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The startup layer for clinical research

Activate studies fasterwith one operating view from intake to activation.

TrialConnx connects feasibility, budget, contract, IRB, ownership, and bottlenecks across every startup study.

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Activation Readiness ☆

Startup Workflow (83 active studies)Updated 2 minutes ago
Intake
8
Avg 4 days
›
Feasibility
12
Avg 9 days
›
Budget
21
Avg 18 days
›
Contract
18
Avg 14 days
›
IRB
15
Avg 22 days
›
Activation
9
This month
Median Time to Activation
32days
▼ 14 days vs. prior quarter
CDA Initiated → SIV Completed
158days
Across 42 active studies
Studies Stuck > 30 Days
12
▲ 3 since last week
Studies in Motion: Currently with Sponsor / CRO13 studies · 4 shown
NCT06383871Red
Phase II · Pediatric Oncology
Intake
Feas
Budget
Contract
IRB
Activate
OwnerJCJames Case
StatusPaused
Stuck 28 daysDue 03/14
UT-001On track
Phase III · Cardiology Device
Intake
Feas
Budget
Contract
IRB
Activate
OwnerMLMoe L
StatusWorking on it
Day 12 in stageDue 04/30
PAC22-31Aging
Phase I · Rare Disease
Intake
Feas
Budget
Contract
IRB
Activate
OwnerPBPenny B
StatusPending Review
Day 22 in stage2 redline rounds
NCOG-489On track
Phase II · Lung Oncology
Intake
Feas
Budget
Contract
IRB
Activate
OwnerDBDotty B
StatusTo-do
Day 6 in stageSite survey out
Oneoperating view

Startup is a workflow, not a status meeting.

TrialConnx makes the path from pre-award to activation visible: what stage each study is in, who owns the next action, and where work is slowing down.

Study IntakeCapture the request
FeasibilityReview fit and capacity
BudgetTrack coverage and costs
ContractKeep terms moving
IRBFollow submission status
ActivationOpen with confidence
Built before conduct

Purpose-built around the startup path from intake to activation.

Clear custody

See whether the next action sits with your team, sponsor/CRO, PI/department, IRB, contracts, or another owner.

Portfolio memory

Keep the audit trail and cycle-time patterns that disappear when startup is run through email.

Your CTMS wasn’t built for study startup. We are.

CTMS platforms like OnCore, Veeva, and WCG were built for trial execution: visit tracking, monitoring, EDC handoff. The pre-conduct workflow is a different problem: intake, feasibility, budget, contract, IRB, and activation. That’s the gap TrialConnx fills.

See how TrialConnx fits with your CTMS
How TrialConnx fits in

How TrialConnx compares to what you’re using today.

Every team starts somewhere. Most start with one of these, and most outgrow it the moment study volume climbs.

If you’re already using a CTMS

Add startup. Keep your CTMS.

  • Pre-award and feasibility tracking your CTMS doesn’t cover
  • IRB submission ops and resubmission cycles
  • Site activation visibility before enrollment begins

Run them together: startup through TrialConnx, execution through your CTMS.

If you’re on Excel or homegrown tools

From chaos to clarity.

  • Single source of truth across studies, not 50 spreadsheets
  • Automated workflows replace manual status updates
  • Real metrics on cycle time, custody, and bottlenecks

Stop reconstructing study status from email threads.

If you’re adapting Monday, Jira, or Smartsheet

Built for clinical trials, not adapted from one.

  • Pre-built workflows for IRB, contracts, budgets, feasibility
  • Per-study pricing, so admins and reviewers come free
  • Real analytics on study startup metrics, not generic project KPIs

Stop bending a tool that wasn’t designed for clinical research.

What clarity looks like

What changes when startup has one operating view.

Stop tracking studies in your head, on sticky notes, and across email threads. TrialConnx gives every team a shared, current picture.

See every study at once.

Portfolio-wide view of every study’s startup status. No spreadsheet manifest. No Monday-morning audit before you can answer a stakeholder question.

Know exactly who’s holding what.

Custody tracking shows where each activity sits (internal team, sponsor, IRB) and how long it’s been there. Find what’s stuck without asking.

Audit trail on every change.

Full history of who changed what, when, and why, on every activity. Comply without reconstructing the timeline from memory.

Real metrics on the work itself.

Cycle time, custody duration, and bottleneck patterns, measured rather than guessed. Improve the next study from what you learned on the last one.

Common questions

Questions sites ask before they bring us in.

A few of the things teams want to know before a demo. The full list lives on our FAQ.

What part of the trial lifecycle does TrialConnx cover?

Study startup: feasibility and site selection through budgets, contracts, IRB, and activation. Once a site activates and patients enroll, your CTMS and EDC take over.

We hire vendors for startup. Do we still need TrialConnx?

Vendors add capacity. TrialConnx gives you the view across all of it, so you see where every study stands and who owns the next step, whether your team or an outside vendor is doing the work.

Does it integrate with our CTMS or EHR?

It’s API-first and built to sit alongside your existing systems. Your CTMS stays the system of record for trial conduct; TrialConnx organizes the startup work that leads up to it and hands off the relevant data at activation.

Can we see real-time status across studies?

Yes. One view of every study in startup: where it stands, what’s blocking it, and which milestones are at risk, without compiling status from spreadsheets and email.

See all 12 questions on our FAQ →
Built for your role

Designed for the teams running clinical trial startup.

Different teams, same system, built for the workflows each one actually runs.

Academic Medical Centers

For AMCs running 100-250 trials a year. Run feasibility, IRB, contracts, and activation in one system instead of five spreadsheets and a dozen email threads. Scale without adding headcount.

For AMCs

Independent Sites & Networks

For sites running 20-50+ active studies. Compete for trials with proof of operational discipline. Show sponsors a track record of activation timelines, not a promise.

For Sites

CROs & Sponsors

Coordinate site activation across portfolios. Real-time startup metrics, predictable timelines, fewer status meetings with site teams.

For CROs
Compliance & integrations

Built to meet your standards.

HIPAA-aligned
21 CFR Part 11 controls
Works alongside OnCore, Veeva, WCG
Replaces Excel + Outlook chains
From the team

Recent thinking on study startup.

Specialized startup tools working alongside CTMS platforms

Blog

How specialized startup tools work alongside CTMS

The coexistence pattern: what specialized startup platforms add that OnCore, Medidata, and Veeva aren’t designed to do.

Read article
Study startup bottleneck illustration

Blog

When study startup becomes a bottleneck

What collapses when site startup scales from one study to five, and the operations changes that pull cycle time back down.

Read article
The gap between CTMS and study startup workflows

Blog

Why your CTMS isn’t built for study startup

The structural reason execution-grade CTMS systems leave activation teams in spreadsheets, and what to do about it.

Read article

From chaos to clarity.From request intake to activation.

See where your startup is leaking days across pre-award, IRB submission, and site activation.

Find startup bottlenecks