Clinical Trial Software Development Services
With over 15 years in healthcare software development, Orangesoft builds custom, compliant clinical trial systems tailored to your protocol, workflows, and data requirements. We work with pharma companies, biotech startups, CROs, and trial sponsors that need clinical trial management software, electronic data capture systems, RTSM, eTMF, eConsent, and decentralized clinical trial platforms.
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Clinical trial software, as compliant as it gets
Clinical trial data drives regulatory decisions, so it has to hold up under audit. We build clinical trial software with FDA 21 CFR Part 11 compliance embedded in the architecture, not layered on afterward. Every record carries a full audit trail: who changed what, when, and why. Access controls, electronic signatures, and data integrity checks follow ICH GCP guidelines throughout the system, not only at the database layer.
Clinical trial management software services we offer
From protocol-stage consulting to full-scale eClinical software development, our team can cover every stage of your clinical trial software project.
Get a free quoteCustom eClinical software development
We design and build custom eClinical software — CTMS, EDC, RTSM, eTMF, eCOA, eConsent, and DCT platforms that match your protocol, therapeutic area, and existing systems. A custom build fits your workflow instead of forcing your team to adapt to someone else's.
Clinical trial software integration
We make it easy to connect your clinical trial software with the systems your team already uses, whether that's EHR-to-EDC data flows via FHIR and HL7, laboratory systems, or site management tools. Our integration process is thorough and reliable, ensuring your data remains easily traceable and secure.
Clinical trial software maintenance
Our support team handles protocol amendments, compliance patches, and performance monitoring after launch, so a software issue doesn't turn into a trial delay.
Clinical trial software consulting
From system architecture and regulatory strategy to technology stack selection, we help biotech teams decide between custom development and an off-the-shelf CTMS.
Our clients say it better
Clinical trial management systems we deliver
Clinical Trial Management System (CTMS)
We build CTMS software that handles study setup, site and investigator management, milestone tracking, and regulatory document control, with integration into EDC and eTMF systems.
Electronic Data Capture (EDC) software
We build EDC software with configurable electronic case report forms (eCRFs) that replace paper-based data entry, cutting the human error paper processes introduce. Real-time data validation rules support efficient data management and improve both data accuracy and data quality, with CDISC ODM-compliant data export for regulatory submission.
RTSM and IRT software
We build RTSM software with configurable randomization algorithms, real-time inventory tracking, and automated resupply triggers that help prevent site-level stockouts.
eTMF software
We build eTMF systems with automated document classification against the TMF Reference Model, version control, and completeness tracking against inspection-readiness benchmarks.
eCOA and ePRO applications
We build eCOA and ePRO (electronic patient-reported outcomes) applications with offline data capture, multilingual questionnaire support, and direct integration into the trial's EDC system. Built-in automated reminders and educational materials enhance patient engagement and improve the quality of outcomes data.
eConsent software
We build eConsent platforms with multimedia consent content, comprehension checks that support patient engagement, and version-controlled consent forms that track which protocol version each participant agreed to.
Decentralized Clinical Trial (DCT) Platforms
We build DCT platforms that combine eConsent, remote monitoring device integration, telemedicine visit scheduling, and patient engagement tools into a single participant experience, with remote workflows that support consistent patient care and more complete outcomes data.
Integrations for better, faster clinical insights
A clinical trial rarely runs on one system. Trial data has to move between EDC, lab systems, safety databases, and a site's own EHR without manual re-entry, with secure data sharing and reliable data access across connected systems. Every integration point is also a place where data integrity can break down if it isn't built correctly.
EHR systems
We build EHR-to-EDC data flows using FHIR and HL7, the interoperability standards most electronic health records platforms support, to pull structured patient data into a trial's EDC system without manual transcription, so data collected in care settings can move directly into the trial workflow.
EDC-to-CTMS data sync
Study milestones, enrollment counts, and site status updates sync between EDC and CTMS automatically, giving site staff and monitors real-time data access instead of forcing them to reconcile two systems by hand.
Laboratory information systems
Lab results flow from LIS (Laboratory Information Systems) and LIMS (Laboratory Information Management Systems) into a trial's EDC or CTMS through structured result mapping, cutting the manual entry that introduces transcription errors.
Safety reporting systems
Adverse event and Serious Adverse Event (SAE) data routes into pharmacovigilance safety databases like EudraVigilance in the ICH E2B format regulators expect, supporting fast data sharing so a safety signal doesn't sit in a queue waiting for manual re-entry.
Wearables and remote monitoring
For decentralized trials, we integrate wearables and remote monitoring devices so vitals, activity, and adherence data are collected remotely and streamed into the trial database in near real time, improving data access for distributed teams without a site visit.
eSource and site management
Source data entered at the site, like visit notes, eligibility checks, and scheduling, connects directly into a trial's core systems, cutting the double documentation that slows site staff down.
We select the technology stack based on a trial's data volume, regulatory environment, and integration requirements, not a fixed template applied to every project.
Clinical trial software development process at Orangesoft
We help you navigate the biggest challenges in clinical trial management system development
We understand the specific hurdles of running a compliant clinical trial, and we build systems that plan for them instead of reacting to them.
Schedule a free expert sessionRegulatory compliance
FDA 21 CFR Part 11, ICH E6(R2), GCP, and GDPR each impose different requirements on recording, signing, and storing trial data. A Serious Adverse Event (SAE) must reach EudraVigilance in ICH E2B format for an EU trial, a different pathway than an FDA-regulated one. We design compliance into the system architecture from day one, mapping each requirement to a specific technical control.
Data integrity and audit trails
Regulators need to reconstruct exactly what happened during a trial: who entered which data point, when, and what changed. We build immutable audit trails and electronic signature workflows into every system, so data integrity holds up under inspection while ensuring data security and protecting patient information without a separate reconciliation process.
Integration with legacy EHR and lab systems
Hospital EHR systems and lab platforms weren't built with clinical trial data flows in mind, and site-level systems vary widely between institutions. We use FHIR and HL7 standards to build integration layers that adapt to what each site already runs, instead of requiring sites to change systems for one trial.
Protocol amendments and mid-trial software changes
Protocols change after a trial starts: inclusion criteria shift, assessments get added, sites get added or dropped. We architect trial software so configuration changes, like new data fields or updated randomization schemes, don't require a full redevelopment cycle or re-validation of the entire system.
Reliable tech development partner for your clinical data management system
Leverage our years of expertise and a proven track record in clinical trials to build clinical trial software that holds up under regulatory scrutiny.





Clinical trial software expertise
We've spent over 15 years building healthcare software, including projects specific to clinical trial and eClinical systems. Our expertise from site activation to database lock lets us build clinical trial management systems that fit how trial teams and research teams actually work across clinical studies, not just what a specification document describes.

Rapid project delivery
We provide efficient processes, collaborative environments, and iterative development that shorten time to first-patient-in without compromising the audit trail, while lowering operational costs through better workflows. That's how we help sponsors and CROs get trial software live faster.

Knowledge of clinical trial regulations
Our knowledge of FDA 21 CFR Part 11, ICH E6(R2), GCP, and GDPR helps you navigate compliance requirements instead of discovering them mid-build. We provide validation reports, audit trail specifications, and system architecture records to support inspection readiness.

Rigorous quality assurance and testing
We leave nothing to chance with data integrity. Our QA team runs functional and non-functional testing, including IQ/OQ/PQ validation, to make sure trial data holds up under audit. We also flag risks early with a mitigation strategy scoped to your protocol.
Questions you might have
Schedule a free consultationShould we build custom software or buy an off-the-shelf CTMS?
There are three viable paths. If your trial runs a standard protocol, an off-the-shelf CTMS is usually faster and cheaper. If it has non-standard workflows or unusual integrations, custom development pays off over the trial's lifecycle. Many sponsors land on a hybrid: an off-the-shelf core for standard operations, with custom modules built where the platform falls short, giving you speed where you don't need customization and control where you do. Relying too heavily on one vendor can also create long-term flexibility issues as requirements, integrations, or pricing change.
How long does clinical trial software development take?
Custom clinical trial software typically takes 3 months to 2 years or more, depending on how many eClinical modules are in scope and how many systems it needs to integrate with. A single-module build, like a standalone EDC system, takes less time than a full CTMS-to-eTMF-to-EDC integrated stack. Regulatory validation adds time beyond core development, not instead of it.
How much does it cost to build a custom CTMS?
Custom CTMS development typically costs $150,000 to $500,000, depending on the number of modules, integration complexity, project management, and validation requirements. A single-module MVP costs less than a fully integrated system connecting CTMS, EDC, and eTMF. Off-the-shelf CTMS platforms carry lower upfront cost but ongoing licensing fees that can exceed custom development cost over a multi-year trial.
Can you integrate with Medidata, Veeva, or Epic?
Yes, we build integrations using FHIR and HL7, the interoperability standards most major eClinical and EHR platforms support, which allows connection to a range of existing systems.
Do you handle FDA 21 CFR Part 11 compliance documentation?
Yes. We build audit trails, electronic signature workflows, and access controls into the system architecture to meet FDA 21 CFR Part 11 requirements.
Do you sign BAA agreements for HIPAA compliance?
Yes, we sign Business Associate Agreements (BAA) for HIPAA-regulated data. A BAA is required whenever a vendor handles protected health information on a covered entity's behalf, which applies to most clinical trial data involving identifiable patients.
What is eClinical software?
eClinical software is the category of digital systems used to plan, run, and document a clinical trial, including CTMS, EDC, RTSM, eTMF, eCOA, and eConsent tools. These platforms are revolutionizing clinical trials and advancing clinical research by replacing paper-based processes with electronic records that regulators can audit under FDA 21 CFR Part 11. Most trials run several eClinical systems together, connected through integrations, rather than one all-in-one product.
What is the Clinical Trial Management System (CTMS)?
A CTMS, also called a clinical trial management system, is a software system that centralizes trial planning, site management, budgeting, and regulatory tracking for a clinical trial, helping support clinical trial operations and Good Clinical Practice.
What is Randomization and Trial Supply Management Software (RTSM / IRT)?
RTSM (randomization and trial supply management), also called IRT (interactive response technology), is a system that manages patient randomization and drug supply logistics across trial sites.
What is Electronic Data Capture (EDC) Software?
EDC (electronic data capture) software is a system that collects, validates, and stores clinical trial data directly from investigative sites, replacing paper case report forms.
What is Electronic Trial Master File Software (eTMF)?
eTMF (electronic trial master file) software is a system that stores and organizes the documents regulators require to reconstruct a trial's conduct after the fact.
What are eCOA and ePRO applications (Patient-Reported Outcomes)?
eCOA (electronic clinical outcome assessment) software is a system that captures patient-reported, clinician-reported, and observer-reported outcome data electronically during a trial.
What is eConsent Software (Electronic Informed Consent)?
eConsent software is a system that delivers informed consent information to trial participants electronically and captures their consent with a verifiable digital signature.
What is a Decentralized Clinical Trial (DCT) Platform?
A DCT (decentralized clinical trial) platform is a system that lets patients complete some or all trial activities remotely through telemedicine visits, wearables, at-home data collection, and related healthcare services instead of requiring only in-person site visits.
- 1. Intro callDuring a 30-minute call, our domain expert reviews your trial protocol, current systems, and timeline.
- 2. Free discovery workshopTogether with you, our team maps out trial scope, compliance requirements, and technology stack.
- 3. Project planningWe provide the implementation plan, timeline, and cost estimate for your project.


