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Customers / Midsize CRO · FPI
Case Study · Midsize CRO · Phase III Oncology

How a midsize CRO accelerated First-Patient-In by nine weeks.

Replacing manual feasibility with automation, and turning startup speed into the edge that wins the next bid.

Company
Midsize CRO
Portfolio
Large oncology
Study
Phase III immunotherapy
Switched
January 2025
9 weeks
Earlier site selection
First-Patient-In accelerated
79%
Shorter feasibility
78.9% fewer site follow-ups
93%
Fewer admin hours
From 288 hours per site
$37K
Cost saved
Per site selection
80+
Sites qualified
Across 7 countries
2 months
To a follow-on win
A new oncology study
The Stakes

Speed became the differentiator.

Biopharma is under relentless pressure to accelerate asset development: crowded oncology pipelines chasing the same targets, compressed asset life cycles, rising costs. That pressure flows straight to the CROs who run development on their behalf, where speed has quietly become the differentiator that wins and keeps sponsors.

The Challenge

Losing the edge in oncology.

Between mid-2024 and early 2025, a midsize CRO with a large oncology portfolio was falling behind. A biotech sponsor advancing an immunotherapy needed site activation six weeks faster than the CRO’s historical benchmark. Site selection still ran on spreadsheets, bulk emails and manual CDA tracking, and the team had to qualify more than 80 sites across seven countries. Each site selection burned 288 hours of labour, over 60% of it spent chasing forms, with between 783 and 2,175 touchpoints in a single feasibility phase.

“We were sending hundreds of emails just to collect feasibility forms. The client expected rapid startup, and we knew we couldn’t deliver it with our current system.”

Project Director  ·  Clinical Operations
What They Did

RFP to FPI, redesigned.

Before touching the platform, Yendou mapped the entire RFP-to-FPI journey with the CRO’s BD and ClinOps teams, adapting to their workflow rather than forcing a tool on them. Rollout came in three phases: site-list import with auto-executed CDA workflows, pre-screened via GlobalData; automated feasibility outreach to 80+ sites tracked on real-time dashboards; and central knowledge capture into a Site Intelligence Directory, so every site record could be reused across studies.

The Impact

Nine weeks that won the next bid.

Feasibility duration fell 79%, labour hours 93%, and costs by $37K, accelerating site selection by nine weeks. That speed let the CRO respond to RFPs with hard benchmarks, and it won a follow-on oncology study two months later. The nine-week gain became a key differentiator in every proposal that followed.

Without adding a single hire, the team moved from paperwork to strategic delivery, and expanded feasibility outreach into three new countries on one compliance platform.

Make study startup speed your differentiator.

Pilot Yendou on your next study.