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Stratwell Consulting Logo

Your Clinical Trial Is 6 Months Behind.

Your Investors Are Getting Nervous.

We Fix This.

Your Clinical Trial Is 6 Months Behind.

Your Investors Are Getting Nervous.

We Fix This.

Your Clinical Trial Is 6 Months Behind.

Your Investors
Are Getting Nervous.

We Fix This.

Clinical execution partners for digital health companies navigating FDA clearance.

We've managed 50+ trials from protocol design through submission.

Clinical execution partners for digital health companies navigating FDA clearance.

We've managed 50+ trials from protocol design through submission.

Clinical execution partners for digital health companies navigating FDA clearance.

We've managed 50+ trials from protocol design through submission.

Reserve Your Strategy Session

You Just Raised Funding. Now What?

Your board expects FDA clearance within 18 months.

Traditional CROs quote $3-5M for 12-18 month timelines. Six months in, enrollment tracks at 15% of target. Sites underperform. Change orders accumulate. Your monthly burn climbs while progress stalls.

The problem isn't your technology—it's execution.

Most CROs are optimized for pharmaceutical trials. They lack experience with Software as a Medical Device, algorithm validation, and digital endpoints. You end up managing the CRO yourself while building your company.

There's a better approach: Partner with a team that has guided 30+ digital health companies through FDA clearance.

You Just Raised Funding. Now What?

Your board expects FDA clearance within 18 months.

Traditional CROs quote $3-5M for 12-18 month timelines. Six months in, enrollment tracks at 15% of target. Sites underperform. Change orders accumulate. Your monthly burn climbs while progress stalls.

The problem isn't your technology—it's execution.

Most CROs are optimized for pharmaceutical trials. They lack experience with Software as a Medical Device, algorithm validation, and digital endpoints. You end up managing the CRO yourself while building your company.

There's a better approach: Partner with a team that has guided 30+ digital health companies through FDA clearance.

Our Goal Image
Our Goal Image

Our Approach

Our Approach

Our Approach

We excute clinical programs across three phases

Our Goal Image
Our Goal Image
Our Goal Image

Phase 1: Assessment

Comprehensive evaluation of your clinical and regulatory approach.

Scope:

  • Technology assessment and clinical claims validation

  • Regulatory pathway determination (510(k), De Novo, PMA)

  • Protocol feasibility analysis

  • CRO landscape evaluation

  • Risk identification and mitigation strategy

  • Budget and timeline development

  • Go/no-go recommendation with rationale

Phase 2: Clinical Execution

End-to-end clinical program management from protocol development through data lock.

Scope:

  • CRO selection, contracting, and ongoing management

  • Protocol development and IRB submission strategy

  • Site identification, qualification, and activation

  • Enrollment monitoring and performance optimization

  • Data collection oversight and quality assurance

  • Regulatory correspondence and strategy

  • Weekly executive reporting and board presentation support

  • Real-time issue resolution and protocol amendments

Phase 3: FDA Clearance

FDA submission preparation and clearance pathway management.

Scope:

  • 510(k) or De Novo submission preparation

  • Clinical data analysis and reporting

  • FDA Pre-Sub meeting strategy (when applicable)

  • Submission quality review and filing

  • FDA question response and deficiency management

  • Additional testing coordination (if required)

  • Clearance timeline management and investor communication

Case Studies

Case Studies

Case Studies

FDA Clearance

Trial Rescue & Restructuring

Well-Funded Startup

From Disaster to FDA Clearance in Under a Year

A digital health startup was 14 months into their clinical trial with

a mid-sized CRO. Enrollment was at 40% of target. Budget had blown past the original plan.

Their investors were losing patience.

We audited the trial in week 1, restructured everything in month 1-2, and got them FDA cleared in 10 months. Next funding round closed two months after clearance.

FDA Clearance

Trial Rescue & Restructuring

Well-Funded Startup

From Disaster to FDA Clearance in Under a Year

A digital health startup was 14 months into their clinical trial with

a mid-sized CRO. Enrollment was at 40% of target. Budget had blown past the original plan.

Their investors were losing patience.

We audited the trial in week 1, restructured everything in month 1-2, and got them FDA cleared in 10 months. Next funding round closed two months after clearance.

FDA Clearance

Trial Rescue & Restructuring

Well-Funded Startup

From Disaster to FDA Clearance in Under a Year

A digital health startup was 14 months into their clinical trial with

a mid-sized CRO. Enrollment was at 40% of target. Budget had blown past the original plan.

Their investors were losing patience.

We audited the trial in week 1, restructured everything in month 1-2, and got them FDA cleared in 10 months. Next funding round closed two months after clearance.

Finacial Strategy for e-commerce

Protocol Review + FDA Pre-Sub Prep

Funded, Pre-Trial

They Almost Wasted $1.8M on a Protocol That Would Have Failed FDA Review

A digital health startup was weeks from signing a $1.8M CRO contract.

The protocol looked professional. It had five fatal flaws that would have led to FDA rejection.

We caught them before they started. Fixed the protocol in 8 weeks.

Got FDA's written confirmation. Saved them 12+ months and significant cost.

Finacial Strategy for e-commerce

Protocol Review + FDA Pre-Sub Prep

Funded, Pre-Trial

They Almost Wasted $1.8M on a Protocol That Would Have Failed FDA Review

A digital health startup was weeks from signing a $1.8M CRO contract.

The protocol looked professional. It had five fatal flaws that would have led to FDA rejection.

We caught them before they started. Fixed the protocol in 8 weeks.

Got FDA's written confirmation. Saved them 12+ months and significant cost.

Finacial Strategy for e-commerce

Protocol Review + FDA Pre-Sub Prep

Funded, Pre-Trial

They Almost Wasted $1.8M on a Protocol That Would Have Failed FDA Review

A digital health startup was weeks from signing a $1.8M CRO contract.

The protocol looked professional. It had five fatal flaws that would have led to FDA rejection.

We caught them before they started. Fixed the protocol in 8 weeks.

Got FDA's written confirmation. Saved them 12+ months and significant cost.

510k Regulatory Strategy

FDA Submission Strategy & Management

Post-Trial, Pre-Submission

Their Trial Data Was Good. Their Submission Strategy Was a Mess. We Got Them Cleared in 5 Months.

A digital health company finished their clinical trial with strong data. But they had no idea how to package it for FDA. Their internal team was all engineers—no regulatory experience.We stepped in, prepped the 510(k) submission, anticipated FDA's questions, and got them cleared in 5 months with minimal back-and-forth.

510k Regulatory Strategy

FDA Submission Strategy & Management

Post-Trial, Pre-Submission

Their Trial Data Was Good. Their Submission Strategy Was a Mess. We Got Them Cleared in 5 Months.

A digital health company finished their clinical trial with strong data. But they had no idea how to package it for FDA. Their internal team was all engineers—no regulatory experience.We stepped in, prepped the 510(k) submission, anticipated FDA's questions, and got them cleared in 5 months with minimal back-and-forth.

510k Regulatory Strategy

FDA Submission Strategy & Management

Post-Trial, Pre-Submission

Their Trial Data Was Good. Their Submission Strategy Was a Mess. We Got Them Cleared in 5 Months.

A digital health company finished their clinical trial with strong data. But they had no idea how to package it for FDA. Their internal team was all engineers—no regulatory experience.We stepped in, prepped the 510(k) submission, anticipated FDA's questions, and got them cleared in 5 months with minimal back-and-forth.

Before You Sign that CRO Contract

Reserve Your Strategy Session

We’ll pinpoint opportunities to accelerate execution, improve efficiency, and ensure your study stays on track

Reserve Your Strategy Session

Before You Sign that CRO Contract

Reserve Your Strategy Session

We’ll pinpoint opportunities to accelerate execution, improve efficiency, and ensure your study stays on track

Reserve Your Strategy Session

Before You Sign that CRO Contract

Reserve Your Strategy Session

We’ll pinpoint opportunities to accelerate execution, improve efficiency, and ensure your study stays on track

Reserve Your Strategy Session