Ledger Run was created to simplify the complex business of clinical trials—combining powerful technology with global services to deliver complete control from CTA to final payment. Our platform unifies contract negotiation, site budgeting, payments, and financial forecasting in one purpose-built system, eliminating delays, reducing errors, and accelerating trial startup.

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But we are more than software. Our team of in-country legal expert negotiators operate in over 65 countries, providing local-language contracting, global budget development with FMV analysis, and just-in-time site payments with forecasting and accruals. With deep regulatory insight and unmatched contract negotiation, we help customers stay on schedule—even in complex transition or rescue study scenarios.

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Built by industry experts, Ledger Run brings together the best of technology and hands-on experience to simplify clinical business operations—globally, reliably, and at scale.