From pivotal design and trial rescue to investor diligence, Medical Affairs and NECTAR-enabled execution, MB&P helps clinical programs become regulator-credible, payer-relevant and execution-ready.
Service gateway
Each entry point connects a defined decision or execution problem to senior ownership, concrete outputs and the appropriate delivery model.
Senior ownership
Accountable CMO-level judgment for clinical strategy, board alignment and execution governance.
Design
Evidence architecture, endpoint logic, estimands, feasibility and pivotal readiness.
Recovery
Restore signal integrity, feasibility realism and execution control before decision value is lost.
Evidence
Align approval, payer relevance and evidence generation before requirements diverge.
Capital
Clinical risk maps, value gates and fundable development plans that withstand technical diligence.
Scientific authority
Connect scientific narrative, evidence strategy, external insight and adoption credibility.
Execution
Governed global execution through Verum and qualified local reach through NECTAR.
Problems we solve
The program lacks one testable logic connecting mechanism, population, evidence and future value.
Endpoints, estimands, comparator, duration, feasibility and payer relevance pull in different directions.
Recruitment, site behavior, vendor performance, quality signals or governance threaten the readout.
Critical decisions are diffused across functions, advisors and vendors without one accountable owner.
Clinical risk, use of proceeds and value-inflection milestones are not explicit enough for diligence.
Medical Affairs, HEOR, RWE and market access remain downstream from development strategy.
Engagement models
Hourly, on-demand senior judgment for a defined decision, document or risk. Maximum flexibility with no ongoing capacity commitment.
Fixed or capped around a clearly defined output such as a risk map, development plan, protocol review or diligence package.
Phase- or milestone-based delivery for redesign, rescue, evidence strategy or governance implementation, with spend tied to defined work packages and decision gates.
Monthly retainer or fractional leadership with reserved senior capacity, defined decision rights, cadence and escalation. Greater duration and commitment reduce the effective unit cost.
One-stop operating model
The seven services are entry points, not silos. A mandate can begin with one decision and expand only where the interfaces create material risk. Clinical strategy, regulatory and payer evidence, fundraising readiness, Medical Affairs and operational execution remain connected through one governance logic.
A decision-grade next step
We will identify the right level of ownership and the shortest credible path to a decision.
