Division 03 · Clinovate

Evidence that travels.

Clinovate is Spirant's full-service clinical research division. We design and run clinical trials, generate real-world evidence, build health economic and value arguments, and write the regulatory and scientific documents that carry a molecule from protocol to payer, for pharmaceutical, biotech and medical device companies working across chronic and complex diseases.

SCROLL
Overview

A regional CRO with a communicator's instinct.

Most research partners stop at the clinical study report. Clinovate is built to keep going: from study design and site management through evidence synthesis, value storytelling and safety surveillance, so the data you invest in actually reaches the clinicians, regulators and payers who need to act on it.

2007Operating since, as part of Spirant
0Of the top 30 pharma companies served by Spirant
0Repeat business across the group
0Countries: India, Dubai UAE, Singapore, Gloucester UK
0Scientific meetings delivered
0Engagements managed

End to end, without the hand-offs.

Clinovate supports international clinical trials, real-world evidence studies and health economic research. Because we sit inside a full-service healthcare agency, the same organisation that writes your protocol can also prepare your congress abstracts, plain language summaries and Global Value Dossier. That continuity removes the slow, error-prone hand-offs between vendors and keeps one consistent scientific narrative across every deliverable.

We work for pharmaceutical, medical device and biotech sponsors, from first protocol concept through post-marketing commitments. Teams are scoped to the study, governed by written quality procedures, and aligned to ICH-GCP from the first day of planning.

Clinical trials

Study design and protocols, study documents and reports, medical monitoring inputs.

Real-world evidence

Prospective and retrospective studies, registries, surveys and patient outcomes.

Health economics

HEOR, evidence synthesis, systematic literature reviews and value and access evidence.

Scientific reporting

Manuscripts, congress abstracts and posters, and plain language summaries.

Services

Seven practices. One evidence engine.

Engage Clinovate for a single deliverable or for the full development and post-approval journey. Each practice is self-contained, yet built to share data, documents and people with the others.

01

Clinical Operations

Planning and running studies that recruit on time and stand up to inspection, with risk-based oversight and real-time monitoring built in from start-up.

Site selectionPatient recruitmentStudy managementGCP complianceRisk managementReal-time monitoring
02

Regulatory Services

Regulatory strategy, dossier preparation and submission support for national and international authorities, including FDA, EMA and MHRA pathways.

Regulatory consultingDossier preparationIND / NDA / BLACompliance auditsLifecycle management
03

Medical Affairs & Writing

Clinical, regulatory and scientific writing alongside the medical affairs activities that turn evidence into informed clinical practice.

Medical writingScientific communicationKOL engagementAdvisory boardsMedical informationMedical education
04

Real-World Evidence & HEOR

Observational studies, registries, evidence synthesis and economic arguments that show how a therapy performs and what it is worth outside the trial setting.

Prospective studiesRetrospective studiesRegistriesSystematic reviewsValue dossiers
05

Data Management

Clean, standards-compliant study data, from database design and EDC build to validation and CDISC-ready datasets.

Database designEDCValidationCDISCRisk-based DM
06

Biostatistics

Statistical thinking from protocol design onwards: sample size, programming, analysis, adaptive designs and real-world evidence analytics.

Protocol designSample sizeStatistical programmingAdaptive designsRWE analysis
07

Drug Safety & Pharmacovigilance

Case processing, signal detection and periodic reporting, supported by analytics that help surface safety patterns earlier.

AE monitoringCase processingSignal detectionPSURsRisk management
08

Patient Support Programmes

Programmes that help patients start, afford, understand and stay on therapy, designed with privacy and pharmacovigilance obligations in mind.

Medication accessPatient educationTherapy managementAdherence monitoring
Clinical operations

Studies that start fast and finish clean.

Recruitment delays and data queries are where trial budgets disappear. Our operations model front-loads feasibility and risk planning so that sites, patients and data stay on track through last patient out.

Feasibility

Protocol feasibility, country and site assessment, patient population and competing-study review.

Site selection

Investigator identification, qualification visits and site agreements.

Start-up

Ethics committee submissions, essential documents, training and site initiation.

Recruitment

Recruitment and retention plans tailored to each site and indication.

Conduct

Monitoring, query management, issue escalation and real-time study dashboards.

Close-out

Database lock support, site close-out, archiving and inputs to the CSR.

PLAN

Feasibility before commitment

We test the protocol against real site capacity and patient availability before a single contract is signed, so timelines are built on evidence rather than optimism.

  • Investigator and site mapping
  • Eligibility criteria stress-testing
  • Enrolment forecasting
PROTECT

GCP compliance by design

Every study runs under ICH-GCP, applicable national regulations and written SOPs, with documented training and a living trial master file.

  • Risk-based monitoring plans
  • Protocol deviation management
  • Inspection-readiness reviews
PERFORM

Real-time oversight

Sponsors see enrolment, data entry, queries and site performance as it happens, so issues are addressed in days rather than discovered at interim review.

  • Study dashboards
  • Key risk indicators
  • Escalation pathways
Regulatory services

Strategy first, paperwork second.

A submission is only as strong as the strategy behind it. We help sponsors decide which evidence they need, which pathway fits, and how to sequence filings across markets, then we prepare dossiers that reviewers can navigate with confidence.

Our regulatory team works across national requirements and the international pathways of the US FDA, the European Medicines Agency and the UK MHRA. We support new applications, variations, renewals and the lifecycle work that keeps a product compliant long after approval, with compliance audits that identify gaps before an authority does.

Regulatory strategy

Pathway assessment, gap analysis, authority meeting preparation and multi-market filing plans.

Dossier preparation

CTD-structured dossiers, including Module 2 summaries and supporting documentation.

Submission support

IND, NDA and BLA support, responses to authority queries and submission tracking.

Compliance audits

Independent reviews of documents, processes and systems against applicable standards.

StageWhat we deliverWhy it matters
DevelopmentRegulatory strategy, pre-submission meeting packages, briefing documentsAligns evidence generation with what authorities will expect to see
SubmissionIND / NDA / BLA support, CTD dossiers, Module 2 summariesClear, consistent dossiers reduce avoidable review questions
ReviewQuery responses, labelling inputs, document updatesFast, well-referenced responses keep review clocks moving
Post-approvalVariations, renewals, lifecycle management, safety reporting linksKeeps the licence current as data, sites and markets evolve
Clinical & regulatory writing

The full document chain, written once, written right.

Our medical writers produce every major document in the development lifecycle. Because one team owns the chain, terminology, data presentation and key messages stay consistent from the first protocol draft to the final value dossier.

Protocol & amendments

Objectives, endpoints, design rationale and statistical sections written with operations and biostatistics.

Consent forms & IB

Participant-friendly informed consent and investigator's brochures kept current with emerging data.

Clinical study report

ICH E3-structured CSRs with clear narrative, tables and appendices.

CTD Module 2 & briefing

Clinical overviews, summaries and authority briefing documents.

Safety & post-marketing

Periodic safety reports and post-marketing documentation.

Value dossiers

Evidence translated into value arguments for payers and HTA bodies.

Written to the standards reviewers read by.

Every document follows the guideline that governs it, with a documented review trail covering scientific accuracy, data verification against source, and editorial quality. Publications follow authorship and disclosure norms, and promotional derivatives are routed through your MLR review.

ICH-GCPICH E3CTDCONSORTICMJEGPP
PUBLICATIONS

Manuscripts

Original research, reviews and secondary analyses prepared for peer-reviewed journals.

CONGRESS

Abstracts & posters

Congress-ready abstracts, posters and oral presentation slides.

PATIENTS

Plain language summaries

Trial results explained clearly for patients, carers and the public.

FIELD

Scientific communication

Monographs, MSL tools and medical information responses.

Real-world evidence

What happens after the trial.

Randomised trials prove efficacy under controlled conditions. Real-world evidence shows effectiveness, safety and treatment outcomes in the patients doctors actually see, with their comorbidities, co-medications and adherence challenges.

We design prospective and retrospective studies, establish disease registries and run physician and patient surveys. Each study starts with a precise research question and a fit-for-purpose data source, followed by a protocol and statistical analysis plan written to the same standard as an interventional trial, with ethics approvals and data protection safeguards in place.

Prospective studies

Observational cohorts that follow patients forward in routine care.

Retrospective studies

Analyses of existing records to answer questions quickly.

Registries

Long-term, structured data collection in a disease or therapy.

Surveys

Practice-pattern, perception and patient-reported outcome surveys.

Real-world
data
EHRs
Claims & billing
Disease registries
Wearables & apps
Patient-reported outcomes

Data sources are selected for each research question and accessed only under appropriate approvals and data protection safeguards.

Health economics & outcomes research

Prove the value, not just the efficacy.

Payers, hospital formularies and health technology assessment bodies ask a different question from regulators: is this therapy worth it? Our HEOR team builds the evidence that answers that question rigorously.

Systematic literature reviews

Protocol-driven searches, screening and data extraction to established reporting standards.

Evidence synthesis

Combining published and study data to compare therapies and quantify relative benefit.

Outcomes research

Burden of disease, quality of life and resource use studies that frame the unmet need.

Value & access evidence

Economic arguments and access materials tailored to payers and decision-makers.

Evidence earns approval. Value earns access.

HEOR is most powerful when it is planned alongside the clinical programme, not bolted on afterwards. We help teams identify the outcomes payers will care about early, so that trials and real-world studies capture the right endpoints the first time.

Global Value Dossiers

One value story. Every market.

A Global Value Dossier brings clinical, economic and humanistic evidence together into a single, referenced value story that regional and local teams can adapt with confidence, instead of each affiliate building its own argument from scratch.

Evidence base

Trial data, real-world evidence, literature reviews and economic analyses gathered and graded.

Value story

The core argument: unmet need, clinical benefit, economic value and patient impact.

GVD

A structured, fully referenced dossier with a highlighted reference binder.

Local adaptation

Market-specific data, pricing context and HTA requirements layered in.

Activation

Objection handlers, payer slide decks and training for market access teams.

AUDIENCE 01

Payers

A clear case for budget impact and value for money.

AUDIENCE 02

HTA bodies

Transparent methods and evidence that can be appraised.

AUDIENCE 03

Regulators

Consistent clinical messages aligned to the approved label.

AUDIENCE 04

Regional & local teams

A ready foundation for market-specific dossiers and launches.

Living documents, not one-off reports

New data, new indications and new competitor launches change the value story. We maintain GVDs through the product lifecycle, with version control, a reference library that tracks every claim to its source, and update cycles timed to major data readouts.

  • Every claim linked to a highlighted reference
  • Modular structure for fast local adaptation
  • Medical and legal review trail maintained
  • Update cycles aligned to new evidence
Data management & biostatistics

Data you can defend.

Regulators, reviewers and payers will question your numbers. Our data managers and biostatisticians work together from protocol design so that every dataset, table and analysis can be traced, reproduced and explained.

Clean data, sooner.

We design databases around the protocol, build and validate EDC systems, write edit checks that catch errors at entry, and manage queries through to database lock. Risk-based data management focuses review effort on the data points that matter most to safety and the primary endpoints.

Database design

eCRF design, data dictionaries and edit specifications.

EDC & validation

System build, user acceptance testing and documented validation.

Query management

Systematic discrepancy review and site query resolution.

Risk-based DM

Targeted review driven by critical data and risk indicators.

Statistics from day one.

Good statistics begins before the first patient is enrolled. Our biostatisticians contribute to protocol design and sample size, write the statistical analysis plan, programme the analyses and help interpret the results, including adaptive designs and real-world evidence analytics where conventional approaches fall short.

Protocol design

Endpoints, randomisation and analysis populations.

Sample size

Justified calculations and sensitivity scenarios.

Statistical programming

Validated datasets, tables, listings and figures.

Adaptive & RWE analysis

Interim designs and methods for observational data.

AreaApproach
Data standardsCDISC-aligned datasets to support regulatory submission and reuse
ValidationDocumented system validation and independent programming checks
TraceabilityAudit trails from source data to final tables and figures
PrivacyPseudonymisation, access control and applicable data protection requirements
GovernanceWritten SOPs, trained personnel and ICH-GCP-aligned quality oversight
Drug safety & pharmacovigilance

Vigilance that never clocks off.

Patient safety obligations continue for as long as a product is on the market. We support sponsors with case processing, signal management and periodic reporting, combining trained safety professionals with analytics that help surface emerging patterns earlier.

Adverse event monitoring

Collection and triage of adverse events from trials, programmes, literature and spontaneous reports.

Case processing

Intake, coding, medical review, narrative writing and regulatory submission within required timelines.

Signal detection

Systematic review of aggregate data to detect, validate and assess potential safety signals.

Periodic reports

PSURs and other periodic safety documents prepared to applicable formats.

Risk management

Risk management plans and minimisation measures, with effectiveness checks.

AI-assisted analytics

Analytics that support reviewers in spotting trends across large case volumes, always with human medical judgement.

Patient support programmes

Outcomes depend on staying on therapy.

The best medicine fails if patients cannot get it, do not understand it or stop taking it. Our patient support programmes address each of those barriers, designed with consent, privacy and adverse event reporting obligations built in.

Medication access

Guidance on access and affordability pathways.

Patient education

Disease and therapy materials written in plain language.

Therapy management

Onboarding, dose reminders and helpline support.

Adherence monitoring

Tracking persistence and intervening early when patients drift.

Patient
journey
Awareness
Diagnosis
Treatment start
Access
Adherence
How we engage

Flexible models, fixed standards.

Every sponsor organises research differently. Clinovate adapts the engagement to your team, while the quality system, the review discipline and the regulatory standards stay exactly the same.

MODEL 01

Alongside your team

Our writers, statisticians or study managers extend your in-house medical, clinical or regulatory function, working inside your templates, systems and governance.

  • Embedded specialists
  • Your SOPs or ours
  • Shared review calendars
MODEL 02

As your research department

For sponsors without a dedicated function, we take ownership of the programme end to end, from evidence strategy and protocol to reporting, publications and value dossiers.

MODEL 03

Flexible project support

Defined deliverables with a clear scope, timeline and review plan, ideal for a single study report, literature review, registry analysis or dossier update.

  • Fixed scope and milestones
  • Single point of contact
  • Transparent review rounds
Quality principleHow it shows up in your project
Documented proceduresWritten SOPs for writing, data handling, monitoring and safety activities, with training records for every team member
Scientific accuracyIndependent quality control of data against source, references checked claim by claim
Regulatory alignmentDeliverables structured to ICH, CTD and journal guidelines from the first draft
Compliance reviewPromotional derivatives routed through sponsor MLR review and aligned with UCPMP where applicable
ConfidentialityControlled access to sponsor data, confidentiality agreements and secure document exchange

Science-led. Compliance-minded. Built for the full brand lifecycle.

Clinovate connects to the rest of Spirant. Evidence generated here flows into certified medical education through Medigene, brand and scientific communication through Think Nest, and HCP content delivery through MedShort, under one quality system and one point of contact.

FAQ

Questions sponsors ask us.

If your question is not answered here, our team will be glad to walk you through how Clinovate would approach your study or dossier.

What types of sponsors does Clinovate work with?

We support pharmaceutical, biotech and medical device companies, from teams running a single investigator-supported study to sponsors managing multi-country development and post-approval programmes.

Can we engage you for a single service rather than a full study?

Yes. Many engagements begin with one deliverable, such as a protocol, a CSR, a systematic literature review or a value dossier. Each practice can work independently or alongside your in-house team and other vendors.

Which guidelines do your clinical and regulatory documents follow?

Documents are written to the guideline that governs them, including ICH-GCP, ICH E3 for study reports, CTD for dossiers, CONSORT for trial reporting, and ICMJE and GPP for publications, alongside any sponsor-specific templates.

Do you support submissions to international regulators?

We provide regulatory consulting, dossier preparation and submission support for national authorities and international pathways, including FDA, EMA and MHRA, covering IND, NDA and BLA support and lifecycle management.

What is the difference between RWE and a clinical trial?

A clinical trial tests a therapy under controlled conditions in a selected population. Real-world evidence studies how it performs in routine practice, using data such as electronic health records, claims, registries, wearables and patient-reported outcomes. The two are complementary.

What goes into a Global Value Dossier?

A GVD brings together the disease burden, unmet need, clinical evidence, economic value and patient impact of a therapy into a single referenced value story, supported by a highlighted reference binder. Regional and local teams then adapt it for their markets and payers.

How do you protect patient data?

Studies operate under ethics approvals, informed consent and applicable data protection requirements. We use pseudonymisation, role-based access and audit trails, and only access real-world data sources under appropriate agreements.

Is AI used in pharmacovigilance decisions?

Analytics help reviewers spot trends across large volumes of case data, but causality assessment, signal evaluation and regulatory decisions always remain with qualified safety professionals.

How do patient support programmes handle adverse events?

Programme staff are trained to recognise and report adverse events, and every programme includes a documented pathway that routes safety information to the sponsor's pharmacovigilance system within agreed timelines.

Can Clinovate outputs feed into medical education and brand communication?

Yes. With your approval, study findings, publications and value messages can be adapted into certified education through Medigene, scientific brand communication through Think Nest and HCP content libraries through MedShort, always within the approved label and your MLR process.

Where is Clinovate based?

Clinovate operates from Spirant's headquarters in Noida, India, supported by the group's service locations in India and its presence in Dubai UAE, Singapore and Gloucester UK.

Have a protocol, a dataset or a dossier in mind?

Tell us where your programme stands and what decision you need the evidence to support. We will come back with a scoped, compliant plan.

Clinovate services are delivered in accordance with applicable regulations, ICH-GCP and sponsor-approved procedures. Promotional materials derived from scientific content are subject to the sponsor's medical, legal and regulatory review. Figures shown reflect the Spirant group.