Ledger Run simplifies clinical trial business operations — from contract negotiation to final payment — in one fully integrated platform. We bring together global in-country CTA negotiation expertise, budget development and FMV analysis precision, and real-time financial transparency to eliminate delays and reduce complexity. With attorneys on the ground in 60+ countries, we negotiate faster, in-region, and in-context. Our digital CTA-to-Pay platform unifies contracts, budgets, and payments into a single seamless workflow — replacing disconnected tools, manual handoffs, and fragmented oversight. Built by industry experts who understand the complexity of clinical research, Ledger Run gives sponsors and CROs the confidence, control, and speed they need to activate sites and manage trials with precision.