Medical Monitoring Services

Make Smarter,
Safer Decisions

Our real-time, global medical monitoring services integrate study data, external evidence, and regulatory inputs to support early signal detection, compliant reporting, and inspection-ready oversight so you can move at the speed of science.

Complete Safety Confidence, Worldwide

Our integrated, scalable safety surveillance gives you:

Stronger Safety Decisions

We enable real-time, decision-grade safety surveillance that helps protect participants and trial integrity while enabling rapid actions, from dose adjustments and committee escalation to protocol or informed consent form (ICF) updates.

Global Expedited Reporting

We manage expedited reporting across regions with varying requirements and regulatory pathways, applying rigorous assessment of causality and expectedness to reduce delays, errors, and compliance risk.

Continuous Safety Insight

With ongoing cumulative safety evaluation and real-time signal detection, we integrate multi-study, global, and external data to identify risks earlier.

Independent Governance

Our approach includes committee governance with clear decision rights, defined charters, and robust documentation, enabling confidentiality, unblinding control, and compliant, inspection-ready oversight.

Your Medical Monitoring Services Expert

As Chief Medical Officer, Dr. Sharon Moore is responsible for strategic development and medical oversight of the clinical studies, and oversees the medical affairs, pharmacovigilance, strategic regulatory and medical writing teams. She brings 28 years of industry experience in medical, safety, QA, regulatory, and training to her role to inform early phase trial design decisions, help achieve inspection readiness, and enhance governance rigor.

Sharon Moore photo

Sharon Moore, M.D., MBA, MPH

Chief Medical Officer

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Eliminate Fragmentation

Don’t let fragmented systems and reactive processes obscure signals and increase compliance risk.

We unify workflows, governance, and expertise to support participant safety, trial integrity, and fewer compliance gaps with:

Real-Time Decisions

Our clear escalation pathways enable rapid action on emerging signals to protect participants, maintain trial integrity, and keep studies moving forward.

Expedited Reporting

Our causality and expectedness assessment are thorough, and our governance and regional pathways are integrated, reducing delays and errors and supporting compliant, consistent global safety reporting.

Continuous Signal Detection

Our ongoing aggregated analysis with defined review cadence and clear outputs gives you earlier identification of emerging risks and supports timely, informed decisions across the entire clinical development process.

Scrutiny-Ready Governance

With structured governance, clear charters, robust documentation trails, and strict confidentiality and unblinding controls, we support transparent decisions and consistent, compliant conduct in your trial.

Medical monitoring works best as a proactive, real-time, integrated system—where signals are continuously assessed and acted on. That’s what enables smarter decisions, stronger patient protection, and more reliable trial outcomes.

Dr. Sharon Moore - Chief Medical Officer

Our Medical Monitoring Services

  • Safety surveillance and medical decision-making: Multi-source safety review and escalation pathways, decision documentation and traceability, committee interface management, and submission change-impact support
  • Expedited safety reporting operations: Case triage (causality and expectedness), clock governance and reporting compliance, multi-region coordination, and system execution
  • Cumulative safety evaluation and signal detection: Safety analysis plan governance, ongoing aggregated safety reviews, signal detection, tracking and reporting outputs, DSUR, and periodic safety support
  • Independent oversight committee management: Setup, charters, and meeting operations, documentation and audit trail readiness, conflict of interest and confidentiality controls, and interim data handling
  • Data integration, reconciliation, and inspection readiness: Validated clinical trial data management workflows and reconciliation, inspection-ready documentation, sponsor oversight model support

Frequently Asked Questions
About Medical Monitoring

What is the difference between review-grade and decision-grade medical monitoring?

Review-grade focuses on retrospective data review and compliance checks. Decision-grade monitoring is proactive and real-time, integrating data, medical judgment, and defined pathways to drive timely, documented decisions and actions.

How do you support rapid medical decisions in early-phase or dose escalation trials?

Through continuous data review, predefined escalation pathways, and close collaboration with investigators and committees. This enables rapid evaluation of emerging signals and timely actions such as dose adjustments or protocol modifications.

How do you manage expedited reporting timelines across FDA/EU/China environments?

We apply a harmonized global process that maps regional requirements into a single workflow, providing accurate clock tracking, consistent case handling, and compliant submissions across all regulatory jurisdictions. Our approach and experience position us a leader in executing cross-border trials.

How do you govern causality assessment and expectedness determinations?

We use standardized criteria, medically qualified review, and documented decision frameworks. Governance includes clear roles, consistency checks, and alignment with reference safety information to support defensible assessments.

How do you manage clock start timing differences across regions?

We define and track region-specific clock start rules within a centralized system, delivering accurate timing, clear documentation, and alignment with each authority’s reporting expectations.

How do you conduct continuous cumulative safety evaluation and signal detection?

Through ongoing aggregated data reviews across studies and sources, supported by a defined analysis cadence, signal tracking, and escalation processes to identify and act on emerging risks early.

What is included in a safety analysis plan for ongoing review and signal detection?

It defines data sources, review frequency, analytical methods, roles and responsibilities, signal thresholds, and documentation requirements, providing a structured, repeatable approach to safety evaluation.

How do you support DSUR and annual safety report deliverables and timelines?

By maintaining continuous safety surveillance, organized data outputs, and predefined timelines, enabling efficient compilation, medical review, and on-time submission of regulatory reports.

How do you operationalize DSMB/DMC/IDMC oversight with inspection-ready documentation?

We manage committee setup, charters, meeting logistics, and documentation to deliver clear decision records, confidentiality controls, and complete audit trails for all oversight activities.

How do you provide data integration and reconciliation across EDC, safety DB, labs, ECG, and alerts?

Through validated workflows, standardized data reconciliation processes, and centralized review environments that align and cross-check data sources to promote consistency, completeness, and reliability.