SearchClinical Development

Ask the Study

AI search for clinical trial documents and study data — every answer with its source

Ask any question about a study in plain words and get the answer in seconds, with the source shown.

See one case, screen by screen ↓
demo8.8sto a cited answer on who still needs re-consent for Amendment 3, across 88 sites
demo6sourcescited in that answer — Amendment 3, the monitoring plan, CTMS ethics approvals, two EDC pages and the CRAs’ tracker
target8.3smedian to a cited answer
target87%of follow-ups created from answers closed
The problem

Why one study-wide question still takes days

“Which sites still need re-consent for Amendment 3?” sounds like one question. To answer it, a study manager reads the amendment for the rule, pulls ethics approval status from CTMS, pulls the informed consent page and visit dates from EDC, and checks all of it against the re-consent tracker the CRAs keep in a spreadsheet — which is already a few days old.

The answer sits across documents and data in different systems, and they do not always agree. So the number reported to the team is either late or unchecked, the gap behind it goes unexplained, and the actions for each site’s CRA are written up by hand afterwards.

target≈45minto answer a typical study question by hand
estimated30–60minsaved on each question that crosses documents and data
Where a study-wide re-consent check’s days goestimated
By hand2 days
With the solution0.3 days
  • Finding the rule in the amendment and the monitoring plan0.3 → 0.1 d
  • Pulling ethics approvals from CTMS0.3 → 0.1 d
  • Pulling consent and visit data from EDC0.5 → 0.1 d
  • Reconciling with the CRAs’ tracker0.5 → 0.1 d
  • Raising actions with each site’s CRA0.5 → 0.1 d

Our estimate, not a measurement: one study-wide re-consent check across 88 sites, by hand and with the solution, including the person’s own checks.

How it works

How a question moves

Six specialist agents route, read, query, cross-check, answer and plan follow-ups; the study manager checks what matters.

What comes in
Question inPlain words · documents, study data, trackers
Agents at work
Question routerdocuments, data or both
Then
Study document reader
Study data analyst
Then
Cross-checkersources agree, blind kept
Then
Answer writer
Follow-up planner
A person decides
Study managerchecks and files
What comes out
Cited answer
Tables and charts
Follow-up tasks
One case, step by step

One question, from asked to filed in the TMF

VLT-302 is a Phase 3 study in plaque psoriasis: 88 sites in 11 countries, Protocol v4.0, Amendment 3 just approved. Here is one morning’s question, screen by screen, in the working solution.

  1. 01Morning

    The study as it stands, re-answered at 06:30

    Lena Ortiz · Study manager

    Lena opens Home. Her standing questions were re-answered after the CTMS and EDC extracts arrived: 67 participants still to re-consent for Amendment 3, 12 fewer than yesterday; 74 open queries older than 30 days; 512 of 540 randomised against plan. “Needs you” holds four items, one marked “Sources disagree”.

    “Blinded data only · your site access”

  2. 02One question

    Asked in plain words

    Lena Ortiz · Study manager

    She types “Which sites still need re-consent for Amendment 3?” and presses Ask. Five specialists take it in turn, each step shown as it runs: the question router picks documents and data, the document reader reads 12 passages, the data analyst runs one query over 3 extracts and 167 rows, and the cross-checker compares the result with a second source.

  3. 038.8 seconds later

    The number first, every claim cited

    Answer writer

    67 participants at 7 sites still need to sign consent form v5.0. 81 of 88 sites have ethics approval, and at those sites 371 of 438 participants on study have signed. 14 participants are overdue — they had a visit after approval without signing — at Site 214 Warsaw, 131 Leeds and 305 Valencia. Seven sites are still waiting for their ethics committee.

    Confidence 0.94 · 6 sources · answered from documents and data

  4. 04One click

    The exact passage behind the rule

    Study document reader

    Citation 1 opens Amendment 3’s summary of changes at page 4, section 3, Informed consent, with the sentence highlighted: re-consent at the participant’s next scheduled visit following IRB/IEC approval, and before any procedure added by the amendment. The data citations open the CTMS and EDC rows they rest on.

  5. 05Cross-checked

    Two sources disagree — and the difference is explained

    Cross-checker

    The CRAs’ re-consent tracker, updated 3 Oct, shows 64 outstanding; EDC shows 67. Three participants at Site 214 signed v5.0 on paper on 6 Oct and are not yet entered in EDC. The answer uses EDC, says so, and lists the three as a follow-up.

    The cross-checker never hides a disagreement; an unexplained gap goes to a person.

  6. 06Shown

    How it was worked out, step by step

    Study data analyst

    Six plain-language steps — find the rule, sites with approval, who is on study, which consent they signed, who is overdue, cross-check — each with its citation. Below them, the read-only query that produced the numbers, run on this morning’s blinded extracts with Lena’s site access.

    “Nothing in CTMS or EDC can be changed from here.”

  7. 07Proposed

    Five follow-ups, for the right CRAs

    Follow-up planner

    Re-consent 6 overdue participants at Site 214 before any further study procedure, 5 at Site 131 and 3 at Site 305; enter the 3 paper signatures in EDC; chase ethics approval at 7 sites. Owners are the site CRAs and due dates the next visit; the ethics chase stays with Lena. Lena ticks them and presses Create — Priya Raman, Sam Patel, Elena Vidal and she are notified.

    The planner only proposes. A person creates the follow-ups.

  8. 08Checked and filed

    Checked, signed, and a study record

    Lena Ortiz · Study manager

    Lena marks the answer as checked, then files it to the TMF at 01.01 Trial oversight as a study note, with the data timestamp — CTMS 06:00, EDC 05:30. She signs with her password and the meaning of the signature: “I confirm this answer is accurate for the data stated”.

    Answers are working notes until a person files them to the TMF.

  9. 09Same morning

    On the board, traced to the question

    Priya Raman · CRA

    Priya’s new actions sit in To do — re-consent 6 participants at Site 214 by Oct 9, enter the 3 paper signatures by Oct 8 — each marked “from Q-1042”, next to the work already in progress and done.

Who it’s for

Built for everyone who runs the study.

The same study, seen by the people who carry it day to day — what their week looked like, and what it looks like now.

LO
Lena OrtizStudy manager, VLT-302
Study manager
Before
Spends the morning pulling CTMS and EDC extracts and reconciling them with the CRAs’ trackers to answer one question.
Now
Reads her standing questions at 06:30, checks the answers that need her, and files the ones that matter to the TMF.
PR
Priya RamanCRA · Poland, Germany
CRA
Before
Hears about overdue re-consents from an email thread, with the participant list still to be worked out.
Now
Gets the actions for her own sites on the board, with due dates and the question each came from.
MC
Dr. Maya ChenMedical monitor
Medical monitor
Before
Answers the same dosing and safety-reporting questions from sites again and again.
Now
Checks medical answers quoted from the protocol and her own FAQ, and sees every question the team has asked.
OH
Omar HaddadData management lead
Data management
Before
Fields one-off data pulls from every function, each with its own spreadsheet.
Now
Sees every data answer carry the read-only query and the rows it used.
Built on the engine

6 agents. Each with one job, and hard limits.

Six specialist agents route, read, query, cross-check, answer and plan follow-ups; the study manager checks what matters.

Question router

Reads the question, decides whether it needs documents, data or both, and picks the smallest set of study sources that can answer it.

  • Blinded sources only — never routes to unblinded sources
  • The asker’s site access is always applied
Study document reader

Searches the protocol, amendments, plans, manuals, minutes and decisions, and returns the exact passages with document, version, page and section.

  • Every statement cites a passage
  • Current versions first; a superseded version only when asked to compare, and flagged
Study data analyst

Writes one read-only query per question over this morning’s CTMS, EDC and blinded IRT extracts, explains each step in plain words and returns the rows used.

  • Read-only
  • Blinded views only
  • Row-level site access
Cross-checker

Compares every number with a second source where one exists — tracker against EDC, monitoring reports against logs — and explains any difference.

  • Never hides a disagreement
  • Confidence below 0.90 goes to a person
Answer writer

Writes the plain-words answer: the number first, one short paragraph with numbered citations, and a table or chart when the answer has more than three rows.

  • Plain words
  • No claim without a citation
Follow-up planner

Turns an answer into proposed actions where it shows a gap — the site’s CRA as owner, the due date from the next visit or the plan’s deadline.

  • Proposes only — a person creates
  • Every action links its question
Study manager

Checks and files. The agents propose; a named person decides.

Ask in plain words

Ask it in plain words

Anyone on the study team can ask about VLT-302, or tell it what to change. Every answer shows where it came from.

Which sites still need re-consent for Amendment 3?

67 participants at 7 sites still need to sign ICF v5.0; 14 are overdue at three sites — 214 Warsaw (6), 131 Leeds (5) and 305 Valencia (3). Seven sites are still waiting for ethics approval.

Pin late SAE reports as a standing question

Done — “Serious adverse events reported later than 24 hours, this quarter” is now a standing question on Home, re-answered every morning at 06:30 from the protocol and the EDC SAE form. Today’s answer: 2 of 41, both at Site 121.

Show me the answers that need my check

Three answers are waiting for you: the consent-deviation count where sources disagree (Q-1043), the Week 16 window (Q-1041) and the temperature excursions (Q-1036).

Create a follow-up for the paper signatures at Site 214

Created: “Enter the 3 paper signatures from 6 Oct in EDC” for Priya Raman, Site 214, due Oct 8 — linked to Q-1042. Priya has been told by email.

Every screen

The working solution, as it ships.

13 screens from the working solution, on its sample data. Pick one to see it large.

HomeThe morning brief: standing questions re-answered at 06:30, answers that need the study manager, and the team’s follow-ups.
Every questionEvery question asked about the study: who asked it, whether it was answered from documents, data or both, the confidence and its status.
Specialists at workThe router, document reader, data analyst, cross-checker and answer writer, each step timed as it runs.
The cited answerThe headline numbers, one paragraph with numbered citations, and the site table — blinded data only.
The source passageAny citation opens the document at the page and section, with the sentence the answer rests on highlighted.
Sources comparedTracker against EDC: both numbers, the reason they differ, and the follow-ups proposed for each CRA.
How it was worked outPlain-language steps with citations, and the read-only query that produced the numbers.
Follow-ups createdFive actions created from the answer, with owners and due dates, and the owners notified.
Filed to the TMFFiling a checked answer as a study note at TMF 01.01, with the data timestamp, the meaning of the signature and a password.
The follow-ups boardTo do, in progress and done — every action traced back to the question that raised it.
Study sources1,284 documents indexed, 9 data extracts, superseded versions held back and unblinded sources never read.
The dashboardQuestions answered, median time to answer, where answers came from, what the team asks about and who is asking.
Your study’s rulesStudies connected, how answers are given, the confidence threshold, site access and filing to the TMF.
Governance

Built for blinded, regulated studies: cited, checked, signed.

The blind is keptTreatment arm, kit-to-arm and closed-session sources are never read. A blinding guard strips unblinded fields from every extract before an agent sees it, and the setting is locked on.
Read-only, in placeDocuments are read where they live and data from read-only extracts. Nothing in CTMS or EDC can be changed from the solution.
Each person sees their own sitesData answers are filtered to the asker’s site access in CTMS, so a CRA’s answer covers only the sites that CRA monitors.
Every answer cites its sourceNumbered citations open the exact passage — document, version, page and section — or the rows used, with the read-only query one click away.
Disagreements go to a personWhen sources disagree, the answer gives both numbers and the reason. An answer below 0.90 confidence, or with a gap nobody can explain, is marked “Needs your check”.
Filed with a signatureAnswers are working notes until a person files them. Filing to the TMF needs an e-signature with its meaning, and every question, check, filing and agent step is on the audit trail.
Configuration

Your study’s rules, not ours

What the assistant may read, how it answers and who can see what are settings.

SettingDefaultChoose from
Use superseded document versionsOnly to compareOnly to compare · Never
Answer below this confidence goes to a person0.900.80 · 0.85 · 0.90
Never read unblinded dataOnLocked on
Show the steps and query behind data answersOnOn · Off
Flag when sources disagreeOnOn · Off
CRAs see only their own sites’ dataOnOn · Off
Filing an answer to the TMFStudy managerStudy manager · Study manager or medical monitor
Re-answer standing questions every morning at06:3006:30 · 07:00 · 08:00
Connections

Works with the systems your study already runs on

Trial master fileprotocol, amendments, consent forms, plans, manuals, minutes
CTMSsites, ethics approvals, enrolment, deviation log
EDCconsent pages, visits, queries, SAE forms
IRTblinded fields only — randomisation and drug supply
Team trackersthe CRAs’ re-consent tracker and other spreadsheets
Emailfollow-up owners told when an action is created
What it changes

The difference, in numbers.

Every figure is labelled: a target the solution is built to, an estimate, a typical published result, or a proven one.

target
8.3s
median to a cited answer
By hand≈ 45 min
With agents8.3 s
estimated
30–60min
saved per question that crosses documents and data
target
87%
of follow-ups created from answers closed
172 of 198 closed

“demo” = seen in the working solution, on its sample study data · “target” = the design goal, measured in the live solution · “estimated” = an estimate, before measurement; the split of days is ours · time by hand = study-team estimate · context: ICH E6(R3). People, companies and products named on this page are fictional — characters and sample data in the working solution.

Questions

What clinical operations teams ask us.

What is Ask the Study?

A search and analytics assistant for a clinical study. It answers questions in plain words from the study’s documents — protocol, amendments, plans, manuals, minutes — and from daily CTMS, EDC and blinded IRT extracts and team trackers, with a citation or the query behind every number. It can also propose follow-up tasks for the site CRAs.

How does it answer questions that need both documents and data?

A router decides whether a question needs documents, data or both. The document reader finds the rule — for example the re-consent requirement in Amendment 3 — and the data analyst runs a read-only query over the extracts to apply it. A cross-checker then compares the result with a second source, such as the CRAs’ tracker, before the answer is written.

Does it keep the study blind?

Yes. Treatment arm, kit-to-arm and closed-session sources are never read, IRT is read through blinded fields only, and a blinding guard strips unblinded fields from every extract before an agent sees it. The setting is locked on.

Can a CRA see other sites’ data?

Not when “CRAs see only their own sites’ data” is on: data answers are filtered to the asker’s site access in CTMS. Every answer states whose site access it was answered with.

What happens when the tracker and EDC disagree?

The answer gives both numbers and the reason they differ — in the example, 3 paper signatures not yet entered in EDC — and proposes a follow-up to close the gap. If the difference cannot be explained, or confidence is below the threshold, the answer goes to “Needs your check”.

Do people stay in control?

Yes. Answers are working notes until a person files them to the TMF with an e-signature. The follow-up planner only proposes actions; a person creates them. Every question, check, filing and agent step is on the audit trail.

Can we use it across several studies?

Yes. In the working solution three studies are connected — VLT-302, NXL-115 and CRV-210 — each with its own documents and sources, and each can be switched on or off in Settings.

How long does it take to go live?

The Agentic Solution Engine builds and deploys it from your requirements and documents — your protocol, plans, TMF index and a sample of your study extracts — and it goes live once every quality gate has passed. We will walk you through it on your own study first.

See it on
your studies.

We’ll run Ask the Study on your own protocol, plans and a sample of your study extracts.