3 Reasons Sponsors Should Own the RTSM Relationship 

While many Sponsors rely on CROs for most clinical development functions, delegating RTSM vendor selection and management may create undesirable complications and lesser outcomes. Although RTSM represents a relatively small portion of a study’s budget, it’s a lynchpin that can make or break a study’s success.  
“We’re not big on bundling all our vendors with our CRO,” explains one Head of Clinical Operations the Korio team recently interviewed on the topic. “We take ownership of certain pivotal vendors because we want to be able to get directly to the vendor if something does go wrong, and not through a go-between.” 
While it may be tempting to bundle the RTSM with other outsourced services for the sake of simplicity or perceived upfront cost savings, Sponsors that maintain a direct relationship with their RTSM vendor see three significant benefits:
 

1. Rapid Response & Resolution: 

Clinical trials do not exist in a frictionless environment; there are practical operational issues involving site shipments, medication storage, lost IP, and any variation of confusion that requires immediate resolution to ensure trial continuity, (i.e., patient treatment assignment). With the CRO as the intermediary, basic troubleshooting conversations can get bogged down in a game of telephone- more complex scenarios can become nearly impossible to resolve in a timely manner.  

“When something goes wrong with drug supply or site access, we need it fixed now, not after three days of back-and-forth,” notes the same Clinical Operations leader. Direct vendor relationships mean more rapid response when it matters most. 

 

2. Better RTSM Design: 

Mapping a clinical trial protocol to RTSM system design isn’t a straightforward 1:1 process. It requires specialized expertise to translate protocol requirements into a comprehensive RTSM configuration that orchestrates drug packaging and dispensing, depot management, and integration with EDC, eCOA, and lab systems. This nuanced appreciation of how RTSM connects all these elements can only come from experience in randomization and trial supply management. Direct partnership with RTSM specialists without relying on the CRO and a bundled ‘e-Clinical’ offering ensures your system accurately reflects the complexities that lie ahead for your trial, leading to lower likelihood of RTSM-related trial interruptions.
 

3. Enhanced Study Integrity:

Each and every handoff between Sponsor, CRO, and RTSM vendor increases the risk of potentially unblinding your blinded study personnel. Each additional layer creates opportunities for protocol deviations and supply disruptions. Maintaining a direct line of communication between the Sponsor and RTSM vendor ensures    that unblinded Sponsor supply teams can work efficiently with their RTSM partner to setup and resolve day-to-day trial operations issues without mistakenly unblinding the study team. 

Experience RTSM Without the Friction 

Korio was purpose-built by RTSM experts who’ve lived through the communication delays and protocol change headaches you face. Unlike legacy vendors, we focus solely on RTSM excellence – and it shows. 
Your dedicated project manager brings years of RTSM expertise and stays with your trial from kickoff to closeout. Modern technology means protocol amendments that once took months now happen in weeks. And with direct access to Korio leadership when you need it, you’ll never wait for critical decisions. 
Whether you’re scaling from a single site or managing multiple global trials, our combination of deep expertise and modern RTSM technology means your team can focus on advancing your trial instead of managing your vendor. 
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