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What is CRO - Contract Research Organization?

What is CRO - Contract Research Organization?

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WHAT IS A CRO ?

CRO ( Contract Research Organization or CRO ) refers to a clinical research services contract research organization ( CRO ) that provides research services to pharmaceutical, biotechnology, and medical device companies. Services can range from drug discovery to commercialization, from pharmacovigilance to post-approval services. In clinical trials, a sponsor (the organization seeking to investigate the safety and efficacy of a new treatment) hires a  CRO  on a contractual, project-by-project basis.




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CROs provide the expert guidance, advice, and execution expertise needed to complete clinical trials safely and efficiently—without the sponsor having to hire such staff full-time.


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How do clinical trials work?

Once researchers have done initial testing on a promising treatment in a laboratory, they must begin a clinical trial to prove its safety and effectiveness before they are allowed to market it to the public. A  CRO  will conduct the trial in successive phases (Phase I, Phase II, and Phase III). The first step is to enroll clinical trial participants—who must meet certain criteria, depending on the intended patient profile of the specific trial—and who may be compensated for their time. As each phase of the study progresses, more is learned about a treatment’s effectiveness, risks, and side effects.


Contract Research Organization Roles and Responsibilities

A  CRO  is responsible for the planning, setup, execution, and day-to-day management of their contracted clinical trial. Handling and overseeing the technical side—data collection and medical testing—make up a significant portion of their duties. It is important to note that clinical compliance with regulatory agency guidelines is crucial, and adherence to Good Clinical Practice ( GCP ) standards is part of the CRO’s role  , as they act as the central hub of the trial, connecting the sponsor with other stakeholders such as regulatory agencies, ethics committees, vendors, hospitals, etc.


What is a CRO in clinical trials?

In clinical trials, a  CRO  is the entity that plans, develops, and coordinates the clinical trial protocol. It then executes that protocol in accordance with regulatory agency rules and GCP standards. A sponsor—which may have many potential treatments it wants to test through a clinical trial—hire a  CRO  to handle the time-consuming and resource-intensive work required of a clinical trial. The sponsor is able to leverage the  CRO’s expertise, which, because of the CRO’s repeated execution   of trial after trial, is able to anticipate potential delays and pitfalls and avoid them in advance.


What does a contract research organization do?

CROs  are able to provide a wide range of clinical research services to medical sponsors, including but not limited to :


  • Project and Data Management
  • Supervision and execution of clinical studies
  • Research and Compliance Education
  • Drug and Disease Coding
  • Validation Programming
  • Product Development and Commercialization Planning
  • Safety and efficacy report
  • Quality Analysis
  • Biostatistical analysis
  • Statistical Analysis
  • Medical Writing

Types of Contract Research Organizations

Different CROs  may offer varying services, but they are most commonly grouped by where their contribution falls within the sponsor's research agenda, along with the  CRO's primary function :


  • Discovery
  • Preclinical
  • Clinical
  • Laboratory Services


Frequently Asked Questions:

Who is the sponsor of clinical research?

The sponsor is the organization that initiates a clinical trial to investigate the safety and effectiveness of a potential treatment. The sponsor partners with a  CRO, and the  CRO  manages and runs the sponsor's clinical trial.


What is a CRO company?

A  CRO  is an organization that offers its services to pharmaceutical, biotechnology, and medical device companies to assist them in various forms of research. Some  CROs are specifically focused on working with sponsoring companies of a certain size. For example, Synteract focuses on the SMID market , or small- to medium-sized biopharmaceutical companies.


What is the difference between a CRO and a pharmaceutical company?

Pharmaceutical companies develop drug treatment candidates for eventual commercialization. Once that treatment is ready to be tested in a clinical trial setting in order to prove to regulatory authorities that it is safe and effective, a pharmaceutical company will partner with a  CRO. The  CRO  will then plan, coordinate, and execute the clinical trial.


Benefits of Contract Research Organizations

The main benefit of  CROs is that they allow sponsors to do what they do best—focus on treatment development—while  CROs handle the nuts and bolts of clinical trial planning and execution. Given the extensive resources and processes required to conduct a clinical trial safely and efficiently—including data collection, project management, and day-to-day patient care—delegating these functions to a  CRO  that already has these systems in place is an attractive solution for many sponsors.


What is the role of a contract research organization?

A  CRO  acts on behalf of a sponsor and is responsible for ensuring that their clinical trial runs smoothly. A  CRO  replaces what would otherwise be an expensive, intermittently needed in-house team. Managing and executing all clinical trial functions—especially for those sponsors who rarely need to conduct clinical trials—would be cost and resource prohibitive.


What metrics should contract research organizations use?

CROs  employ different metrics to measure effectiveness and progress, depending on the goals and expectations of sponsors and the constraints of GPC and regulatory frameworks. There are three basic timelines that deserve attention and evaluation:


  • Sponsor's draft budget received for finalized budget
  • IRB sent to IRB approved
  • Full execution of the contract for open registration

What is an early-stage contract research organization?

Clinical trials occur in phases, usually Phase I , Phase II , and Phase III . If a drug does not meet safety or efficacy milestones at any point in these successive phases, it cannot proceed to the next phase. An  early-stage CRO  focuses on the early-stage phases (mostly Phase I , sometimes Phase II ).


How to choose a CRO?

A  CRO  must be able to provide the right combination of experience, expertise, communication and responsiveness. Understanding your therapeutic area and what to expect from your study phase is key. Transparency is also important – being able to resolve potential issues early in the process, collaboratively, can mean the difference between successful milestones and unnecessary delays.


Choosing a  CRO  is one of the most important decisions a sponsor can make when preparing to initiate a clinical trial. Understanding the role and function of a CRO, understanding the factors to consider when choosing a  CRO, and knowing what to realistically expect from the  CRO  you choose all need to be taken into consideration.


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