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ARX-247 / Type 2 Diabetes Draft
Design
Study design
Randomized, double-blind, parallel group
Comparator
Metformin + placebo
Endpoints
Primary endpoint
adjudicated MACE as a safety endpoint
Primary timeframe
52 weeks
Primary unit
MACE events
Population
Sample size
300 participants
Inclusion criteria
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Exclusion criteria
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Operations
Treatment duration (weeks)
52 weeks
Regions
US, EU
Process
History
Design created3m ago, by You v0, current
Open full log ›
TeamOpen team ›
LPYouClinical Development LeadOwner
JSJess SmithBiostatisticsMember
MAMarcus AdeyemiRegulatory affairsMember
MHMariam HaddadClinical operationsMember
MCMaya Chenteammate@your-org.com Add member
MCMaya ChenMedical reviewerInvite sent

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ARX-247 / Type 2 DiabetesDesign
LP

How does this compare to similar trials?

Checked 23 sources

Your design is more complex than 19 of the 22 closest comparators.34 It scores 52 against a median of 41.5 The 52-week window and the MACE follow-up account for most of the gap.68

Evidence Artifact

Sources23 cited in this answer

Comparable trials22

1

GLP-1 agonist, early phase

Phase 1N=154 wk

2

Incretin, cognitive impairment

Phase 3N=42076 wk

3

Weekly GLP-1 agonist, dosing

Phase 2bN=28812 wk

4

Dual GIP/GLP-1 add-on

Phase 2bN=40224 wk

5

Oral GLP-1, dose-finding

Phase 2bN=26012 wk

6

SGLT2 inhibitor add-on

Phase 2bN=31212 wk

7

Glucokinase activator

Phase 2N=19012 wk

8

GLP-1/glucagon co-agonist

Phase 2bN=34626 wk

9

Weekly basal insulin

Phase 2N=20516 wk

10

Amylin analogue combination

Phase 2N=17620 wk

11

Oral small-molecule GLP-1

Phase 2bN=41126 wk

12

Triple agonist, dose-finding

Phase 2N=28124 wk

13

GPR40 agonist

Phase 2N=22412 wk

14

Fixed-ratio combination

Phase 2bN=33024 wk

15

Glucagon receptor antagonist

Phase 2N=16612 wk

16

FGF21 analogue, fatty liver

Phase 2N=19816 wk

17

Insulin sensitiser add-on

Phase 2N=21412 wk

18

SGLT1/2 inhibitor, renal

Phase 2bN=30226 wk

19

Weekly DPP-4 inhibitor

Phase 2N=24012 wk

20

PPAR agonist, dose-response

Phase 2N=18812 wk

21

DPP-4 inhibitor, older adults

Phase 2N=15212 wk

22

11β-HSD1 inhibitor add-on

Phase 2N=17412 wk

Reference documents1

23

Background therapy labelling

Clinical studies section

Complexity vs. comparable trials

ARX-24752

Median41

Rank4of 23

Median 41ARX-2472065

By domain

  • Study design58
  • Operations66
  • Regulatory54
  • Site burden38
  • Patient burden44

Closest comparators

SourcenReadoutScore
328812w35
440224w47
526012w33
ARX-24730052w52

Readiness checks run on every change

∧∧ARX-247 / Type 2 DiabetesRecordDesignReadinessHistory
ARX-247In designEndocrinology

ARX-247 in Type 2 Diabetes

Predicted amendments6
Operational2 Endpoint2 Safety1 Eligibility1
How to fix them
Complexity score52/100
Operational execution66 Study design58 Regulatory oversight54 Patient burden44 Site burden38
How to reduce
Regulatory gaps26
FDA13 EMA10 PMDA1 NMPA2
Review gaps

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From predicted amendments

LPDr. Lena ParkTrial design

↑Is 52 weeks out of step with comparable trials?

12 of 22 comparators read out by week 12. The tail is carrying MACE, not the primary.

Treatment duration52 weeks→12 weeks

From complexity score

MAMarcus AdeyemiRegulatory affairs

↑What renal floor applies to metformin add-on trials?

Metformin is contraindicated below eGFR 30.

Exclusion criteriaNot set→eGFR ≥ 30

From regulatory gaps

JSJess SmithBiostatistics

↑Is MACE powered as a primary at n=300?

No. Too few events at this sample size. It belongs one level down.

MACE endpointPrimary→Key secondary

History
LPTreatment duration52 weeks→12 weeks14:02
MAExclusion criteriaNot set→eGFR ≥ 3014:19
JSMACE endpointPrimary→Key secondary14:41

Nothing moves forward without the right sign-off

Sign-off In Design
  • LP Trial design
  • MA Regulatory
  • JS Biostatistics
  • MH Clinical ops
  • MC Medical review

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∧∧ARX-247 / Type 2 DiabetesRecordDesignReadinessWorkflows

New agent

Describe the reviewer. It reads every draft from then on.

Role

Cardiac safety reviewer

What it looks for, and on whose behalf.

Rulebook

PDFSOP-0142.pdf DOCDiabetes TA guidance.docx XLSLessons learned 2024.xlsx + Add source

Scope

Objectives Endpoints Schedule of assessments Safety
Route findings toSafety & PV ▾
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Agentic workflows from strategy to execution

ARX-247 / Workspace Study design v2.1 updated 2d ago
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Integrations

1.1 Synopsis

A Phase 2b, randomized 1:1, double-blind study of ARX-247 added to metformin in type 2 diabetes.

  1. Treatment for 12 weeks, with HbA1c change from baseline as the primary readout at week 12. 5
  2. eGFR of at least 30 at screening. 23
  3. MACE is collected as a key secondaryco-primary endpoint. 14
  4. About 300 participants across sites in the US and EU. 9