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One of the key challenges in current clinical trial operations is to maintain a trustworthy and trustworthy relationship with partners, sellers and places, says Sarah Bischof, head of clinical development of Invios, a private biotechnology company that develops next generation cancer therapies.

In a discussion of the first day of the first day of the outsourcing in clinical trials (OCT) Europe 2025, Dr. Claudia Hesselmann, founder and CEO of ARENSIA, a early phase clinical trial society, reproached the current inefficiencies in clinical trials. He stated that “clinical research efficiency could be improved at least 80%” if only counterparts show a greater initiative and accountability, actively questioning the existing limitations instead of accepting established practices.

In his opinion, one of the best regulatory environments for clinical trials is Moldova, which has a ten -day quick review line for clinical trials of all phases. As the clinical trial information system portal (CTIS) was implemented in the European Union, Moldova authorities sought to attract more clinical trials and promote innovation in the country and be as competitive as other countries like Australia, said Hesselmann. He said that Moldova’s regulatory organs are an example of how proactive agencies are essential for implementing changes that can drive efficiency.

While discussing his experience with CTIS, Bischof shared that when they send test protocols for immunotherapy and autologous cell therapy tests through the new EU Clinical Testing Regulation (CTR) with his Contractual Research Organization (CRO), his team faced a new administration and documentation with new work flows, portals and registration processes. With the new CTR implementationBischof observed lower flexibility in terms of responding to test sites and manufacturing due to adjusted deadlines, such as twelve calendar days to provide the information request. The data protection for confidential documentation with the new directive created the need to re -adapt the test strategies to write and protect their data.

Early preparation for the presentation of the CTI is crucial because delays can lead to compliance problems and the transversal coordination of all legal regulation equipment is necessary to fulfill these tight terms, Bischof shared. However, Bischof stated that he would not return to the former CTR directive because the deadlines are more defined in this new directive, leading to an improvement in test planning. However, companies without centralized clinical operations are more difficult to adapt and success depends on the changes in internal processes, recycling equipment and updating the document templates, he said.



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