Oncology clinical trial software without the integration tax

Run your EDC and eCOA solutions on the exact same database. See toxicity and QoL data the moment a patient submits it, with no reconciliation lag and no integration tax between two vendors. Builds are scoped with managed Professional Services so amendments and go-live stay on a predictable timeline.

Oncology studies
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Patients enrolled
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Global oncology sites
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ePRO compliance rate
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The Challenge

The integration tax is costing you dose cycles

In oncology, patient safety and dose modifications depend on real-time data. But legacy systems force you to capture objective clinical data in one system and subjective quality-of-life data in another. That integration tax shows up as real operational costs every day.

Challenge 1

Reconciliation delays before you can act

Reconciliation delays between your EDC and eCOA hold up investigators before they can act on toxicity data. Critical dose modification decisions get delayed while teams wait for a system sync.

Challenge 2

The two-vendor integration tax

Capturing clinical data in one system and patient-reported data in another means site staff manage two logins, two training programmes, and two support channels. The overhead lands on the people running the study every day.

Challenge 3

Mid-study amendments stall the trial

Oncology protocols change. Basket trials add cohorts, adaptive designs modify dosing arms, and regulatory feedback requires CRF updates mid-study. Legacy enterprise EDC systems take weeks to revalidate after a protocol change.

Challenge 4

RToxicity and QoL data surface too late

Data discrepancies between systems go undetected until lock, when they are expensive to fix. Investigators wait on a scheduled sync to see QoL and adverse event data, so decisions for the next cycle slip.

How castor helps

What oncology teams use Castor for

With Castor, EDC and eCOA run on the exact same database. No swivel-chair data management, no reconciliation lag, and one unified view of every patient, updated the moment data is submitted.

See toxicity the moment the patient logs it

When an oncology patient logs a Grade 3 toxicity event at home, investigators should not have to wait for a system sync to act on it. Castor ePRO feeds directly into the eCRF, the same database, not a connected one. Investigators see QoL and adverse event data the moment it is submitted, and dose modification decisions for the next cycle can be made immediately.

190+ out-of-the-box instruments including EORTC QLQ-C30 · FACT-G · EQ-5D · Adverse event diaries · Custom symptom assessments

Built for protocol amendments, not against them

Oncology protocols change. Basket trials add cohorts. Adaptive designs modify dosing arms. Regulatory feedback requires CRF updates mid-study. Legacy enterprise EDC systems take weeks to revalidate after a protocol change. Castor mid-study amendments deploy without downtime, without a full rebuild, and without waiting in a vendor queue.

Predictable, scoped study builds

Castor scopes each study build with managed Professional Services. Low-to-medium complexity studies typically move from kickoff (KOM) to user acceptance testing (UAT) in 4 to 8 weeks, and high-complexity studies in 8 to 12 weeks. The managed, scoped approach keeps the build on a predictable timeline rather than waiting in a vendor queue.

High compliance without high burden

Oncology patients carry immense physical and emotional burdens. Their clinical trial software should not add to it. Castor’s patient app is designed for ease, not for clinical data managers who assume patients will tolerate difficult tools.

95%+ ePRO compliance in the Oncobiomix interventional study, capturing QoL endpoints including EORTC and FACT

A patient app patients will actually use

BYOD-friendly, so patients use their own smartphone with no provisioned device to manage. A 24/7 multilingual patient helpdesk supports 15 to 20 languages, and the interface is accessible with large text, simplified navigation, and audio prompts.

Reduce manual entry burden with connected data

EHR/EMR data feeds via Castor Catalyst reduce manual entry burden for sites managing high patient volumes. With Castor Catalyst, AI-assisted extraction with human review cuts record review from around 5 hours to roughly 20 minutes per record. Mid-study amendments include patient re-consenting workflows, so amended protocols reach enrolled patients without a separate eConsent process. For oncology teams building real-world evidence programmes alongside their interventional trials, Catalyst bridges interventional data capture and evidence suitable for regulatory submission.

Want to see how Castor handles a complex oncology protocol?

We will build a real oncology study in front of you, including mid-study amendment, ePRO setup, and toxicity reporting. It takes 15 minutes.

Proven Outcomes

Oncology outcomes on Castor

From agile biotech interventional trials to massive global registries, Castor handles the full spectrum of modern oncology data management.

Prostate cancer registry

Over 1.62 million data points captured for over 21,000 patients at Erasmus MC, demonstrating Castor’s ability to scale to large-volume observational oncology programmes without custom infrastructure.

Ovarian cancer observational study

Nearly 5,000 patients captured at a single centre (Radboud UMC), proving Castor can handle high-volume single-site oncology registries with complex longitudinal data requirements.

Oncobiomix biomarker-validation study

Oncobiomix, an oncology biomarker-validation study led by Dr. Michael Liss (urologic oncology), ran on Castor with 95%+ ePRO compliance and around $100,000 in savings, showing how a unified EDC and ePRO build keeps patient-reported data complete while controlling study cost.

How Castor compares

A factual overview for buyers evaluating Castor against legacy enterprise platforms. All claims are based on publicly available information as of April 2026. See the full Castor vs. Medidata comparison.

Feature Castor Medidata Rave EDC Veeva Vault EDC Clario / IQVIA eCOA
EDC and eCOA in one system Native — same database Requires separate eCOA vendor Requires separate eCOA vendor eCOA only, needs EDC
Deployment time† 4 to 8 weeks (low-to-medium complexity), 8 to 12 weeks (high complexity) Varies by build type Varies by build type Varies. Add to EDC timeline
Mid-study amendments Zero downtime Weeks, full revalidation required Moderate, depends on configuration eCOA-side only
Patient ePRO app Consumer-grade BYOD app Available as separate module Limited native ePRO Core strength, device or BYOD
ePRO compliance rate 95%+ in the Oncobiomix oncology study Not published Not published High,core competency
Regulatory compliance 21 CFR Part 11, ICH E6(R3), GDPR, HIPAA 21 CFR Part 11, GDPR 21 CFR Part 11, GDPR 21 CFR Part 11, GDPR
Best fit for Biotech and mid-pharma teams running fast-moving oncology trials Large pharma, NCI trials, enterprise scale Enterprise pharma, Veeva ecosystem users Trials requiring specialist standalone eCOA

† Deployment time varies by build complexity and vendor configuration. Legacy industry builds average 10 to 14 weeks.

All competitor information is based on publicly available data as of April 2026. Castor does not claim to be superior in all contexts. Medidata Rave has a longer regulatory submission track record with FDA, EMA, and PMDA that is material for large pharma organisations standardised on its workflows. Verify current capabilities directly with each vendor.

Built for regulated oncology environments

Every oncology study on Castor operates within a fully validated, regulation-ready environment. No separate compliance implementation required.

Standard What it means for your oncology trial
FDA 21 CFR Part 11 Full electronic records and signature compliance, required for FDA submission of oncology trial data
ICH E6(R3) GCP Good Clinical Practice aligned, all data handling meets international GCP standards for oncology research
GDPR and HIPAA Patient data handling compliant across EU and US jurisdictions, required for global oncology trials with sites in multiple regions
FDA PRO Guidance (2009) Patient-reported outcome measures collected via Castor ePRO meet FDA guidance for oncology label claims
EORTC and ASCO PRO standards ePRO instruments configured in line with EORTC and ASCO recommendations for oncology QoL endpoint collection in clinical trials
ISO 27001 Information security management system certified, data security audited to international standard

Rated by clinical researchers on independent review platforms

Recognized by independent analysts

Rated strongly for customer loyalty in ISR’s 2025 eCOA/ePRO Benchmarking.

About Castor for oncology clinical trials

Oncology trials demand software that keeps pace with the patient

Oncology research runs against tight constraints. Patient populations are often small, dose-modification windows are short, and quality-of-life endpoints matter as much as the objective clinical readout. Investigators need toxicity and QoL data while there is still time to act on it for the next cycle, not after a scheduled system sync. Oncology clinical trial software is what manages those data collection, patient reporting, and regulatory documentation workflows. It typically combines an electronic data capture system (EDC) for objective clinical measurements with electronic patient-reported outcomes (ePRO) for symptom assessments, QoL scores, and toxicity monitoring. When those systems are separate, teams face reconciliation delays and data discrepancies that slow dose-modification decisions. Castor provides a unified platform where both data streams share the same database, removing the synchronization overhead of a two-vendor architecture.

One database, no integration tax

EDC and ePRO share the same database, so there is no synchronization overhead and no reconciliation step between two vendors.

Built for the full oncology spectrum

586 oncology studies are currently active on Castor, spanning Phase I through Phase III interventional trials, adaptive basket trials, and large observational registries.

Global scale

Active oncology studies run across dozens of countries, with 175,000+ patients enrolled. Castor offers local data hosting in regions including Australia, helping global sponsors meet data-residency requirements.

Common questions

Frequently asked questions about AI in clinical trials

Castor ePRO is built natively into the EDC, not connected via an API. When an oncology patient logs a Grade 3 toxicity event at home or completes a QoL assessment (EORTC QLQ-C30, FACT), that data appears instantly in the eCRF. Investigators can review it in real time and make dose modification decisions for the next treatment cycle without waiting for a system sync.

Castor scopes each study build with managed Professional Services. Low-to-medium complexity studies typically move from kickoff (KOM) to user acceptance testing (UAT) in 4 to 8 weeks. High-complexity studies take 8 to 12 weeks. For biotech teams racing to first patient in, this managed, scoped approach keeps the build on a predictable timeline rather than waiting in a vendor queue.

Yes. Castor provides 190+ out-of-the-box oncology PRO instruments including EORTC QLQ-C30 and FACT, enabling QoL data capture natively within the EDC platform without a separate eCOA system.

Yes. Castor provides 190+ out-of-the-box oncology PRO instruments including EORTC QLQ-C30 and FACT, enabling QoL data capture natively within the EDC platform without a separate eCOA system.* Sponsor licensing is required for certain proprietary PRO instruments.

Yes. Castor is fully compliant with FDA 21 CFR Part 11 (electronic records and signatures), aligned with ICH E6(R3) Good Clinical Practice standards, and meets GDPR and HIPAA data handling requirements across EU and US jurisdictions.

Castor supports the full range of oncology study types: Phase I, II, and III interventional trials, adaptive and basket trials, observational studies, and post-approval registries. Active oncology studies include complex biotech interventional trials, large observational registries capturing millions of data points, and multi-site global studies. Real-world evidence programmes and oncology registries are also supported natively.

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