Early Phase CRO
2025 Fierce Biotech CRO Award Winner

Reduce early development risk with integrated translational, clinical, and regulatory strategies designed to inform first‑in‑human decisions and support confident progression into Phase 2.
Purpose-Built for Early Phase Complexity
Our approach is designed to keep early decisions defensible as programs advance.
01 Discovery Integration
Translational biomarker strategy from target validation through clinical proof-of-concept, connecting preclinical signals to FIH study design. 160+ biomarker-driven trials completed.
02 Clinical Execution
Specialized early phase operational teams with expertise in dose escalation, adaptive designs, and rapid site activation to support complex protocols and timely safety and data review.
03 Regulatory Navigation
Regulatory strategy integrated into early development planning to align study design, endpoints, and data generation with regulatory expectations and reduce downstream rework.
An Early Phase Model Built Around FIH Executional Excellence
At the core of Precision for Medicine's early phase clinical trials is a pioneering spirit and a steadfast commitment to Oncology and Rare Disease research. This dedication is the driving force behind our deep domain expertise, enabling us to tackle ambitious trial designs and complex challenges head-on.
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Clinical Trial Design
Clinical Trial Design
FIH & Phase 1 Trial Design
First‑in‑human studies set the trajectory for an entire development program. With 62% of early phase trials conducted as FIH, our work focuses on dose selection, safety evaluation, and early signal interpretation where decisions matter most.
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Adaptive Trial Design
Adaptive Trial Design
Dose Optimization & Escalation Approaches
Adaptive Phase 1-2 designs that eliminate protocol fragmentation and support progression from escalation into expansion. Biomarker‑driven expansion cohorts integrate translational endpoints to support early efficacy assessment without disrupting enrollment.
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Specialty Lab Integration
Specialty Lab Integration
Biomarker-driven clinical trials
Integrated specialty laboratory capabilities across North America and Europe support biomarker and multi‑omic strategies aligned to early phase decision‑making. Laboratory planning is coordinated with clinical execution to ensure sample readiness and timely data interpretation.
Early Phase Expertise Across Complex Indications
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Explore
Oncology CRO
Explore76% of our trials are in oncology. Early phase programs across solid tumors, hematologic malignancies, and immuno-oncology with 160+ biomarker-driven trials and proprietary immune profiling platforms.
Oncology CRO
Explore76% of our trials are in oncology. Early phase programs across solid tumors, hematologic malignancies, and immuno-oncology with 160+ biomarker-driven trials and proprietary immune profiling platforms. -
Explore
Rare Disease CRO
Explore67% of our trials involve rare diseases. We specialize in small population trial design, orphan drug and fast track designation support, and access to academic centers with rare disease patient populations.
Rare Disease CRO
Explore67% of our trials involve rare diseases. We specialize in small population trial design, orphan drug and fast track designation support, and access to academic centers with rare disease patient populations. -
Explore
Cell & Gene Therapy
ExploreBiomarker-driven strategy for cell and gene therapy programs requiring specialized early phase design and regulatory navigation.
Cell & Gene Therapy
ExploreBiomarker-driven strategy for cell and gene therapy programs requiring specialized early phase design and regulatory navigation.
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Pediatric Clinical Trials
Pediatric trial design and execution with pediatric designation support and age-appropriate biomarker analyses tailored to the unique requirements of pediatric oncology and rare disease populations.
Pediatric Clinical Trials
Pediatric trial design and execution with pediatric designation support and age-appropriate biomarker analyses tailored to the unique requirements of pediatric oncology and rare disease populations. -
ADC & Emerging Modality Trials
Full-service ADC trial capabilities and emerging radiopharmaceutical program support, with integrated bioanalytical and biomarker services for complex early phase modalities.
ADC & Emerging Modality Trials
Full-service ADC trial capabilities and emerging radiopharmaceutical program support, with integrated bioanalytical and biomarker services for complex early phase modalities.
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Precision is part of our team. They put in long days and hard work to help us create the final slide deck that allowed our study to move forward. We are so appreciative of how fast they worked.
— Senior Manager, Clinical Trials, Midsize Biotech -
Our partnership with Precision is a true textbook definition of a great collaboration between a sponsor and a CRO.
— Senior Director, Midsize Biotech -
We have been delighted with the experience level and work product from the entire project team – they feel like an extension of our internal team.
— Director, Midsize Pharma
Expert Leadership in Early Phase Development
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Nicholas Richardson, DO, MPH
Vice President, Clinical Development
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John McIntyre, PhD
Senior Director, Regulatory Strategy
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Fred Snikeris
Vice President, Biostatistics and Programming,
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Robert Bauer
Vice President, Operational Strategy,
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Ivan Barrera
Senior Medical Director
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Early Phase Clinical Successes
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Read Case Study
Case Study - EARLY PHASE DEVELOPMENT
Early Genotype Confirmation Rescued a Phase 1-2 SCID Trial
Read Case StudyA genotype-gated SCID rescue case study. Learn the pre-screen, caregiver, and telehealth tactics that kept timelines intact.
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Read Case Study
Case Study - EARLY PHASE DEVELOPMENT
Global Phase 1–2 ROS1 Inhibitor Case Study in NSCLC
Read Case StudyDiscover how Precision for Medicine achieved zero data issues across 60+ global sites in a first-in-human Phase 1–2 ROS1 inhibitor trial for NSCLC—highlighting a model of operational excellence, rapid site activation, and seamless phase transition.
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Read Case Study
Case Study - EARLY PHASE DEVELOPMENT
Swift Stabilization in Phase 1 Solid Tumor Rescue
Read Case StudyWhite-glove teamwork rescued a Phase 1 solid tumor trial—delivering on-time milestones and earning a second study award.
Frequently Asked Questions
How do you reduce risk in first‑in‑human and Phase 1 clinical trials?
Risk is reduced by aligning translational evidence, dose rationale, safety monitoring, and regulatory strategy before the protocol is finalized. Early integration across these disciplines helps anticipate inflection points, minimize protocol amendments, and avoid decisions that introduce downstream delays or regulatory friction as programs advance.
When should translational science and biomarkers be integrated into early phase development?
Translational science and biomarker planning should begin before first patient in. Early integration ensures endpoints are biologically meaningful, assays are fit‑for‑purpose, and samples are collected in ways that support early decision‑making. This alignment strengthens interpretation of safety, pharmacokinetics, and biological response during initial dose escalation.
How are early phase trials designed to support later‑stage development and regulatory confidence?
Early phase trials are designed with future phases in mind. That includes scalable operational models, statistically sound designs, and data packages aligned to regulatory expectations. Consistent endpoints, clear decision rationale, and high‑quality data standards allow Phase 1 and early Phase 2 insights to be leveraged confidently in later‑stage and registrational planning.
What makes early phase execution more complex in oncology and novel modalities?
Oncology and emerging modalities often involve narrow patient populations, biomarker‑defined cohorts, and complex safety considerations. Successful execution requires therapeutic expertise, experienced site networks, and operational models that support adaptive designs, real‑time data review, and careful dose escalation without compromising patient safety or data quality.
How do sponsors make confident decisions with limited early phase data?
Early phase data is often sparse and high‑impact. Integrated data review across clinical, biomarker, and statistical teams enables emerging signals to be evaluated in context. This approach supports timely dose adjustments, cohort expansion decisions, and informed go‑forward or stop decisions without overinterpreting immature results.
Can early phase programs be supported globally from the start?
Yes. Early phase programs increasingly benefit from global planning at initiation. With established operations across North America, Europe, LATAM, and APAC, trials can be launched where patients, expertise, and regulatory pathways align best. Early geographic flexibility helps avoid later rework and supports smoother expansion as development progresses.
Early Phase Development Resources
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