Get back in the driver’s seat of your own trial.

I build the oversight systems that provide visibility into your CRO and keep your trial on track.

Many small biotech clinical leaders lack
visibility into their own CRO relationship

Does any of this sound familiar?

  • Wasting time chasing updates from a vendor that should already be reporting to you.

  • Paying invoices you cannot connect to a clinical outcome or milestone.

  • Finding out your timeline slipped after it was already too late to fix.

  • Walking into board meetings without clear answers about trial progress.

  • A 2-person team responsible for overseeing a 30-person CRO organization.

You deserve a simple oversight method
that puts you in control of your trial.

Stop paying for activities that don't move your trial forward.

Trust Your CRO Partner 

Build a relationship with a CRO that shares your priorities, your culture, and your urgency.

Reclaim Your Time 

Stop micromanaging your CRO and get back to the work that actually grows your company and your career.

Lead with Confidence 

Walk into every board and CEO meeting with the data you need to make decisions and defend your budget.


90% of trials fall behind. 

Here is how to be in the 10% that stay on track.

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I get it. Being accountable for a trial you cannot fully see is frustrating.

You want to be a recognized leader. The kind who walks into a board meeting prepared and runs a trial that actually delivers results. In order to do that you need full visibility into what your CRO and other vendors are doing and why.

The problem is most small biotech clinical teams are operating without a real oversight method. They are managing a 30-person CRO with a lean internal team and no system built for that reality. This can leave you feeling frustrated and powerless.

Clinical operations leaders deserve a clear oversight method that puts them back in control of their trial. I know how high the stakes are because I have spent 36 years inside pharmaceutical companies, CROs, and small biotech organizations. I have seen how easily misalignment with a CRO can stall a trial, waste precious budget, and delay treatments patients are waiting for. That experience now guides the work I do with clinical leaders who want full visibility, alignment, and momentum.

Here’s what makes my approach unique:


  • I have worked inside large pharma, mid-size pharma, CROs, and small biotech. I know where the gaps live.

  • I help you select the right CRO before the relationship starts, matched to your science and culture.

  • I build clinical momentum with an oversight method for your team and train them to use them, so the change sticks.

You have the expertise to lead this trial. Let me give you the system to do it with clarity.


Nathalie Riebel, BSc. MBA

Founder, Oncospire | Clinical Momentum Method


36

Years inside pharma,
CRO, and small biotech

5

Years, Eli Lilly Inspection Readiness Leader, 27+ Agency Inspections

33

Years in Oncology Clinical Ops

Here’s how it works

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Book Your Clinical Momentum Call

We identify exactly where your CRO relationship or oversight method is breaking down and map the fastest path to getting you back in control.

Build Your Oversight System

We diagnose the root cause, align your CRO to your priorities, and put the right oversight tools and processes in place for your team and your trial.

Lead Your Trial with Confidence

Walk into every board meeting with real data. See risks before they become misses. Trust your CRO as a genuine partner. And get back to the work that actually grows your company and your career.

The Clinical Momentum Method

Don't let a misaligned CRO put your trial,
your funding, and your patients at risk.

Together we will build the oversight method your trial needs so you can lead with confidence, protect your timeline, and never walk into a board meeting unprepared again.

Where Would You Like to Start?

Vendor Selection Package

Choose the right CRO from the start, matched to your science, your culture, and your operational needs.  |  6 week engagement.

Critical Path Visibility Assessment

Identify where your CRO relationship is breaking down and map the fastest path to getting back on track.  |  10 day engagement

Clinical Momentum Sprint

Build your oversight tools, align your CRO to your priorities, and train your team to sustain the process.  |  6 week engagement.

Clinical Momentum Method Advisory

Maintain full visibility, alignment, and momentum across your trial at every stage of development.  |  6 month engagement.

FREE GUIDE / VIDEO 

The CRO Oversight Audit

Find out where your CRO oversight is breaking down before it costs you a milestone.


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  • Score your CRO across 5 critical oversight gaps

  • Know exactly which area to fix first

  • Get your answer in 10 minutes