For Sponsors & CROs
Sites that activate on schedule and enroll like the feasibility said they would.
I held sponsor-side roles at Edwards Lifesciences and Microvention (Terumo). I know what your timeline looks like from the inside, and I know why sites blow it.
Where enrollment plans die
Site selection off a directory is how enrollment plans die. The site that looks strong on paper has one coordinator, a full backlog, and a PI who signs off twice a month.
Activation stalls are the same. Budgets priced against the wrong market. CTA terms a site cannot accept. Startup packets that sit in a queue nobody owns.
I sit on the site side of these negotiations today. That is the vantage point your selection and activation work is missing.
The offers
[Site Identification and Feasibility]
Site lists built from operating signals: staffing depth, active pipeline, activation history, screen-fail patterns. Not directory entries. Feasibility answers you can defend in front of your own team.
[Activation Advisory]
Your startup process, walked from the site's side of the table. Where your budget template makes sites dig in. Which CTA clauses cost you weeks. What to change so sites can say yes faster. You keep your process. It just stops stalling.
Why sponsors take the call
I have served three sponsor and CRO clients, and held sponsor-side roles at Edwards Lifesciences and Microvention.
- Founder of two research sites. Both exited.
- 14 years of site-side budget and CTA negotiation.
- 46+ site and SMO clients on the other side of the table.
Questions sponsors ask
You negotiate for sites. Isn't that a conflict?
It is the reason this works. I know exactly where sites stall, what they push back on, and why. That knowledge is what shortens your activation timeline.
Can you run feasibility for a full protocol?
Yes. Scope is set on the call. It ranges from a single indication in one region to a full site list with activation support.
Talk through your protocol
Bring the indication, the timeline, and the current site list if one exists. You leave with a read on where it will stall.