Palo Alto Health Labs
Service · Evidence

Clinical Study Design & Decentralized Trial Infrastructure

The evidence plan and the software that produces it, designed together: protocols, digital endpoints, eCOA/ePRO instruments, statistical analysis plans, and the decentralized trial infrastructure that links wearable and EHR data.

In short: Palo Alto Health Labs, led by Mike Hittle, PhD, provides clinical study design and decentralized trial infrastructure. The evidence plan and the software that produces it, designed together: protocols, digital endpoints, eCOA/ePRO instruments, statistical analysis plans, and the decentralized trial infrastructure that links wearable and EHR data. For this service, the format is design engagement or co-investigator role, typically 4–8 weeks for design, delivered as protocol inputs, analysis plan, data spec.

Format
Design engagement or co-investigator role
Typical length
4–8 weeks for design
Delivered as
Protocol inputs, analysis plan, data spec
Best for
Pilots, validation studies, DCTs

Who is clinical study design and decentralized trial infrastructure for?

Digital health companies that need evidence for a claim, a payer, or a regulator; pharma teams adding digital endpoints to a trial; and academic groups running multi-site or decentralized studies. Our founder holds a PhD in epidemiology and clinical research and has built the platforms behind remote clinical studies, so the design and the data capture are planned by the same person.

What does clinical study design and decentralized trial infrastructure include?

How does a clinical study design and decentralized trial infrastructure engagement run?

  1. Question and constraintsWhat the evidence must support, for whom, by when, and with what budget.
  2. DesignEndpoints, instruments, sample size, and analysis plan, iterated with your clinical leads.
  3. SpecificationData capture and infrastructure specification your engineers or ours can build.
  4. SupportOngoing scientific input through execution, as co-investigator where appropriate.

Frequently asked questions about clinical study design and decentralized trial infrastructure

Can you serve as a co-investigator?

Yes, where the study and the institution allow. For many engagements an advisory or design role is enough; for grant-funded studies a named co-investigator with the relevant expertise is often the better structure.

Do you run the study?

We design it and build or specify the infrastructure. Site operations, recruitment, and monitoring are usually run by you or a CRO; we can help select and manage the CRO.

What is the V3 framework?

A widely used framework for evaluating digital measures in three stages: verification of the sensor, analytical validation of the algorithm, and clinical validation of the measure against the clinical concept. We plan all three up front.

Related services

Scope it in 30 minutes

Book a scoping call and we'll name the smallest engagement that moves you forward. Most teams start with the fixed-scope Initial Audit.

Book a 30-min scoping call

Prefer to write? Send a short note.