core service pillars work in concert — connecting clinical strategy, simulation depth, and decision-ready synthesis to deliver protocols that are right the first time.

Integrated Design Partnership

Experienced SMEs remain engaged from early concept through near-final protocol, iterating on arms, endpoints, eligibility criteria, and visit schedules directly within the platform alongside your team.

Scenario-Based Simulations

The team configures realistic design scenarios using historical trial data, feasibility intelligence, and real-world enrollment patterns to estimate screen-fail rates, site workload, and likely amendment triggers.

Decision-Ready Insights

Rather than delivering raw dashboards, our SMEs interpret results, frame the trade-offs clearly, and propose concrete design options aligned with your scientific objectives.

SME-Led Model

Five steps from concept
to optimized protocol

Our structured engagement model ensures every simulation is grounded in your clinical reality — and every output becomes a usable recommendation rather than a data artifact.

Step 01

Understand Your Context

Consultants meet your clinical team to capture the asset, indication, prior data, constraints, and success criteria.

Step 02

Configure Scenarios in the Tool

The current or draft protocol is encoded in the platform and alternative designs are created.

Step 03

Run & Refine Simulations

SMEs run simulations across multiple scenarios to quantify patient burden and operational complexity.

Step 04

Translate Outputs into Choices

Results become clear design scorecards and scenario comparisons.

Step 05

Co-Create the Optimized Protocol

Working sessions refine the preferred scenario into a scientifically sound protocol.

DESIGN QUESTIONS

The questions we help you answer

Every engagement is framed around the protocol decisions that matter most — from eligibility criteria to visit burden — giving your team the clarity needed to design with confidence.

01

How will specific inclusion and exclusion criteria influence eligible population size, patient diversity, and overall time to enroll?

02

What visit schedules and assessment plans give us the scientific information we need without overburdening patients and investigator sites?

03

Where are we most at risk of unplanned amendments, and which specific design changes can prevent them before the first site is activated?

04

Which country and site mix gives us the most predictable and diverse enrollment pathway given current feasibility intelligence?

05

How do alternative endpoint strategies compare in terms of screen-fail rate, patient retention, and overall data quality at the site level?

06

What are the real operational cost implications of competing design scenarios, and where are the highest-leverage simplification opportunities?

BENEFITS

Built for Pharma & CROs

Every engagement is designed to generate measurable value — from fewer amendments to more confident enrollment projections and better outcomes for patients and sites alike.

01
PROTOCOL QUALITY

Right First Time. Every Time.

Protocols grounded in realistic simulation data dramatically reduce unplanned amendments and the cascade of delays, rework, and costs they trigger — freeing your team to focus on execution from day one.

02
ENROLLMENT PREDICTABILITY

Execution Grounded in Realistic Data

More predictable enrollment and trial execution emerge from designs tested against actual site behavior and historical performance — not optimistic assumptions that erode once sites are activated.

03
PATIENT & SITE EXPERIENCE

Designed Around the People Who Matter

Consciously managing patient and site burden — through smarter visit schedules, streamlined assessments, and realistic eligibility sets — improves retention, diversity, and site engagement throughout the trial.

04
PLATFORM VALUE

Full ROI on Your Optimization Investment

SMEs act as embedded design partners, ensuring your team extracts full value from the platform rather than leaving complex capabilities underutilized. The tool works harder because the right experts are driving it.