One issue a month for teams running study startup, covering the work from feasibility through activation. The source population and timeframe stay beside every claim.
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Most activation reporting starts its clock at activation. That sounds obvious until you notice what it excludes: every amendment that lands while the study is still in startup never appears in the number at all.
The rework is not one team’s. A change to the schedule of assessments moves the budget, which moves the contract…
What you get
Each issue follows one startup problem far enough to show what causes it and where the time goes.
Survey size, population and timeframe stay attached to every claim.
A short, labeled product note may appear at the end. Subscribing does not start a sales follow-up.
Published so far
Long-form pieces already on the site. The monthly email is a shorter format, written to be read in one sitting.
Follows a pre-activation amendment through the teams that touch it, against a fall 2025 survey of 43 AACI member sites.
Read →What a CTMS is designed to do, what startup actually needs, and why the gap shows up as study volume grows.
Read →Where the boundary sits between the two, and how sites run both without duplicating data entry.
Read →Seven recurring reasons submissions come back, and the weeks each one adds to the timeline.
Read →