The decisions you make first shape everything that follows

Early phase is where a programme finds its direction. Dose, endpoints, population, feasibility, each answer narrows the next question. We make sure those answers rest on data you can defend, and on a design built to carry your programme into its later phases.

Designing early phase with the full programme in mind

Build the right foundation

Early phase design choices from dose escalation and endpoint selection to sample size and variability assumptions shape the quality of the evidence you generate. Getting them right gives later development a stronger, more reliable starting point.

Carry the evidence forward

We design Phase I so the evidence remains useful beyond the study itself. We make sure the data can directly inform the design of later phases so it can be carried forward without unnecessary rework.

Know what the data can support

Around one in five of our projects is a Phase I study. That experience helps us judge what the early evidence can support, where uncertainty remains and what needs strengthening before the programme moves on.

Early phase clinical dev services

Study design & strategy

  • Trial design and methodology We design first-in-human, PK/PD, bioequivalence and proof-of-concept studies around the question that needs answering. From dose escalation to adaptive designs, we use complexity where it strengthens the study and keep things simpler where it does not.
  • Sample size and simulation We build sample size and power calculations around the evidence your study actually has. Where uncertainty remains, we use simulation to test realistic scenarios and show how the design is likely to perform before key decisions are made.

Documentation & regulatory support

  • Protocol and study documents We keep the statistical thinking consistent from protocol through to final report. Working closely with our Medical Writing team, we make sure the rationale, analysis and conclusions stay aligned throughout the study.
  • Regulatory and scientific advice We support regulatory consultancy and scientific advice with clear statistical arguments and briefing materials built to stand up to regulatory scrutiny.

Data & analysis

  • Data management from first-in-human Our Clinical Data Management approach is built for the intensity of early phase studies from dense PK sampling and frequent safety review to protocol changes. Data stay current, controlled and ready for analysis.
  • Statistical analysis and reporting We bring analysis, statistical programming and reporting together to turn early phase data into clear evidence. This includes PK/PD and exposure-response support, plus the interim outputs teams need to make timely decisions.

Continuity & independent oversight

  • Safety oversight For studies requiring independent safety review, we provide IDMC support and independent statistical services with clear separation and reliable oversight.
  • Non-clinical continuity Our non-clinical statistics support helps carry the evidence from preclinical work into first-in-human studies, keeping the translational story connected as the programme moves forward.

Early phase studies we support

First-in-human (Phase I)

Initial clinical studies assessing safety, tolerability and dose escalation in healthy volunteers or patients, including single and multiple ascending dose designs.

PK/PD studies

Studies that characterise how a drug behaves in the body and how exposure relates to biological or clinical response.

Bioavailability and bioequivalence (BA/BE)

Studies comparing the rate and extent of drug exposure, including crossover and replicate designs used for regulatory assessment.

Drug-drug and food-drug interaction studies

Studies designed to understand how concomitant medicines or food affect drug exposure, often using crossover or sequence-based designs.

Phase IIa and proof of concept

Early patient studies that test whether the treatment shows the expected biological or clinical effect and whether further development is justified.

Early phase medical device investigations

First-in-human and feasibility studies that assess initial safety, performance and clinical use before larger confirmatory investigations.

How we approach an early phase project

  1. We start with the decision

    Before we shape the study, we define the decision it needs to support. That keeps the design focused on generating evidence that can clearly guide what happens next.

  2. We make every assumption visible

    Variability, effect size and attrition can change what a study is able to show. We ground each assumption in the available evidence and test its impact, so you can see where the design is robust and where uncertainty remains.

  3. We build for what comes next

    We structure databases, standards and data with the wider development programme in mind. Early phase data stay usable as the programme progresses, reducing rework and creating stronger continuity into later phases and submission.

  4. We stay close to the work

    You work directly with the statisticians and data managers who know your study, with senior specialists involved throughout. That means clearer conversations, faster answers and expertise that stays connected to the work.

Why sponsors choose Metronomia for early phase

Biometrics is our specialism

We are a specialised CRO built around biostatistics, data management and medical writing. Early phase design questions are handled directly by the specialists who work with these challenges every day.

We think in programmes, not phases

Our perspective spans planning and non-clinical support through Phase II and III and post-marketing research, so the advice we give in early phase anticipates what comes next.

Standards-ready from the start

As long-standing CDISC practitioners, we structure early phase data to standard from the first study, avoiding expensive retrofitting later.

The right size for early phase sponsors

Small and mid-sized biotechs, medical device companies and academic sponsors get direct access to senior expertise, fast decisions and flexible scope.

European base, global reach

Headquartered in Munich with global delivery experience across multiple therapeutic areas, we understand regulatory expectations on both sides of the Atlantic.

Support when a study is in trouble

Our trial rescue experience includes studies that came to us mid-flight. If an early phase project has stalled, inherited a difficult dataset or needs a second opinion, that conversation is welcome.

Not sure where to start?

Sometimes the hardest part is knowing where to begin. Our senior consultants help you clarify priorities, weigh development challenges, and find the right path forward across study design, statistics, regulatory strategy and data.

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