At a Glance Why Tracescribe Operating Model Differentiators Experience Team Events Get in touch
Cardiovascular Only · Commercial CRO + Academic ARO

Driven by Science.
Dedicated to Heart.

The team that wins your trial is the team that runs it. A physician-led cardiovascular CRO across drug and device. The same senior cardiologists on every protocol from concept through database lock.

Founded 1997  ·  Cardiovascular Clinical Research  ·  Drug, Device & Combination
01Tracescribe at a Glance

Six decades of cardiovascular research. Forty-five trials. Nine thousand endpoints. One focus. Drug, device, and combination.

Most specialist CROs run drug or device. Tracescribe runs both, in cardiovascular only.

60+
Combined years
founder CV research
45+
Heart failure trials
in the last 20 years
9,000+
Adjudicated endpoints
across named CV trials
12+
Core-lab echo studies
read in-house
13
DSMB engagements
CV trial oversight
1997
Founded
Cardiovascular CRO
02The Thesis · Tracescribe Operating Philosophy

Cardiovascular trials fail at execution, not science. The people who win your trial should be the ones who run it, all the way through database lock.

After thirty years in this field, we built Tracescribe because no one else was doing it this way.

Founders · Tracescribe Research
03Why Tracescribe Exists · The Execution Gap

Every year, promising cardiac therapies fail. Not because the science was wrong, but because the execution was.

01 / Team Rotation

The A-team vanishes.

The scientists who win your business disappear after kickoff, replaced by junior associates learning your protocol on the fly.

02 / Late Biostats

Statistics arrive too late.

Biostatisticians join at database lock rather than protocol concept, spending months untangling what should have been designed correctly from the start.

03 / Scope Creep

Budgets become change orders.

Conservative budgets turn into change orders. Timelines slip. Your PDUFA date moves.

04Positioning · ARO + CRO

The thought leaders and site relationships of an ARO, with the client focus and scale of a commercial CRO. One team.

A commercial CRO gives you speed, technology, and scale. An academic research organization gives you thought leaders who are the actual principal investigators, plus the site relationships that come with them. Tracescribe gives you both.

Commercial CRO
  • Responsiveness & innovation
  • Technology & data integrity
  • Client focus & scale
Tracescribe ARO + CRO

Our mission = your goals.
No rotation. No handoffs.

Academic ARO
  • Thought leaders = principals
  • Site & investigator relationships
  • Academic rigor
05The Tracescribe Operating Model

What changes when cardiovascular work stays in-house. Four principles. No exceptions.

No layers between you and the people doing the work. Fast, and shaped around your program.

01

Cardiologists on Every Protocol

Senior cardiologists engage from protocol concept through database lock. Not as advisors, as decision-makers.

02

Biometrics Built In

Data management, medical coding, and SAP and mock-shell development in-house, with statistical programming delivered to support sponsor needs.

03

Adjudication In-House

Blinded independent CEC adjudication performed by Tracescribe cardiologists. Chain of custody from CRF to database stays inside Tracescribe. No subcontractors.

04

Core Lab Reads Images

Echo, hemodynamic, MRI, SPECT, and PET read in-house by Tracescribe. Not stored. Not shipped to a vendor. Read by people Tracescribe employs.

06Full-Service Capabilities

From development strategy to database lock, the full scope of a cardiovascular trial. All in-house.

Eight capability areas, delivered by one cardiovascular team. No subcontractors between you and the work.

01

Clinical Development Strategy

Endpoints and protocol concept set with cardiologists who have served on FDA advisory panels.

02

Trial Planning & Design

Adaptive and Bayesian designs, dual-region strategy, and mock shells built before first patient in.

03

Clinical Operations

Monitoring and conduct led by directors, with the same senior team from first visit to last.

04

Data Management

Database build, medical coding, and external data streams reconciled in-house through lock.

05

Pharmacovigilance & Safety

Case processing and safety surveillance, coordinated with DSMB oversight and blinded event adjudication.

06

Trial Analytics

Interim analyses and DSMB data packages, plus milestone reporting sponsors can act on.

07

Biostatistics

SAP locked before database lock. Programming specs, QC, and timelines stay inside Tracescribe.

08

Core Laboratory Services

Echo, hemodynamic, MRI, SPECT, and PET, with intra- and inter-reader variability in every read.

07Differentiator · Adjudication

Blinded. Adjudicated. Defensible.

Most CROs subcontract cardiovascular endpoint adjudication to external CEC vendors. Tracescribe does not. The firm sponsors trust to deliver the data also stands behind the adjudication of its events.

9,000+
CV endpoints adjudicated in-house · across named CV trials
Tracescribe · In-House
CRF CEC Review Database

Single chain of custody. Same team. No handoffs.

Typical CRO · Subcontracted
CRF External CEC Vendor CRO Database

Handoffs. Vendor disputes. Chain of custody breaks.

01

Event triggered

Flagged case routed for adjudication.

02

Package built

De-identified. Treatment blinded.

03

Blinded review

Two-reviewer minimum, third for disagreement.

04

Classified

Coded to endpoint definitions. Audit trail preserved.

05

Locked

Transmitted to biostats. Reopened only by amendment.

Recent Cardiac amyloidosis · CEC · 250+ events Federally-funded program · CEC · ~2,300 patient pool HFpEF · DSMB Refractory angina · DSMB
08Differentiator · Time-to-Decision

From last patient to topline. 35 days.

Three workstreams. One coordinated team. CRA, data management, and biostatistics run concurrently from LPLV. Programming coordination begins five days before lock.

LPLV
Day 10
Day 20
DBL · Day 30
Topline · Day 35

Parallel, not sequential

CRA, DM, and biostats workstreams run concurrently from LPLV. Programming coordination begins five days before lock.

Senior PM in the room

Directors review every milestone. No junior project manager translating between sponsor, sites, and biostats.

Vendor coordination owned by Tracescribe

Statistical programming vendor managed by Tracescribe biometrics. Specs, QC, and timeline accountability stay inside Tracescribe.

09Differentiator · Core Laboratory

Five modalities. One core lab.

Echo, hemodynamic catheterization, MRI, SPECT, and PET. Operated as a central core lab, in-house, for a decade. Not stored. Not subcontracted. Read by people Tracescribe employs.

13
Imaging-led trials
5
Modalities operated
~1,750
Patients imaged
10y
Continuous core-lab work
Echo
10
Hemodynamic
4
MRI
4
SPECT
3
PET · ¹⁵O-H₂O
1
Marquee Engagement · Multi-Modality Core Lab

In a Phase 2 cell-therapy program, Tracescribe ran echo, MRI, and SPECT on the same 220 patients across 20 sites, capturing function, structure, and perfusion together. Core Lab Operations are led by our Director of Core Laboratory Operations. Cardiac PET reads are underway on an active multi-region CAD program.

10Founders · Founded 1997

Two physicians. Six decades of cardiovascular research, academic medicine, and FDA collaboration.

Founder & Chief Scientific Officer, M.D.

Heart Failure & Cardiorenal

30+ YEARS · HEART FAILURE & CARDIORENAL

  • Leadership  Senior cardiology leadership at an academic medical center · Heart-failure society leadership
  • Academic  Professor of Medicine & Radiology at an academic medical center
  • Regulatory  Multiple FDA advisory panels · Close work with CDER & CDRH

Founder & Chief Medical Officer, M.D.

Nuclear Cardiology & Imaging

30+ YEARS · NUCLEAR CARDIOLOGY & IMAGING

  • Leadership  Chief of Cardiology & Director of Nuclear Cardiology at an academic medical center · Nuclear cardiology society leadership
  • Academic  Professor of Medicine & Radiology · Associate Editor, a leading cardiology journal
  • Regulatory  Former member, FDA medical imaging advisory committee · Ad-hoc cardio-renal panels
11Case Study · Rare Cardiomyopathy · Phase 2

Phase 2 cardiology. Delivered through COVID.

A first-in-population Phase 2 in a rare cardiomyopathy, run through the pandemic. A tightly defined population. Four external data streams. A protocol run like a pivotal.

90%+
Study completion
30d
Database-lock target met
4
External data streams
100%
Source data verification
Protocol locked Enrolled through COVID Through Omicron Last subject in SAP lock → DBL

Multiple blinded core labs plus central biomarker and PK, all in on time. 100% SDV. A Phase 2 run like a pivotal: dual-region regulatory engagement, 1:1 randomization, SAP locked before database lock.

12Selected Engagements · By Therapeutic Area

Trusted across the cardiovascular landscape.

Drug, device, biologic, and diagnostic programs · Phase I through pivotal · Single engagements through multi-year partnerships.

13Experience · Cardiovascular Trial Portfolio

Heart failure is half of everything Tracescribe has done. Every subtype. Every phase.

9
HF drug programs · Phase I–IV
6,200+
Patients enrolled
250
Sites · largest single trial
Vasopressin antagonistsBeta-blockersAldosterone antagonistsSC diureticsInteratrial shunt

Among them, one of the largest heart failure trials in Tracescribe history: 4,000+ patients across 250 global sites.

7
HF device programs · pivotal–Ph IV
5yr
Longest continuous conduct
NA + EU
Multi-region implant trials
Implantable neurostimulationInteratrial shuntCardiac restraintFluid managementImplantable monitoring

Including a Phase 3 pivotal implant trial: adaptive Bayesian design, NA + EU, run for five years through COVID with no conduct issues.

11
CEC trials adjudicated
9,000+
Endpoints adjudicated in-house
13
DSMB engagements
Heart failureCardiac amyloidosisPost-MIWomen's CV healthCell therapyCardiorenal

9,000+ cardiovascular endpoints adjudicated in-house across legacy pivotal trials and current programs. Single chain of custody, blinded, defensible.

14How to Engage · The People in the Room

From first conversation through database lock. The people in the room.

Founder & Chief Scientific Officer, M.D.

Heart Failure & Cardiorenal

Founder & Chief Medical Officer, M.D.

Nuclear Cardiology & Imaging

Chief Executive Officer, Ph.D.

Operations & Delivery

Medical Director, M.D.

Clinical & Core Lab

Director, Project Delivery

Clinical Operations

Director, Core Laboratory Operations

Imaging & Core Lab
15Where to Find Us · 2026

You'll find the senior team at the year's major cardiovascular meetings.

From Frankfurt to San Diego, we're at the congresses where cardiovascular research gets presented and debated. If you'll be there, let's meet.

How to Engage

Let's talk about your cardiovascular trial.

From first conversation through database lock. Tell us about your program and we'll get the right people in the room.