The eCOA & ePRO Software Proven in 6,100+ Clinical Trials Worldwide

The Castor platform drives 95% patient compliance by seamlessly integrating electronic clinical outcome assessments and patient-reported outcomes with Enrollment, eConsent, Payments, and EDC. With 182M+ datapoints secured, validated instrument libraries, and global 24/7 support, you get an eCOA solution built for data integrity and patient engagement.”

Patient Compliance Rate
0 %+
Weeks to Deploy
3- 1
Data Points Collected
0 M+
 
 

Why Traditional eCOA Systems Fail

Not all ePRO solutions are equal. Traditional clinical outcome assessment systems burden sites and frustrate patients.

Lower Patient Burden

Login experience and engagement

✓ Castor

One-time passcodes + SMS/WhatsApp/email reminders on preferred channels

✗ Traditional

Complex passwords + limited communication options

Lower Site Burden

Training and patient management

✓ Castor

Minimal training, 24/7 patient support, site friendly tablet mode, BYOD and SSO – Castor handles patients for sites

✗ Traditional

High training burden, sites handle all patient issues and device management

Speed to Launch

Time from kickoff to first patient

✓ Castor

3-12 weeks with BYOD support – no device shipment delays

✗ Traditional

12-16 weeks plus device provisioning and shipping delays

Integrated Capabilities

How ePRO connects with other systems

✓ Castor

Native unified platform – ePRO, EDC, eConsent, and payments in one system

✗ Traditional

Disconnected eCOA point solution requiring manual data reconciliation

Flexible Workflows

Adaptive questionnaires and logic

✓ Castor

Custom triggers, branching logic, and adaptive questionnaires based on patient responses

✗ Traditional

Rigid, linear workflows with no conditional logic or adaptability

API First

Data availability and access

✓ Castor

eCOA data stored in real-time and retrieved through API

✗ Traditional

Siloed eCOA data waiting weeks for an export

eCOA Solutions Without Burdens

Frictionless Patient Experience

  • One-time passcodes, no passwords to remember
  • Multi-language support (28+ languages)
  • Works on any device – smartphone, tablet, or computer
  • Offline capability for remote areas
  • ePRO Software for easier patient reported outcomes

Reduce Site Burden Dramatically

  • Site friendly tablet mode for efficient onsite patient data collection with eCOA devices.
  • Minimal training required with intuitive interfaces
  • 24/7 patient support – Castor handles patient issues for you
  • BYOD and SSO capabilities for streamlined operations
  • Real-time compliance monitoring dashboards

Streamlined eCOA & ePRO Study Management System

  • API-first integration with any clinical outcome assessment system
  • Real-time ePRO data capture and monitoring software
  • Integrated patient payments and reimbursements platform
  • Single eCOA solution for EDC, ePRO, and eConsent

eCOA Technology Built for Disease Complexity

From rare disease natural history to oncology clinical trials, our eCOA platform adapts to your therapeutic area’s unique requirements

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Oncology

200+ studies powered by pre-built templates (EORTC QLQ-C30, FACT-G), real-time AE safety notifications, and integrated MedDRA/WHODrug coding.

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CNS/Mental Health

150+ studies using event-driven scheduling for PHQ-9 & HAM-D, with dynamic diary triggers based on patient input and real-time alerts for missed entries.

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Rare Diseases

30+ studies supported with low-burden protocols featuring integrated Televisits, remote eConsent with Legally Authorized Representative (LAR) workflows, and a BYOD-first approach to reduce travel.

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Cardiology

Direct device integration via open API captures real-time wearable data, with large file upload support (up to 2GB) for storing crucial medical imaging alongside the patient record.

Countries
0 +
eCOA Clinical Trials
+
Particpants in ePRO Studies
0 M+
Support in 20 Languages
24/ 0

Trusted eCOA Solution for Pharma & Biotech Leaders

★★★★★
“Castor has been everything we hoped it would be. It is easy to learn and set up. Our study sites have liked it and found it very easy to use. It is feature complete, doing everything we need it to do.”

Bill Haack

Bill Haack

Cadex Genomics

“It was easy to create our clinical trial workflow. Integration and training with external partners was effortless. Usability and light coding were essential to us. We were able to test and build our own studies with minimal support and admin.”

Arne Böhling

Arne Böhling

Essity

“Castor has been a wonderful partner to work with. Their solution provides us with an integrated eConsent, ePRO, and EDC that's critical in our decentralized studies. The solution is backed by a fantastic support and technical team who's always willing to work with us to find solutions.”

Minny Suh

Akili Interactive

“Castor's solutions were easy to navigate and intuitive to use, which is why we were interested in working with them. They were able to accommodate the amount of data from our multi-site randomized controlled trial, and our sites have expressed how much they have enjoyed using Castor as well.”

Brian Harris

Brian Harris

MedRhythms

“It can be difficult to find fit-for-purpose trial solutions for studies that vary in size, complexity and face different budget constraints. We have partnered with Castor because their solution is easy-to-use and easily scales across varying regulatory environments.”

David Shah

David Shah

Ethicon

“Castor offers a truly seamless clinical trial experience for investigators and patients. Fast deployment was critical for us. Castor technology was easy to use and the self-service capability allowed us to deploy a study in just a few weeks.”

Fernando Correia

Fernando Correia

Sword Health

Ready to Modernize Your eCOA Strategy?

Join 6,100+ successful eCOA clinical trials powered by Castor’s expert team and integrated platform

See how Castor fits your budget with custom pricing for your study size

Success Stories in eCOA Clinical Trials

See how leading sponsors use Castor’s eCOA solutions and ePRO software to accelerate timelines and achieve 95% patient compliance.

Case study: Global Oncology clinical trial

Built and validated 6 licensed PRO instruments (EORTC, FACT, EQ-5D, etc.) in 15 languages live across 170 sites in 13 countries. End-to-end eCOA solution delivered in 8 weeks. Offline readiness enabled through Castor Connect. API push fed PRO metadata directly into the sponsor CTMS.

Top 10 pharma
Case study: Pelago digital CBT RCT

Randomized 300 BYOD participants to QG-A vs. usual care with monthly remote follow-ups. Integrated mobile app, sensor-verified adherence , and Castor eConsent. Real-time PRO & medication data were streamed to analytics .

Phase 3 DTx
Case study: Global vaccine clinical trial

Deployed Castor eCOA in 7.5 weeks for a large respiratory-vaccine phase III clinical trial. Integrated secure WhatsApp & SMS reminders for >25,000 participants across North America. BYOD workflow reached 92% compliance without device provisioning. Real-time tracking of clinical outcome data every hour.

Top 10 Pharma
Case study: Exeltis Phase 3 contraceptive ring

Used the Castor EDC system and eCOA technology suite to deploy a fully validated build in database live in record time Automated inclusion / exclusion checks to cut screening errors. Unified ePRO and EDC workflows via Castor one-platform approach .

Phase 3 Device
Case study: Pathnostics cUTI diagnostic pathway study

Castor captured data for 385 outpatients across two diagnostic arms (M-PCR/P-AST vs. culture). Dynamic branching logic in eligibility & treatment forms reduced query rates. Hourly result feeds populated the sponsor's analytics dashboard.

Diagnostics
Case study: Biofortis nutrition intervention

Went live on self-service timeline using Castor's template CRFs. Sites leveraged in-app support to resolve queries in < 1 day.

CRO
Case study: NOW Diagnostics OTC syphilis test accuracy study

Castor captured data for 1 270 participants across multiple U.S. sites to support FDA De Novo clearance. Offline-capable ePRO minimized site visits and enabled rapid enrolment. Hourly result ingestion fed the sponsor's quality system.

Diagnostics

Speed to Launch

See Details →
Castor 4-8 weeks
Traditional 12-16 weeks
Click through our case study highlights to learn more about how Castor delivers on eCOA / ePRO.

✓ Castor: Speed to Launch

Deploy in 4-8 weeks with pre-validated instruments and streamlined workflows

✗ Traditional: Slow Setup

12-16 weeks of delays with manual processes and vendor coordination

View in comparison table

✓ Castor: Frictionless for Patients

No passwords (OTP), SMS/WhatsApp reminders, BYOD support, offline support, 92%+ compliance

✗ Traditional: Patient Frustration

Complex passwords, limited channels, device hassles, internet required, poor compliance

View in comparison table

✓ Castor: Sites Love It

24/7 patient support, real-time monitoring, 40% fewer follow-ups needed

✗ Traditional: Site Overload

Sites handle all support, manual tracking, constant patient issues

View in comparison table

✓ Castor: Unified Platform

Single login for EDC + eCOA + eConsent, real-time data flow

✗ Traditional: Data Silos

Disconnected systems, manual reconciliation, delayed insights

View in comparison table

✓ Castor: Adaptive Workflows

Custom triggers, branching logic, offline mode, protocol amendments in days

✗ Traditional: Rigid System

Linear workflows, no adaptability, amendments take months

View in comparison table

✓ Castor: API-First Architecture

Real-time data sync, instant integrations, live dashboards

✗ Traditional: Manual Exports

Batch processing, CSV downloads, no real-time visibility

View in comparison table

✓ Castor: eCOA Licensing Included

PRO instrument licensing included in package with existing relationships

✗ Traditional: Separate Negotiations

Customer must handle separate vendor negotiations and licensing fees

Learn about our services ↓

✓ Castor: Global 24/7 Support

Staff across timezones with 4 server regions for optimized performance

✗ Traditional: Limited Coverage

Business hours only, single region, language limitations

Learn about our services ↓

Consult with Castor's Professional Services team to reach your goals faster

Full-Service eCOA & ePRO Solutions Implementation

Our experts handle the tech so you can focus on the research

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Scale Licensing

Strong relationships with copyright holders to secure agreements. Expert coordination of language reviews and scale adaptations.

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Translations

Validated linguistic adaptations across 80+ languages. Vast network of translation vendors ensuring scientific validity.

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Direct-to-Patient Support

24/7 multilingual helpdesk with global toll-free numbers. Includes device provisioning management when needed. Average response times under 1 hour with real-time issue escalation.

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eCOA Library

Library of pre-built eCOA instruments for Oncology, Cardiology, and other therapeutic areas. Quick deployment with proven quality.

Export Your Data, Your Way

Seamless integration with your existing systems. Export to any format, connect via API, or use our direct integrations.

CDISC SDTM/ADaM

RESTful API

SAS/CSV/Excel

Real-time Sync

Get Our ePRO/eCOA One-Pager

Learn best practices for implementing eCOA in your clinical trials

Ready to see how Castor transforms eCOA platform deployment?

See what the world’s leading AI says about us.

Frequently Asked Questions

eCOA is the digital capture of clinical outcome data—patient, clinician, or observer-reported—on secure devices. ePRO is a subset focused solely on data patients enter themselves. In short, every ePRO is an eCOA, but eCOA also covers ClinRO, ObsRO, and performance assessments.

Castor Catalyst is a fully validated, 21 CFR Part 11 and GxP compliant platform. We ensure compliance with the FDA 2024 RWD guidance by maintaining complete traceability to source documents (native PDFs/imaging via HIPAA access) and providing a comprehensive audit trail.

Yes. Participants can use their own smartphones via web or the Castor Connect app, while sponsors may still provision tablets or phones when required—giving you ultimate flexibility.

Which regulations and standards does Castor comply with?

You can build surveys in any language, and the participant interface toggles between more than 10 pre-translated UI languages out of the box, with 80+ additional languages supported via translation services.

Real-time dashboards, automated reminders, and intuitive design drive 95%+ diary completion, helping you minimize missing data and protocol deviations.

Yes. An open, API-first architecture streams eCOA data directly into external systems in real time, eliminating manual exports.

Yes. Our services team can secure instrument licenses, coordinate forward/back translations, and deliver fully validated eDiaries so you can focus on the science.

The public status page shows historical uptime exceeding 99.9%, and you receive 24/7 multilingual support for both sites and participants.

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