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TRIAL RESCUE & EXECUTION GOVERNANCE

A struggling programme
needs root-cause clarity
before rescue theatre.

We diagnose drift, reconstruct decision rights and restore interpretable
execution before expensive failure becomes inevitable.

THE RESCUE QUESTION

What is failing — the biology, the design
or the execution system?

Root-cause triage

Separate mechanism risk from protocol,
recruitment, governance and delivery failure.

Governance reset

Rebuild accountability, escalation paths
and decision cadence.

Execution protection

Stabilise sites, CROs, vendors,
timelines and data integrity.

OUR RESCUE PATHWAY

1

Diagnose

Rapid, evidence-based
assessment of root causes
and risk exposure.

2

Contain

Stabilise critical elements
to prevent further
degradation.

3

Reconstruct

Redesign governance,
processes and
execution plans.

4

Protect

Implement oversight,
risk controls and
quality safeguards.

5

Govern

Embed decision rights,
transparency and
cadence.

6

Deliver

Restore momentum
towards milestones
and value.

WHAT WE OFTEN CHANGE FIRST

Diffuse ownership

Unclear accountability across sponsor, CRO and internal teams.

Protocol stress

Over-ambitious design, amendment churn or unrealistic assumptions.

Escalation failure

Critical issues not surfaced or resolved early enough.

Site/CRO drift

Inconsistent performance, weak oversight and misaligned incentives.

Unusable data risk

Data quality, integrity or timeliness that cannot support decision making.

NEXT DISCUSSION

Which failing assumption is still
controlling the programme?