Services
Clinical Trial Agreement (CTA) Negotiation Services
Ledger Run combines centralized contract language oversight with on-the-ground attorneys in 60+ countries who understand local markets, regulations, and cultural nuances. Our global legal network delivers:
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Direct, site-facing contract negotiations in-region
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Accelerated redline and approval cycles
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Harmonized legal frameworks that simplify global execution
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Reduced back-and-forth, minimizing bottlenecks and contract delays
Global Budget Development & Negotiation
With deep expertise in regional cost structures and trial economics, our budget development team delivers:
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Market-appropriate site budgets optimized for global consistency
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Transparent costing models that facilitate sponsor approvals
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Real-time budget alignment across countries, currencies, and payer models
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Minimized revisions and rework through centralized budget libraries
Site Payments
With fully integrated payment automation and global financial expertise, our site payment services deliver:
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Automated, visit-triggered payments directly linked to real-time EDC and CTMS data
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Rapid payment execution, often within 1–2 business days, minimizing site cash flow delays
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Global tax, currency, and regulatory compliance built into every payment cycle
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Full visibility for sponsors and sites via real-time payment status dashboards
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End-to-end reconciliation with complete audit trails for financial accuracy and transparency
Our Rescue Study Advantage
Rescue Studies — Activated in Weeks, Not Months
When trials stall, Ledger Run delivers. Our global network of pre-qualified sites, in-region attorneys across 60+ countries, fully digital negotiation platform, and parallel regulatory submissions compress rescue study startup from 4–6 months down to just 8–12 weeks. With Ledger Run, sponsors gain the speed, precision, and global expertise needed to restart enrollment quickly — without sacrificing compliance or quality.
