Accelerating the clinical trial lifecycle, from study build to database lock

Castor’s AI platform deploys studies in under 4 weeks, cuts data entry time by 80%, and resolves queries 92% faster. Human-in-the-loop oversight at every step.

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Three places your trial bleeds time before a single patient is locked

The delays are predictable. Most of them are preventable.

Study setup consumes your first 16 weeks

Protocol-to-first-patient timelines stretch because UAT is manual, translation reviews are sequential, and test environment configuration requires weeks of back-and-forth. The industry standard is 12-16 weeks of setup before a single patient is enrolled.

Manual abstraction drains 30% of study budgets

Extracting regulatory-grade variables from unstructured records for FDA submissions, 510(k) filings, and external control arms requires large teams working for months. Every chart review study carries this cost by default.

Query cycles block database lock for months

Errors found at the end of a study take weeks to resolve. Most sites batch their data review, so discrepancies that could have been caught at entry compound into query backlogs that push lock dates by weeks or months.

What AI in clinical trials actually does

AI in clinical trials is more than workflow automation. Agentic AI plans, acts, and adapts across the entire trial lifecycle. It reads protocols, configures environments, extracts data from unstructured records, and flags anomalies in real time.

Castor uses AI in three distinct ways: accelerating study build and UAT, automating intelligent data extraction and validation, and detecting data errors before they become query backlogs. The key principle across all three is human-in-the-loop oversight at every critical decision point.

  • Configures and tests study environments using AI Time Travel UAT
  • Extracts regulatory-grade variables from unstructured records with confidence scoring
  • Translates eCOA instruments into 20+ languages concurrently
  • Detects data anomalies at point of entry to prevent query accumulation

1

Observe

Ingest study protocols, patient records, site data, and eCOA entries across all channels

2

Plan

Identify the required configurations, variables, or anomaly checks for this specific protocol and data standard

3

Act

Execute the workflow: configure environments, extract data, score confidence, flag anomalies for review

4

Validate

Qualified human reviewer confirms before any action commits. No AI output bypasses sign-off.

AI across the entire clinical trial lifecycle

Three integrated capabilities, from protocol receipt to database lock.

Pillar 1

Accelerated study build and setup

AI Time Travel UAT interprets your protocol and auto-configures test environments with historical timestamps. Concurrent AI-assisted translations in 20+ languages eliminate the multi-week localization delays that stretch conventional setup timelines. More than 90% of Castor studies are live in under 4 weeks.

  • AI Time Travel UAT testing
  • 20+ language translations running concurrently
  • Protocol-driven auto-configuration
Pillar 2

Intelligent data extraction

Castor Catalyst reads unstructured records from EMRs, PDFs, and wearables via HL7 FHIR-compliant connections. It extracts regulatory-grade variables, maps data to CDISC SDTM/ADaM, and pushes validated entries to your electronic data capture system. Post-validation EDC error rate is 0%.

  • Agentic extraction with confidence scoring
  • HL7 FHIR-compliant source connections and automated CDISC SDTM/ADaM mapping
  • Visual SDV and complete audit trail
Pillar 3

Real-time data cleaning

AI anomaly detection flags discrepancies at the point of data entry, before they compound into end-of-study query backlogs. Queries surface and close in real time. In a verified 12-country HEOR study, this approach delivered database lock and define.xml in under 2 weeks.

  • Point-of-entry anomaly detection
  • Real-time query generation and resolution
  • Database lock in under 2 weeks

Human oversight at every critical workflow

Here is how Castor automates the journey from patient recruitment to submission-ready RWE data, while ensuring quality through rigorous human validation and risk-based quality management9.

1

Ingest and structure

Castor connects to EMRs, claims databases, wearables, and site data via FHIR API or upload. Every source is logged with a timestamp and linked to any downstream output.

2

AI processing and scoring

The AI reads each input, executes the relevant workflow (extraction, anomaly check, translation review), and assigns a confidence score. High-confidence outputs proceed automatically. Everything else goes to review.

Human oversight

3

Human validates and approves

Outputs below the configurable confidence threshold go to a qualified reviewer. They see the source alongside the AI output, then approve or correct before anything commits to the trial record.

4

Clean data, locked database

Validated output commits to your EDC with a complete ALCOA+ compliant audit trail. Query volume stays low throughout the study. Database lock in under 2 weeks.

How Castor handles your study data

  • Your sponsor data is never used to train public AI or third-party language models.
  • All AI processing runs inside Castor’s controlled, validated environment, not shared infrastructure.
  • Every AI-processed record carries an ALCOA+ compliant audit trail, with a full chain of custody from source to EDC entry.
Why Castor AI

Why clinical operations teams choose Castor

  • Unified clinical trial solutions platform: EDC, ePRO, eCOA, eConsent, and AI in one system
  • AI across the full lifecycle, not just one step: build, extract, and clean
  • 21 CFR Part 11 and GxP compliant infrastructure out of the box
  • Medically trained staff oversight on every study, not automated exception handling
  • Studies live in under 4 weeks, registries locked in under 2 weeks

Observe

MetricCastor AIManual processPoint solutions
Study deploymentUnder 4 weeks12-16 weeksVaries
Data entry time80% reductionFull manual effortPartial
EDC error rate0% post-validation8.54% baselineVaries
Query resolution92% faster4-12 week cyclesVaries
Database lockUnder 2 weeksMonthsN/A

Plan

Act

Validate

Verified production results

Numbers from real studies, not benchmarks

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Who uses Castor AI

Built for the teams running today's most demanding trials

Three common profiles. One platform.

MedTech and device

The post-market innovator

Your challenge

You need to meet EU MDR or PMCF requirements, or gather FDA 510(k) registry data, without the abstraction budgets available to large pharma sponsors.

How Castor AI helps

Castor Catalyst extracts regulatory-grade variables directly from site EMRs and PDFs, lowering your abstraction costs by up to 70%. Real-world evidence generation starts faster, at a fraction of conventional cost.

Biotech and emerging pharma

The lean clinical ops leader

Your challenge

You’re running Phase II/III trials with a lean internal team and can’t afford UAT delays, endless query cycles, or a database lock that slips by months.

How Castor AI helps

AI Time Travel UAT gets your study live in under 4 weeks. Real-time anomaly detection keeps you lock-ready throughout the trial. Your lean team stays focused on science, not administration. Built for biotech clinical trials.

Innovative CROs

The tech-forward data manager

Your challenge

You’re bidding on complex RWE or chart review studies and need a competitive edge to win sponsor business while protecting your margins.

How Castor AI helps

Offer sponsors faster database locks and more cost-effective SDV. Your team uses Castor to abstract data at scale, validating AI output and delivering cleaner datasets in less time. Win more bids. Deliver on them.

Real results from pharma, medical device, and biotech teams

Verified outcomes from production studies.

90% transcription reduction

GLP-1 obesity registry, real-world evidence program

80% cost reduction. 70% faster study completion.

FHIR-based API integration enabled automated abstraction from 1,500+ patient records. The study reduced manual transcription by 90%, cut total study cost by 80%, and completed 70% faster than projected timelines. Part of a broader real-world evidence program.

101 subjects in one weekend

Ophthalmology medical device study

Full enrollment and EDC data for 101 subjects in 48 hours.

Full enrollment and EDC data entry for 101 subjects completed over a single weekend. Zero query backlog at database lock. The study demonstrated how Castor’s biotech clinical trials platform handles concentrated enrollment windows without slowing data quality.

FDA Breakthrough Device + Class II listing

Digital therapeutics, FDA device submission

Evidence generation for FDA Breakthrough Device designation.

Castor’s EDC and AI data management infrastructure supported the evidence generation required for FDA Breakthrough Device designation and subsequent Class II listing. The electronic data capture system provided the audit trail foundation for FDA review.

101 subjects in one weekend

Digital musculoskeletal care platform

FDA Class II + commercial reimbursement

Castor-supported trial data contributed to FDA Class II device listing and commercial insurance reimbursement approval. The eCOA solutions and AI-driven data management delivered a submission-ready dataset at every regulatory milestone.

Rated highly by the research teams who use it

“What drew me to Castor was the ease of use, and the ability to customize it easily to our setting in our clinical trial. Ease of use, adaptability, and reliability are three things that are really crucial in all these platforms.”

Fernando Correia
SVP of Clinical Affairs at Sword Health (MD, PhD)

“Castor has been the most user-friendly platform I have used for data entry. It is clear and succinct and is easy to navigate. It allows me to enter data and respond quicker to queries.”

Clinical trial site user
Verified review

Frequently asked questions about AI in clinical trials

Agentic AI in clinical trials is a system that autonomously plans, acts, and adapts across the trial lifecycle: accelerating study build and UAT, extracting regulatory-grade variables from unstructured patient records, and detecting data anomalies in real time to accelerate database lock. Castor’s AI platform uses mandatory human-in-the-loop sign-off at every critical decision point before data commits to the clinical database.

In Castor’s AI platform, every automated workflow includes a mandatory human review stage. For data extraction via Castor Catalyst, the AI assigns a confidence score to each data point. Records below the configurable threshold are flagged for review by medically trained clinical staff before committing to the EDC. This approach produced a 0% EDC error rate post-validation, compared to an 8.54% pre-validation baseline. For study build workflows, AI-generated configurations and translations are reviewed by qualified study designers before activation.

Castor deploys studies in under 4 weeks. The industry standard for study build and UAT is 12-16 weeks. Castor’s AI Time Travel UAT testing interprets the study protocol, automatically configures test environments with historical timestamps, and resolves test scenarios without the manual back-and-forth that extends traditional timelines. AI-assisted translations in 20 or more languages run concurrently rather than sequentially, eliminating multi-week localization delays. More than 90% of Castor studies are live in under 4 weeks.

Castor’s real-time anomaly detection flags data discrepancies at the point of data entry, not after a weekly batch review cycle. When a site coordinator enters a value outside normal range or inconsistent with prior entries, the AI surfaces the issue immediately. This keeps query volume low throughout the trial and produces a 92% reduction in query resolution time compared to conventional end-of-study query cycles. In a verified 12-country HEOR study, this approach enabled database lock and define.xml delivery in under 2 weeks. For teams managing decentralized clinical trials, point-of-entry detection is especially critical given the distributed site structure.

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