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    Case StudiesCase Study

    Solutions · Large Pharma

    Portfolio RBQM for 5–300+ Trials. Risks Forecasted 8–12 Weeks Early

    Maxis AI supports RBQM oversight for 5-300+ trials, forecasting risks 8-12 weeks early, reducing queries by 60-75%, and speeding DB lock by 30%.

    2026Large PharmaFree to read

    5–300+

    Scalable Portfolio Oversight

    30%

    Faster DB lock

    8–12 Wks

    Predictive risk forecasting

    60–75%

    Query Reduction

    Portfolio RBQM for 5–300+ Trials. Risks Forecasted 8–12 Weeks Early

    WHO IT IS

    The Context

    A large pharma sponsor managing 200+ global trials faced a core execution constraint: coordination across CROs did not translate into consistent execution at scale.

    Data signals were fragmented and acted on too late, leading to delayed risk resolution. Database lock timelines slipped by 6–8 months, deferring $3–5M in submission value per study and reducing portfolio predictability.

    The issue was not visibility. It was executing on signals early enough to maintain timeline control across a global portfolio.

    Challenges

    Key barriers to RBQM Portfolio Execution

    Fragmented Portfolio Risk View

    • Data spread across clinical systems
    • No unified risk view across trials and CROs
    • Limited leadership visibility

    Late Risk Detection

    • Static KRIs missed emerging risks
    • Issues surfaced weeks or months late
    • Actions often came after impact

    Query & Data Quality Pressure

    • 5,000–50,000 queries per trial
    • Heavy manual review burden
    • Delayed database lock readiness

    RBQM Governance Gap

    • RBQM required execution, not just documentation
    • Central monitoring varied across programs
    • Teams needed adaptive QTLs and audit-ready traceability

    Operational solution

    Maxis AI agentic workflows — under human oversight throughout

    Unified Data Quality Layer

    • Unified quality and risk view
    • Connected clinical data sources
    • Earlier portfolio risk visibility

    Outcome

    5–300+ concurrent trial oversight

    Predictive Risk Signal

    • Forecasted emerging risks
    • Continuous signal monitoring
    • Earlier intervention opportunities-making

    Outcome

    8–12 weeks predictive risk forecasting

    Auto Query Resolution

    • AI-assisted query resolution
    • Focus on exceptions and review
    • Reduced manual query burden

    Outcome

    60–75% query reduction

    Maxis AI operates as a governed and supervised execution layer within existing systems throughout.

    See it across your portfolio

    Curious how this could work across your trial portfolio?

    We'll review your portfolio operations, identify execution bottlenecks, and show where governed AI can improve performance in a 30-minute working session.

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    Measured impact

    Quantified outcomes after deploying Maxis AI's agentic workflows

    MetricBefore Maxis AIAfter Maxis AI
    Portfolio OversightFragmented CRO and trial dashboardsUnified RBQM oversight across 5–300+ trials
    Risk DetectionStatic KRIs and delayed reviewsRisks surfaced 8–12 weeks earlier
    Query BurdenManual review of 5,000–50,000 queries per trial60–75% query reduction
    Database Lock ReadinessData-quality issues delayed locks30% faster database lock
    RBQM Execution ModelManual, fragmented oversightContinuous RBQM execution with governed monitoring and audit traceability

    Outcome

    Quantified Benefits

    Clinical leadership gained a unified RBQM execution layer across CROs, trials, and systems, improving early risk visibility, reducing query burden, and strengthening database lock predictability

    Portfolio Oversight: Unified RBQM oversight across 5–300+ trials

    Risk Detection: Risks surfaced 8–12 weeks earlier

    Query Burden: 60–75% query reduction

    Database Lock Readiness: 30% faster database lock