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People were never meant
to be the middleware.

TrialNexus is the AI operating system for clinical trials.
We turn protocols into USDM and deploy compliant artifacts directly into your EDC.
Cut database build from months to days and reach lock faster.

Design Conduct Submit Monitor
The people who run clinical trials

Behind every trial that reaches a patient, there are data managers who can read a 200-page protocol and see the database it needs to become. Biostatisticians who catch signal in noise. Clinical operations teams who orchestrate a thousand moving parts across a hundred sites in a dozen countries.

This expertise is extraordinary.
It's also being wasted.

What the infrastructure costs them
68 days
average time to build and release a study database1Build delays cascade across every downstream step.
36 days
average time from LPLV to database lock2Each day pushes submissions and patients back.
85%
of trials miss their timelines3Not because the team was wrong. Because the tools were slow.
30%
annual staff turnover from burnout4Brilliant people burning out on copy-paste workflows.
Sources: Applied Clinical Trials (1–2), Pharmaceutical Outsourcing (3), PMC (4). Request details.

The knowledge to run trials faster, cheaper, and better already exists inside your organization. TrialNexus turns it into governed, traceable data flows that move straight into your EDC.

Evidence

Validation and outcome data available under NDA.

We provide pilot metrics, audit trails, and validation documentation to qualified enterprise teams during evaluation.

Validation Pack

IQ/OQ/PQ documentation, traceability matrix, and audit-ready SOP mappings.

Pilot Outcomes

Cycle-time reductions, query resolution performance, and time-to-first-build benchmarks.

Security & Compliance

Control narratives, audit logs, and 21 CFR Part 11 evidence under NDA.

The Operating System

Every phase of the trial.
An agent for every task.
A human at every helm.

TrialNexus is a unified AI execution orchestration platform spanning the full clinical trial lifecycle. USDM-centric. CDISC-native. Each agent masters a domain. They share context across phases. You don't work for the agents. The agents work for you.

In Design

Design

Protocol Intelligence Study Optimization Feasibility Analysis
Coming Soon
DM Agent Live

Conduct

Data Management Query Resolution Site Monitoring Safety Signals
In Design

Submit

SDTM / ADaM Define-XML Regulatory Assembly
Coming Soon
Planned

Monitor

Post-Market Surveillance Signal Detection
Coming Soon

We're starting where the pain is worst: Data Management.
See what it looks like when your team gets superpowers.

Live Today

Production‑ready capabilities available now.

Focused on data management first, with the core workflow already live end‑to‑end.

Protocol Parser

USDM extraction with confidence scoring and human review.

eCRF Builder Agent

CDASH‑aligned eCRFs with validation logic and edit checks.

Push to Medidata Rave & Veeva

Direct deployment into live EDC environments.

SDTM Agent

Standards‑aligned SDTM mappings with provenance.

ADaM Agent

Analysis datasets generated from USDM context.

Query Management

Auto‑triage and recommended resolutions with audit trails.

End‑to‑End Provenance

Variable‑level AI reasoning and traceability.

Human Agency Dial

Full oversight, augmented, or autonomous — you choose.

Mobile DM App

Industry‑first mobile‑first UX for DMs on the move.

For Enterprise Teams

Built for Clinical Ops, Biometrics, and Regulatory.

One platform, three stakeholder wins — with shared auditability.

🧭

Clinical Operations

Faster study start‑up, fewer escalations, and real‑time operational visibility.

📊

Biometrics

Standards‑aligned SDTM/ADaM outputs with full provenance and traceability.

🧾

Regulatory

Audit trails built in, documented workflows, and submission‑ready artifacts.

How It Works

Protocol → USDM → artifacts → EDC.

TrialNexus normalizes protocol intent into USDM, generates compliant artifacts, and orchestrates deployment into your live EDC environment.

Protocol Ingest
USDM Normalization
Artifact Generation
EDC Deployment
Data Management Plan eCRFs SDTM/ADaM Mappings Edit Checks Define-XML ODM-XML Export
EDC: Medidata Rave EDC: Veeva Vault CDMS eCOA / ePRO IRT / RTSM Labs Safety
Product Preview

See the workflow in action.

Representative views from the data management workflow. Full demo available on request.

Protocol Parser

Protocol Intelligence

Auto-extracted USDM with confidence scoring and human review.

eCRF Builder

Form Generation

CDASH-aligned eCRFs with validation logic and edit checks.

SDTM Mapper

Submission-Ready Outputs

SDTM/ADaM mappings and Define-XML built from USDM context.

Demo Video 3-Minute Walkthrough Request Access

Live Demo

Watch a real protocol go from upload to deployment in minutes.

Security & Trust
Audit trails built in 21 CFR Part 11 aligned ICH E6(R3) aligned SOC 2 ready controls Data handling under NDA
View Security & Trust
Why TrialNexus

Built for the people who actually
run clinical trials.

Not a wrapper on ChatGPT. Not a chatbot for doctors. A purpose-built operating system for the teams who design, conduct, and submit clinical trials.

🏗️

CDISC-Native Architecture

Built from the ground up on CDASH, SDTM, ADaM, and Define-XML. USDM-centric architecture ensures consistency from protocol to submission.

🔒

Audit Trails Built In

Every decision logged with provenance and reasoning. Built for 21 CFR Part 11 and ICH E6(R3) expectations.

🎛️

Human Agency Dial

You set the boundaries. Full oversight, augmented, or autonomous — the agents respect your workflow preferences.

🔗

EDC Integration

Seamless connectivity with existing Electronic Data Capture platforms. Medidata Rave integration live. Veeva Vault CDMS integration live. Your existing infrastructure, orchestrated.

🧠

Explainable AI

Full provenance tracking and confidence scoring for every automated decision. Every reasoning chain preserved. Autonomous but never opaque.

📈

Open Architecture

Designed to integrate with your existing technology ecosystem. Not a replacement for your EDC — the orchestration layer that makes everything work together.

CDISC-native architecture Medidata Rave integration Veeva Vault CDMS integration Mobile DM App ICH E6(R3) Compliant USDM-Centric Validation Ready

A better way is here.

We're partnering with CROs and pharmaceutical companies who believe their teams deserve better tools.