Clinical trial submissions. Faster. Cleaner. Audit-ready.

elsai brings governed agentic workflows to regulatory operations already running on Veeva Vault, Medidata, and CTIS. No rip-and-replace. Working pilot in 90 days.

Clinical trial submissions. Faster. Cleaner. Audit-ready.

elsai brings governed agentic workflows to regulatory operations already running on Veeva Vault, Medidata, and CTIS. No rip-and-replace. Working pilot in 90 days.

Trusted by enterprises worldwide

EU CTR submission is not a technology problem.
It is an operations problem. 

EU CTR submission is not a technology problem.
It is an operations problem. 

Regulatory delays alone account for 3–5 months of a trial's
pre-enrolment window - before a single patient is screened

Regulatory delays alone account for 3–5 months of a trial's
pre-enrolment window - before a single patient is screened

01

Submission Prep 
Manual submission prep takes 10–14 weeks per country package. 40% of that is avoidable rework. 

02

Regulatory Rework 
47% of submissions trigger an RFI from national competent authorities - forcing weeks of rework before trial initiation even begins. 

03

Cross-Document Validation 
Small inconsistencies across protocols, consent forms, and recruitment materials often lead to avoidable IRB rejections and review delays. 

A governed intelligence layer that runs inside your regulatory operations - not on top of them.

elsai doesn't replace your CTMS, eIRB, or document authoring tools. It wires a governed execution layer directly into them — automating cross-document validation, per-country compliance checks, and submission assembly while your regulatory leads retain full sign-off authority.

EU CTR Domain Intelligence

Per-country rulesets for EU CTR Part I, CTIS fields, and Part II requirements — built in, not bolted on. 

Human Authority Protected

Every submission bundle reviewed and approved by a qualified regulatory lead before it exits. EU AI Act high-risk classification compliant. Always.

Full Traceability

Agent Resource Management System logs every extraction, validation, and submission decision. Defensible audit trails without additional documentation overhead.

Works on your infrastructure

Veeva Vault

Medidata Rave

CTIS

EMA Gateway

Runs on AWS

Azure

On-Premise

See your document mismatches before the IRB does

THE PROBLEM IT SOLVES

One minor inconsistency.
Weeks of rework.

Writers, physicians, and regulatory and QA teams manage multiple Word and PDF files simultaneously under tight deadlines. Age ranges, schedules, risks, compensation - any mismatch triggers IRB rejections and costly modifications required cycles.

IRB Rejection

Modifications Required Cycles

Weeks of Rework Per Study

WHAT IT DOES

Collect & version
all study documents

Extract key info
across all of them

Verify consistency
flag every mismatch

Side-by-side
review summary

Audit-ready report
for IRB / sponsor

WHO USES IT

Medical Writers and Clinical Scientists

Regulatory Affairs and IRB Liaisons

Principal Investigators

Site Staff

Explore the clinical protocol audit agent →

Explore →

Governance: Checkpoints logged. Issues flagged. Resolutions documented. Changes and approvals always remain with your team.

Governance: Source provenance is maintained, low-confidence outputs are routed for human review, and every decision is observable through ARMS. 

Integrate with what you have. Run on what you trust.

Whether you're managing defense suppliers, aerospace programmes, regulated healthcare vendors, or financial services partners, elsai provides a governed operational layer across any procurement workflows.

Begin with one study. Standardise across your portfolio.

01

STEP 1
Identify the protocol-consent alignment review where IRB comments or amendment cycles cost the most time. Start there.

STEP 1

Identify the workflow
where delays, denials, or documentation gaps cost the most. Start there.

02

STEP 2
Connect your CTMS, eIRB, and document repositories. The agent works alongside Word, Google Docs, and sponsor templates — your team drafts the same way they always have.

03

STEP 3
Run on one study, review findings with your regulatory and QA teams, then expand across more studies, amendments, and sites.

EU regulatory submission is complex. Production-grade automation is hard. We close that gap - one workflow at a time.

Ready to see governed AI workflows inside your regulatory operations?

Bring a real study to the demo. We'll show you the mismatches before your IRB does.

Book a life sciences demo →

Talk to us →

elsai

Enterprise AI governance platform for agentic workflows. Transform your operations with confidence.

Offices

USA

UK

Australia

UAE

India

© 2026 elsai. All rights reserved.

elsai

Enterprise AI governance platform for agentic workflows. Transform your operations with confidence.

Offices

USA

UK

Australia

UAE

India

© 2026 elsai. All rights reserved.

elsai

Enterprise AI governance platform for agentic workflows. Transform your operations with confidence.

Offices

USA

UK

Australia

UAE

India

© 2026 elsai. All rights reserved.

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