Faultline Labs
Digital CRO

A Faultline Labs Venture

Building the AI backbone for next-generation CROs

Traditional CROs are large, expensive, inefficient. A new generation of digital CROs is emerging—leaner, AI-powered, tech-driven. Faultline Labs builds the software that powers them.

What is a Digital CRO?

A tech-driven Contract Research Organization with a machine learning system at its core

The traditional CRO model

Traditional CROs are massive—thousands of employees handling trial operations manually. Expensive, slow to adapt, inefficient by design. Studies take years, costs balloon.

High overhead

Large teams, manual processes

Slow execution

Years-long timelines

Limited innovation

Status quo technology

The next generation: Digital CROs

A new breed is emerging—built on AI from the ground up. Digital CROs run leaner teams, move faster, deliver better outcomes with ML at the center.

Instead of throwing people at problems, digital CROs use AI co-pilots to augment the workforce. CRAs manage more sites with fewer misses. Quality teams catch issues sooner. Participants stay engaged through automated touchpoints. Faster trials, lower costs, higher quality.

Leaner teams

AI augments the workforce

Faster execution

Automated operations

Better outcomes

Data-driven decisions

Faultline Labs is building the tools

The AI-driven software backbone for next-generation digital CROs

Faultline's product-building prowess applied to healthcare. Not building a CRO—building the software platform that makes digital CROs possible. The operating system for AI-powered clinical operations.

Approach:

AI co-pilots for the workforce

CRAs, site coordinators, quality teams—augmented with task-specific agents

Human-in-the-loop by design

Agents handle critical work, humans own consequential decisions

Built for regulated environments

Audit trails, compliance controls, privacy-by-design from day one

Modular and composable

Start with one module, add more over time as you prove value

This is an ongoing venture project at Faultline Labs. As the digital CRO market matures, we're building the software infrastructure that will power this transformation.

The AI toolbox

Modular co-pilots—deploy individually or combine over time

Core Module
Quality & Risk Co-pilot
Quality & Risk Management

Catch issues earlier, fix them faster. Agentic triage for eTMF and data queries, risk signal detection, and next-best actions with full audit trails. Quality up, rework down.

  • eTMF QA triage and risk detection
  • Data query consolidation
  • Next best actions with auditability
Training & Coaching
Interactive Enablement

Interactive training that is situationally aware, auto-generated to support the protocol, your SOPs, and your culture.

  • Reinforced by copilots via every-day mentoring and coaching.
  • Real-time evaluation and role-playing
  • Multi-media
Retention & Engagement
Mobile + Voice

Keep participants in protocol through timely touchpoints. In-app messaging and voice for reminders, visit nudges, support—without call-center overhead.

  • Contextual in-app messaging
  • Voice touchpoints for reminders
  • Symptom journaling and device prompts
Market Access
Later Stage

Bridge from approval to adoption. Evidence packaging and payer-ready summaries when trials near completion.

  • Regulatory submission summaries
  • Payer dossier preparation

Who we partner with

Three types of organizations building digital CROs

Large CROs testing digital
Skunkworks → Scale

Carve out a digital lane, pilot with 1-2 studies, measure uplift, scale across the org.

New digital-first CROs
Built AI-first from day one

Launching a CRO on top of an existing site network? Start with the agentic core and mobile channel built in.

Mid/Small CROs modernizing
Incremental transformation

Replace manual handoffs first, add modules over time. Start where it hurts most, expand as you prove value.

Partnership model

Discover → Pilot → Scale

1
Discover
Map the opportunity

Map workflows, identify bottlenecks, find where AI co-pilots create the most value.

2
Pilot
8-12 weeks

Deploy one module with clear success metrics. Test with real users, measure outcomes, iterate.

3
Scale
Expand and integrate

Roll out successful modules, add new capabilities, integrate with existing systems, optimize continuously.

Built for regulated environments

Built for FDA-regulated workflows: human approvals for consequential decisions, complete audit trails, role-based controls, privacy-by-design architecture.

Human-in-the-loop for consequential decisions
Complete audit trails
Role-based access controls
Privacy-by-design architecture

Building a digital CRO?

Bring a real study or workflow. We'll map the opportunity—45 minutes.