Continuous oversight. From source to submission.

Continuous oversight for clinical trials. From source document to EDC to audit-ready report.

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The economics of oversight are broken

0%
of every trial dollar is spent on monitoring
NCBI / National Academies of Science
0%
of clinical research sites still use paper source documents
SCRS / CenterWatch / Clinical Ink Survey
0
average protocol deviations per Phase III trial
Tufts CSDD

The cost of monitoring scales linearly. The cost of missing a deviation compounds.

From first patient to NDA submission

Phase 1

Periodic, manual oversight

  • CRA visits every 4 to 6 weeks
  • $1,500 to $3,500 per monitoring visit
  • Gaps found weeks after they occur
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  • 20 to 60 subjects across 3 to 5 sites
  • Approximately 6 subjects reviewed per visit
  • 46% of on-site time spent on source data verification

Continuous, protocol-aware surveillance

  • Protocol parsed into structured requirements on Day 1
  • Every source document scored through a 5-step AI pipeline
  • Findings surfaced at the point of occurrence
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  • Source-to-EDC reconciliation via direct API integration
$80 per patient visit reviewed vs. $2,500 per CRO monitoring visit
Phase 2

Oversight gaps widen with scale

  • 100 to 300+ patients across 15 to 50 sites
  • Cross-site inconsistencies invisible between visits
  • SDV consumes up to 50% of monitoring time, detects 1 to 3% of changes
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  • Deviation backlogs accumulate; classification varies by CRA
  • CRA quality depends on who your CRO assigns

Centralized intelligence across every site

  • All sites monitored simultaneously from one platform
  • Cross-site pattern detection for systemic risks
  • Deviation auto-classification with conditional CAPA triggers
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  • Source-to-EDC verification via Medidata RAVE and Oracle InForm APIs
Phase 3

The stakes are highest where visibility is lowest

  • 500 to 2,000+ patients across 50 to 100+ sites
  • $4M to $15M monitoring budget (30% of trial cost)
  • 32% of first-cycle NDA failures tied to data quality
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  • Three or more weeks to compile deviation logs for FDA inspection prep
  • Timezone inconsistencies across global data sets

Portfolio-level compliance intelligence

  • UTC-normalized audit trails across all sites
  • One-click audit-readiness report
  • Inspection-ready from Day 1
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  • Complete regulatory citation index mapped to ICH E6(R3), ALCOA+, 21 CFR Part 11
500 patients. 8 visits each. $80 per patient visit. $320,000 total. Traditional monitoring for the same trial: $2M to $6M.
NDA Submission
Every finding documented. Every deviation classified. Every CAPA closed.
Seven stages

The compliance lifecycle, automated

From document ingestion to audit-ready reporting. Each stage maps to specific ICH E6(R3) and ALCOA+ requirements.

Step 01 / 07

Protocol Ingestion

Upload a protocol PDF. The AI extracts clinical requirements and parses the Schedule of Events into a structured visit-by-assessment matrix.

R3 Principle 8, Appendix B
Step 02 / 07

Document Scoring

A 5-step evidence-anchored RAG pipeline scores every source document against protocol requirements. Low-confidence items route to human review with mandatory evidence citations.

R3 Principle 9, ALCOA+ Accurate
Step 03 / 07

EDC Verification

Direct API integration with Medidata RAVE and Oracle InForm compares source data against EDC entries automatically. The same source-to-CRF reconciliation a CRA performs on-site, running continuously.

R3 Section 3.11.4.2, ALCOA+ Consistent
Step 04 / 07

Findings Triage

The AI classifies each finding as Critical, Major, or Minor based on impact to Critical to Quality factors. Risk proportionality, not uniform escalation.

R3 Principles 6 and 7, Section 3.4
Step 05 / 07

Deviation Documentation

Auto-generated deviation records link each finding to the affected CtQ factor, study, site, patient, and visit. Each record carries a regulatory citation index mapped to R3, ALCOA+, and 21 CFR Part 11.

R3 Section 3.9.3, 3.9.6
Step 06 / 07

CAPA and Resolution

Conditional CAPA triggers based on deviation severity and recurrence patterns. Human overrides require a documented rationale; both assessments remain in the audit trail.

R3 Section 3.9, ALCOA+ Attributable
Step 07 / 07

Audit-Readiness Report

One-click export of every finding, deviation, CAPA, and resolution status across the study. Inspection-ready at any point, not assembled retroactively before a submission.

R3 Section 3.11.4.6.c, ALCOA+ Available and Complete

What a monitor does. Continuously.

Source Documents
EDC Systems
Medidata RAVE | Oracle InForm
Loopa
Verification Compliance Scoring Data Reconciliation

The complete monitoring workflow: source-to-protocol scoring, source-to-EDC reconciliation, and audit-ready reporting. Continuous. Automated. Inspection-ready.

ICH E6(R3) Section 3.11.4.2 explicitly validates centralized monitoring as the sole oversight method for a clinical trial. Loopa is that infrastructure.

Built for R3 from Day 1

ICH E6(R3) was finalized in January 2025, with the EU effective date of July 2025 and FDA final guidance published September 2025. It is the most significant overhaul of Good Clinical Practice in nearly 30 years.

R3 shifts from a rules-based, prescriptive framework to a principles-based, outcomes-focused approach. Quality by Design replaces quality by inspection.

For the first time, R3 explicitly validates centralized monitoring as the sole oversight method for a clinical trial (Section 3.11.4.2). It also creates a standalone Data Governance section (Section 4) requiring audit trails, UTC timestamps, role-based access controls, and system validation.

Every record in the Loopa platform meets all nine ALCOA+ data integrity principles: Attributable, Legible, Contemporaneous, Original, Accurate, Complete, Consistent, Enduring, and Available.

Loopa Capability R3 Section ALCOA+ Principles
Protocol-aware AI compliance scoringPrinciple 8, Section 3.9.3Accurate, Complete
Source-to-EDC data reconciliationSection 3.11.4.2, Section 4Consistent, Accurate
Findings severity classificationPrinciples 6 and 7, Section 3.4Accurate
Full audit trail on all actionsSection 4.2Attributable, Complete
UTC server-side timestampsSection 4.2Contemporaneous
Role-based access and tenant isolationSection 4.3Attributable, Available
Source document preservationSection 4.1Original, Enduring
Cross-site pattern detectionSection 3.11.4.2Consistent
Audit-readiness report exportSection 3.11.4.6.cAvailable, Complete

The cost comparison sponsors ask for

Traditional CRO Monitoring
$2,500
per monitoring visit
~6 subjects reviewed
$4M–$15M
Phase III monitoring budget
30% of total trial cost
3+ weeks
inspection prep time
manual compilation
vs.
With Loopa
$80
per patient visit
every patient, every visit
$320K
for a 500-patient trial
8 visits each
1 click
audit-readiness report
inspection-ready on demand

Same oversight. A fraction of the cost.

Estimate your savings

Patients enrolled 500
Visits per patient 8
Current CRO cost per monitoring visit $2,500
With Loopa Traditional cost
0% saved
Traditional monitoring cost
$0
With Loopa
$0
Your savings
$0

Estimates based on $80 per patient visit reviewed and an average of 6 subjects reviewed per CRO monitoring visit. Actual costs vary by protocol complexity, therapeutic area, and monitoring plan.

See it on your protocol

We built Loopa for a specific problem we lived with firsthand. If you are running trials and want to see what continuous compliance intelligence looks like on your data, we would like to show you.

Thank you. A member of our team will reach out within one business day.

Everything on this page is shared in confidence.