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Wall of Evidence

Notes from the work.

Insight on Direct-to-Participant and decentralised trials, real-world evidence, AI governance and the science behind better health decisions - plus where we’re presenting, what we’re publishing and what’s new at Evidilya.

People & Research First®

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Trial, RWE or scientific survey: choosing the right rigour path before you commit
Insight · 5 min

Trial, RWE or scientific survey: choosing the right rigour path before you commit

Two symmetric mistakes cost sponsors the most: assuming a survey will cover everything, or building a full protocol for a question an agile instrument could have answered. The route is decided by the data you intend to capture, not by budget.

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Healthy, sub-healthy, diseased: why nutrition and CHC research needs a wider recruiting map
Insight · 4 min

Healthy, sub-healthy, diseased: why nutrition and CHC research needs a wider recruiting map

Nutrition and consumer-health studies routinely span three health states, healthy, sub-healthy and diseased, and each needs a different channel. Reaching only one narrows the science.

D-T-P enters the guideline: from pioneer practice to regulatory default
Insight · 3 min

D-T-P enters the guideline: from pioneer practice to regulatory default

In twenty-four months, direct-to-participant research has moved from 'innovation' to the way GCP is now written. A short reading of the FDA final DCT guidance and ICH E6(R3) with its Annex 2.

Synthetic control arms: from pioneering to emerging regulatory precedent
Insight · 4 min

Synthetic control arms: from pioneering to emerging regulatory precedent

Externally-controlled and synthetic-arm designs have moved from pioneering to structured regulatory openness. What the guidance actually asks for, and where the method still does not hold.

Verifiability over explainability: how to govern AI in evidence generation
Insight · 3 min

Verifiability over explainability: how to govern AI in evidence generation

The useful question for clinical AI is not how the model learned, but whether its outputs can be verified, stress-tested and reproduced. A governance stance that matches what the EU AI Act and FDA now ask for.

Beyond consent-centric: what EHDS and governed reuse change for evidence
Insight · 4 min

Beyond consent-centric: what EHDS and governed reuse change for evidence

Governance of health data is moving from the signature on a consent form to a system of institutional guarantees. What the European Health Data Space actually changes for secondary use, and what it demands in return.

Pharmacy-based research: reaching consumers where they actually buy
Insight · 3 min

Pharmacy-based research: reaching consumers where they actually buy

For non-Rx consumer health and nutrition, the community pharmacy is not a fallback site. It is frequently the only setting where the intended user can be reached under real conditions of use.

Post-market clinical follow-up under EU MDR: from obligation to strategic asset
Insight · 3 min

Post-market clinical follow-up under EU MDR: from obligation to strategic asset

PMCF has outgrown its reputation as a formality. How manufacturers are turning real-world safety and performance data into intended-purpose extensions, competitive positioning, and dossiers regulators want to read.

Not a butterfly effect: why small nutritional shifts carry the largest returns
Insight · 4 min

Not a butterfly effect: why small nutritional shifts carry the largest returns

The idea that small changes can have outsized effects on health is true – but the butterfly is the wrong metaphor. The real science is about compounding, not chaos, and it comes with a catch that every nutrition and consumer-health sponsor eventually runs into: the smaller the effect, the harder it is to prove.

Nutrition claims need human evidence: the EFSA-aligned path
Insight · 3 min

Nutrition claims need human evidence: the EFSA-aligned path

Small effect sizes, biological variability and unsupervised real-world consumption make nutrition claims genuinely hard to substantiate. What an EFSA-aligned programme looks like, and where most fail.

AI in clinical research: from acceleration to methodological rigour
Insight · 4 min

AI in clinical research: from acceleration to methodological rigour

Synthetic control arms, cohort selection, risk-based monitoring: AI is already inside modern trials. Where EMA, FDA and the EU AI Act are drawing the line, and what CROs are expected to validate before letting a model near a protocol.

Notes

Short archive pieces, field notes and brief reflections, collected here.

Scientific publications available on request.