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Post-Approval & Late-Stage Clinical Evidence

Accelerate Post-Approval Clinical Studies with an Embedded Model

Paradigm Health's Scalable Platform for Integrated Research & Evidence (SPIRE) is a full-scale alternative to traditional models, combining pragmatic study design, embedded recruitment, and EHR-integrated data capture across a network of research-ready sites to deliver faster, more predictable, and more representative post-approval clinical trials.

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the challenge
Traditional Post-Approval Models Fall Short

Sponsors face growing evidence expectations, but conventional approaches introduce unnecessary complexity, limited representativeness, and slower execution.

Complex & Burdensome Protocols

Post-approval studies often mirror early-phase complexity—driving cost, increasing site burden, and slowing execution without improving real-world relevance.

Retrospective Data
Has Limits

Looking backward at existing data may be faster, but it lacks prospective intent, standardized endpoints, and the regulatory confidence required for many post-approval objectives.

Limited Representativeness

Many studies struggle to enroll diverse, real-world patient populations required for regulatory commitments, as traditional site models limit access to patients treated outside major academic centers.

the solution

A Fully Integrated Approach to Post-Approval Clinical Studies

Paradigm Health's model integrates pragmatic protocol design, AI-driven recruitment, and EHR-aligned study execution within a research-ready network of community and academic sites. The result: faster enrollment, greater representativeness, and high-quality prospective data—without adding unnecessary site and patient burden.

Protocol Design

Pragmatic protocols aligned to routine oncology care

Endpoint Strategy

Endpoints designed for simplicity and maximum participation

AI Identificaion & Screening

AI-enabled patient identification based on real-time EHR data

Embedded Recruitment

Embedded recruitment across community and academic sites

EHR-Integrated Data

EHR-integrated data capture to signficantly reduce manual entry

Study Operations

Centralized feasibility and start-up for streamlined execution and consistent oversight

use cases

Support Key Post-Approval Research Objectives

Purpose-built to address regulatory, medical, and market access needs across late-stage and approved assets.

Label Expansion

Expand into new indications, populations, or dosing strategies through pragmatic study designs aligned to routine clinical care that don't add burden.

FDA Post-Marketing Commitments and Requirements

Execute fit-for-purpose prospective studies that meet regulatory requirements efficiently, with scalable enrollment and high-quality data capture.

Post-Approval Evidence & Registries

Generate prospective clinical evidence and support registry-based studies to inform differentiation, payer engagement, guideline development, and broader clinical adoption.

proof points
Case Study: Pragmatic Post-Marketing Commitment

In a prospective pragmatic study conducted in U.S. community oncology sites, Paradigm Health helped the sponsor fulfill a post-marketing commitment with measurable gains in enrollment speed, cost efficiency and data quality.

30.5% Diverse Patient Enrollment
Prospective study enrollment reflected real-world patient populations, with nearly one-third of patients identifying as Black or Hispanic, supporting more representative clinical evidence.
82 Patients Enrolled Across 4 Sites
Prospective study conducted across community oncology sites demonstrates the feasibility of embedded, pragmatic research within routine clinical care.
99% Data Completeness with Automated EHR-to-EDC Capture
Automated EHR-to-EDC transfer reduced manual entry, minimized site workload, and improved data quality.

<2% query-to-data point ratio
31,000+ data points transferred across 3,100+ sessions
1.7-days median latency for structured data
Published Peer-Reviewed Journal
Prospective proof-of-concept study formally assessed and published, demonstrating the feasibility and quality of the embedded EHR-to-EDC approach.


Access the Published Research
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Ready to Accelerate Your Post-Approval Study?

Whether you're planning a post-marketing commitment, label expansion, or prospective evidence study, Paradigm Health can help you design and execute a pragmatic model aligned to routine clinical care.

Let’s explore how SPIRE can support your upcoming regulatory or medical evidence priorities.