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Your clinical program is where science becomes evidence, and where approval is won or lost.

Most development delays are not scientific failures. They are operational ones – a trial that enrolled too slowly, a protocol that required three amendments, a CRO that was poorly selected and inadequately overseen, a data package that did not meet the evidentiary bar regulators expected. PLG eliminates these risks before they become your reality.

 Our Clinical Development & Operations capability is built from two decades of combined expertise and anchored by fully operational CROs in Italy and Spain. We deliver clinical strategy, trial execution, and operational leadership as a single, integrated offering – across North America, Europe, JPAC, and beyond. Whether your program is fully in-house, partially outsourced, or entirely delegated to a CRO, we embed the right expertise at the right level, at the right moment.

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Clinical Strategy & Program Leadership

  • Clinical development strategy from Phase 1 through Phase 4, including post-approval and observational studies
  • Protocol design and endpoint selection aligned to EMA and FDA requirements
  • Endpoint strategies informed by market access and reimbursement considerations
  • Adaptive and simulation-informed trial designs, leveraging PLG’s pharmacometrics capabilities
  • IND/CTA preparation and regulatory interface
  • Risk management frameworks built into the program from day one
  • Core team support and cross-functional coordination

Medical Writing & Documentation

  • Clinical study reports, protocols, and investigator brochures
  • Integrated Summaries of Efficacy and Safety (ISE/ISS)
  • Marketing applications and regulatory submissions
  • Real-world evidence (RWE) study design and execution


GxP Quality & Inspection Readiness

  • GxP quality assessment, gap analysis, and remediation
  • Data integrity programs: policies, training, and system controls
  • Clinical SOP development and harmonization
  • Audit and inspection preparation – FDA, EMA, and global health authority readiness
  • Drug safety and pharmacovigilance functional support


Trial Operations & Execution

  • Clinical project management from planning through close-out
  • Trial team management and sponsor oversight for outsourced and hybrid programs
  • CRO selection, qualification, and ongoing performance governance
  • Ethics committees submissions and national authority interactions
  • Trial Master File set-up, maintenance, and audit readiness
  • ICH-GCP compliance and regulatory guidance alignment throughout


Where we outperform

  • Adaptive trial design – master protocols, basket, umbrella
  • Decentralized and hybrid trial experience across global geographies
  • Tight integration with pharmacometrics for simulation-informed design
  • Functional and role-based support: CPMs, CRAs, data management, statistical programming
  • In-country CRO execution in Italy and Spain – one-stop, a referral, part of your team