TrialScale
Built for Computer Software Assurance (CSA) & GAMP 5 Category 4
Founded by Life Science & Clinical Operations Veterans

Accelerate Clinical Trials With Audit-Ready CTMS

TrialScale unifies study startup, real-time RBQM risk scoring, automated milestone payments, and investigative site workflows into an audit-ready operational platform designed for 21 CFR Part 11.

FDA 21 CFR Part 11 Ready
EU Annex 11 Aligned
GAMP 5 Category 4 Principles
TLS 1.3 & AES-256 Encryption
HIPAA BAA Eligible
STUDY: PROTOCOL-ONC-302 (Phase III NSCLC)
RBQM: Low Risk (KRI Green)Sites: 48 / 48 Activated
Startup Velocity
-51.2%
Saved 44 days to FPI
KRI Monitoring
99.8%
Automated deviation detection
Financial Ledger
$4.82M
Automated milestone disbursement
Regulatory Audit
0 Findings
Continuous RTM verification
Clinical Capabilities

Engineered for Clinical Trial Velocity & Rigorous Compliance

Eliminate disconnected spreadsheets, delayed monitoring trip reports, and reconciliation bottlenecks. Everything your clinical trial team needs, unified.

Streamlined Study Startup (SSU)

Automate investigator site package dissemination, feasibility scoring, and local IRB/IEC tracking. Accelerate cycle time from site selection to First Patient In (FPI).

  • Automated Greenlight Workflow & Checklist
  • Dynamic Regulatory Binder Distribution

21 CFR Part 11 & Annex 11 E-Signatures

Strict non-repudiation with cryptographic dual-factor authentication, cryptographic SHA-256 audit trails, and automatic reason-for-change capturing on all field mutations.

  • Immutable Time-stamped Audit Trails
  • Electronic Signatures with Meaning & Manifestation

Real-Time RBQM & Key Risk Indicators (KRIs / QTLs)

Continuously calculates site-level Key Risk Indicators (KRIs) and Quality Tolerance Limits (QTLs) aligned with ICH E6(R2) standards for targeted centralized monitoring and safety trigger alerts.

  • ICH E6(R2) & E6(R3) Modern Framework
  • Centralized Statistical Anomaly Detection

Automated Milestone Financial Ledgers

Eliminate complex spreadsheet reconciliations. Trigger investigator grant payments automatically upon subject visit completion, monitoring sign-off, or milestone verification.

  • Dynamic Holdback & Pass-Through Accounting
  • Automated Invoice & Tax Export Integration

Interoperable Clinical Data Architecture

Designed for bi-directional data exchange with modern EDC, RTSM, and eTMF platforms via CDISC ODM-compatible data exports and structured REST APIs.

  • Bi-directional Subject Status Sync
  • Structured Data & Document Export

Continuous Verification & CSA Alignment

Built from day one with automated test coverage, regression testing, and traceable requirements documentation aligned with GAMP 5 Category 4 guidance.

  • Computer Software Assurance (CSA) Aligned
  • Continuous Verification Pipeline
Dual-Role Architecture

Purpose-Built for Both Sides of the Trial

Sponsors require high-density risk analytics and multi-study oversight. Investigative site coordinators need frictionless simplicity with zero training burden.

Sponsor Clinical Trial Manager (CTM) Command Center

Global oversight: Protocol ONC-302 • 12 Countries • 48 Sites • 420 Subjects

Live Data Sync: Active

Site Risk & Milestone Matrix

Sorted by Key Risk Indicators (KRIs)
SiteInstitutionEnrollmentKRI StatusTrip ReportStatus
SITE-101Memorial Sloan Kettering18 / 20 (90%)0.08 LowApprovedActivated
SITE-104MD Anderson Cancer Ctr22 / 20 (110%)0.11 LowSignedActivated
SITE-112Charité Berlin12 / 15 (80%)0.42 MediumDue in 2dReview Req
SITE-128Univ. Tokyo Hospital5 / 15 (33%)0.78 HighOverdueTargeted Audit

Monitoring Visit Reports (MVRs)

IMV Report #3 - Site 101
CRA: J. Martinez • 0 open issues
COV Report - Site 094
CRA: E. Lind • IP reconciliation ready

Milestone Disbursements

$184,500 Auto-Queued
14 Verified patient visits
Regulatory Assurance

Computer Software Assurance (CSA) & GAMP 5 Category 4 Alignment

Traditional CTMS implementations take months of manual validation overhead. TrialScale is architected to align with FDA CSA and GAMP 5 Category 4 risk-based approaches, providing structured verification frameworks for your QA team.

Continuous Traceability

Requirements-to-test mapping maintained through automated testing and continuous integration.

Verification Protocols

Standardized test scripts and qualification procedures to accelerate your internal IQ/OQ validation.

Security & Privacy Controls

Strict role-based access control, encrypted data at rest and in transit, and HIPAA BAA availability for PHI protection.

21 CFR Part 11 Architecture

Cryptographic audit trails, non-repudiation electronic signatures, and password complexity controls.

Sponsor & CRO Executive Guide

Request the CSA & GAMP 5 Architecture & Compliance Whitepaper

A technical guide for QA and clinical ops leaders: risk-based testing methodologies, data integrity controls, and qualification strategy.

Economic Impact Model

Interactive Clinical Trial ROI Estimator

Quantify timeline compression, monitoring cycle savings, and site payment reconciliation efficiency across your active protocol portfolio.

35 Sites
5 Sites150 Sites
350 Subjects
20 Subjects1,500 Subjects
18 Months
6 Months48 Months

Projected Portfolio Impact

Study Startup Time Saved
Essential document & IRB workflow
42 Days
Trip Report Cycle Reduction
From 14 days to 48 hours avg
1,260 Hours
Site Payment Admin Savings
Automated milestone ledger vs manual
$189,000
Estimated Total Capital Efficiency
$392,500
Based on standard sponsor FTE cost benchmarks ($150/hr CRA, $220/hr CTM).
Commercial Subscription

Predictable Clinical Operations Pricing

Transparent subscription tiers without punitive per-seat licensing penalties for site coordinators or investigators.

Clinical CoreUp to 2 Protocols
$1,850/ month

Study startup and site coordination for emerging biopharma running 1 or 2 active clinical protocols.

  • Up to 2 Active Protocols (25 Sites/Study)
  • Study Startup (SSU) & Greenlight Tracking
  • Essential Document Binder & IRB/IEC Workflows
  • Unlimited Site Investigator & Coordinator Seats
  • 21 CFR Part 11 Audit Trail & E-Signatures
  • Standard CSV & EDC Export
Most Popular
Operations & ScaleUp to 10 Protocols
$4,900/ month (Annual)

Full operational and financial automation for biopharma sponsors and mid-tier CROs managing multi-center studies.

  • Up to 10 Active Protocols (Unlimited Sites)
  • Automated Milestone Financial Ledgers
  • Real-Time RBQM & Key Risk Indicators (KRIs / QTLs)
  • Subject Visit Tracking & Disbursement Triggers
  • REST API & CDISC ODM-Compatible Data Sync
  • Enterprise SSO (SAML 2.0 / Okta / Azure AD)
Enterprise PortfolioUnlimited Protocols
CustomAnnual Enterprise

Sovereign, dedicated infrastructure for high-volume sponsors and CROs with complex portfolio requirements.

  • Unlimited Active Protocols & Global Sites
  • Air-Gapped / Sovereign AWS VPC Deployment
  • Tailored Data Lake & Legacy EDC Ingestion
  • Custom Enterprise BAA & Tailored DPA
  • Dedicated Clinical Solutions Architect & 24/7 SLA
  • Vendor Audit Support & Qualification Reviews
About TrialScale

Modern Clinical Infrastructure, Grounded in Real Trial Experience

TrialScale was founded on years of direct experience inside life sciences, pharma, and clinical trials. We lived the friction of study startup, protocol amendments, and fragmented spreadsheets—so we built the platform we always needed.

Built by Life Science & Clinical Operations Veterans

Domain Native

Software built by generalists fails clinical operations because it doesn’t understand the reality of site burden, regulatory inspections, or complex milestone contracts. We spent years in the trenches of clinical research—managing site activations, monitoring visits, and audit preparation. Every workflow in TrialScale reflects that real-world operational memory.

01

Tired of Legacy Monoliths

Existing CTMS platforms were architected over fifteen years ago. Having used them across trial phases, we saw how brittle integrations, slow release cycles, and punitive per-seat licenses hold back clinical teams.

Born from real friction
02

Compliance Engineered In, Not Bolted On

We understand the scrutiny of GCP and regulatory inspections. TrialScale is engineered from day one to support FDA 21 CFR Part 11, EU Annex 11, and GAMP 5 principles with cryptographic audit trails and automated verification.

Inspection-readiness by default
03

Early-Stage Agility, Senior Domain Focus

As an early-stage company, we don't have bureaucratic layers. You partner directly with leadership that speaks clinical trials fluently to tailor workflows to your active protocols.

Direct founder & domain lead access

Our Early-Adopter Design Partner Program

Join a select cohort of biopharma sponsors and CROs working directly with our experienced clinical ops leadership to streamline protocol execution.

Join Design Partner Program
Enterprise Engagement

Schedule an Executive Platform Walkthrough

See TrialScale configured for your therapeutic area. In this 30-minute tailored session, a Clinical Solutions Architect will review:

1

Protocol Setup & SSU Configuration

How your active study protocols and site startup checklists map into automated workflows.

2

Real-Time RBQM & KRI Anomaly Engine

Live demonstration of Key Risk Indicators (KRIs / QTLs) and automated trip report workflows.

3

GAMP 5 & 21 CFR Part 11 Architecture

Review of system architecture, data integrity controls, and qualification strategy.

Need immediate calendar booking?Directly reserve time on our team calendar via Cal.com/trialscale

Request Qualified Demo & Trial Access

Complete the brief intake below and our clinical team will respond within 4 business hours.

TrialScale Cookie & Telemetry Policy

As a clinical operations technology platform designed for 21 CFR Part 11 and EU Annex 11 alignment, TrialScale maintains strict data integrity and privacy boundaries. We categorize browser storage into two distinct classes:

1. Strictly Necessary Storage (Always Active)Required

Essential for core website operation, CSRF/bot mitigation (Cloudflare Turnstile token validation), and theme persistence. These tokens do not track users across domains and cannot be turned off.

2. Google Analytics (GA4) TelemetryOptional

Measures aggregate interaction metrics (session length, page scroll depth, device viewport) without collecting HIPAA PHI or clinical study subject data. IP anonymization is enforced by default.