Selecting a Medical Device & Diagnostic CRO | Guide for Sponsors

Selecting a Medical Device & Diagnostic Clinical Research Organization

Strategic considerations for choosing the right CRO partner for your clinical trials and PMCF studies.

Over the past decade, medical device and diagnostic companies have increasingly turned to clinical research organizations (CROs) for product development services. The outsourcing of clinical trials or PMCF activities is often a strategic move that enables device companies to leverage the CRO's infrastructure to manage the clinical development process and navigate increasingly complex regulations.

By partnering with a specialized CRO, device and IVD companies can focus on their core competencies of developing devices and diagnostics rather than building complete clinical teams internally. This strategic approach allows organizations to accelerate their development timelines while ensuring regulatory compliance.

What Should a Medical Device & Diagnostic Sponsor Consider?

As a starting point, a clinical research organization should ideally have expertise in your product type and therapeutic area. However, increasingly important as regulations become more complex is for a CRO to apply appropriate regulations and standards customized to your project that meet the specific needs of your product and company goals.

When evaluating potential CRO partners, consider the following:

Key Evaluation Criteria

  • Regulatory expertise and understanding of your specific therapeutic area
  • Experience with your product type (medical devices, IVDs, or diagnostics)
  • Track record with similar regulatory pathways (MDR, IVDR, 510(k), etc.)
  • Professional credentials of the project team and executive management
  • Quality certifications and compliance standards
  • Global capabilities and partnerships in your target regions
  • Transparency in cost structure and pass-through expenses
  • Team stability and low project manager turnover

Eclevar MedTech has a team of experts who are former leaders of competent authorities and notified bodies and can help navigate the complexities of regulations. We recommend reviewing the professional credentials of the project team and support of executive management at an early stage in project discussions.

Key Considerations for CRO Selection

Quality & Compliance

Ensure the CRO holds relevant quality standard documents including ISO 14155 (European regulation), ISO 9001, and ISO 13485 to guarantee compliance with regulatory requirements.

Clinical Trial Capabilities

Does the CRO have global capabilities and partnerships for your target regions? Full-service capabilities including CTMS (Clinical Trial Management System) support provide significant project efficiencies.

Cost Transparency

Compare unit costs and line items rather than overall costs. Ensure transparency around pass-through costs which can significantly impact final project expenses.

Regulatory Expertise

Verify the CRO's expertise in your specific regulatory pathway. Former competent authority and notified body leaders bring invaluable regulatory knowledge.

Team Stability

Consistent project team members throughout the study duration ensure continuity, institutional knowledge, and better project outcomes.

Therapeutic Area Expertise

Specialized knowledge in your therapeutic area (orthopedics, wound care, cardiovascular, etc.) ensures nuanced understanding of your product requirements.

Quality Standards

The quality of work is directly linked to compliance with regulations. It is important to ensure that your medical device CRO or IVD CRO holds the relevant quality standard documents:

  • ISO 14155 - Standard for clinical investigation of medical devices for human subjects
  • ISO 9001 - Quality management system standard
  • ISO 13485 - Medical devices quality management systems standard

These certifications demonstrate the CRO's commitment to maintaining rigorous quality standards and regulatory compliance throughout all project phases.

Clinical Trial Capabilities

When evaluating a CRO's clinical trial capabilities, consider:

Essential Capabilities to Assess

  • Global capabilities and established partnerships in your target regions
  • Full-service offerings including site identification, patient recruitment, and data management
  • CTMS (Clinical Trial Management System) capabilities for streamlined project management
  • Experience with your specific study design and patient population
  • Ability to manage complex multi-site, multi-country studies
  • Integration with electronic data capture (EDC) and other clinical trial technology
  • Post-trial support and regulatory submission assistance

Studies often involve working with several vendors, so having the full-service capabilities of a clinical research organization will help streamline operations and reduce coordination complexity.

Cost Considerations

Cost is often a key factor in selecting a clinical research organization. However, it's critical to compare costs appropriately:

  • Compare unit costs and line items, not just overall project costs
  • Request transparency around pass-through costs which can significantly impact final expenses
  • Verify that all study specifications are included in the quoted price
  • Be cautious of unusually low quotes that may result in significant cost increases later
  • Use standardized RFI/RFP processes to ensure comparable quotes from multiple CROs

This process can be managed by implementing a standard comparison framework when assessing clinical research organizations. Establishing the same expectations and scope of work for medical device CROs to respond to ensures you're comparing apples with apples.

Global vs. Boutique CROs: Which is Right for You?

Global medical device clinical research organizations with well-known names can be experienced in working with pharma trials. However, medical device trials have particular requirements which sometimes become unclear when resources are shared across projects, potentially impacting the quality of work due to staff not fully understanding the nuances of medical device trials.

The Boutique CRO Advantage

Frequently, sponsors approach large companies with famous names feeling it's a safe choice and derisk the project. However, they often experience disappointment when encountering significant churn of project managers over the duration of the studies. The holistic approach can be lost as larger companies tend to compartmentalize their operations, and extra layers of fixed costs are often passed on to the sponsor.

A boutique medical device CRO can offer a potentially more reliable service proposition:

Benefits of Specialized CROs

  • 100% dedication to medical device and diagnostic trials
  • Stable expert teams with minimal project manager turnover
  • Lean organizational structures with improved cost efficiencies
  • Quick and easy access to operations and executive management teams
  • Personal, highly responsive, and customized service
  • Proactive problem identification and rapid issue resolution
  • Consistent availability for questions and frequent updates

Sponsors have quick and easy access to operations and executive management teams to provide a personal, highly responsive, and customized service at all times. This can be important when study issues need to be identified quickly and the project team can be available to address questions and provide frequent updates.

Special Considerations for IVD Companies

Is the Selection Process Different for In Vitro Diagnostic (IVD) Companies?

The process for selecting an IVD CRO for a medical device company is very similar to selecting a general medical device CRO. However, there are important nuances worth considering:

IVD-Specific Considerations

  • Dedicated regulatory experts in IVD regulations (IVDR)
  • Project managers and CRAs with direct IVD experience
  • Understanding of IVD-specific study design requirements
  • Experience navigating IVD regulatory pathways and approvals
  • Knowledge of performance evaluation and analytical validation requirements
  • Familiarity with clinical performance studies for diagnostics

This expertise will help diagnostic companies navigate the regulatory pathways, particularly for IVDR. Operations teams ideally need to have project managers and CRAs with direct IVD experience to ensure quality and address these considerations appropriately.

Eclevar MedTech has dedicated IVD experts who can provide a tailored approach to this segment to ensure quality and address these considerations in the right way.

Summary: Making the Right Choice

In today's challenging economic environment, cost will always be a key factor in selecting the right CRO. However, it should not be the only factor. Consider the complete value proposition:

  • Quality and experience of the team
  • CRO capabilities and infrastructure
  • Regulatory expertise and certifications
  • Maintaining a stabilized partnership with low project manager churn
  • Transparency in costs and pass-through expenses
  • Responsive and personalized service
  • Therapeutic area and product type expertise

These factors are critical to the success of your project and will ultimately provide better value than selecting based on cost alone.

Ready to Discuss Your Project?

Selecting the right CRO partner is crucial for your clinical trial success. Our team of regulatory experts and experienced project managers is ready to discuss your specific needs and how we can support your clinical development program.

Contact Us Now

Key Takeaways

  • Medical device and diagnostic companies increasingly partner with CROs to accelerate development and ensure regulatory compliance
  • CRO selection should be based on expertise in your product type, therapeutic area, and regulatory pathway
  • Verify quality certifications including ISO 14155, ISO 9001, and ISO 13485
  • Evaluate global capabilities and partnerships in your target regions
  • Compare costs based on unit rates and line items, not just overall project cost
  • Ensure transparency around pass-through costs which can significantly impact final expenses
  • Boutique medical device CROs offer specialized expertise and stable team continuity
  • Large global CROs may compartmentalize operations and pass additional costs to sponsors
  • Team stability and low project manager turnover are critical for project success
  • Regulatory expertise from former competent authorities and notified bodies is valuable
  • IVD companies should prioritize CROs with dedicated IVDR and IVD regulatory expertise
  • Operations teams should have project managers and CRAs with direct IVD experience
  • Access to executive management and responsive service is important for rapid issue resolution
  • A holistic approach to CRO selection ensures better outcomes than cost-only decisions
  • Therapeutic area expertise and product type specialization improve project quality
  • Standardized RFI/RFP processes help ensure comparable quotes from multiple CROs

Reforming Clinical Evaluation of Medical Devices in Europe