One Team for Your Full COA and eCOA Program

Licensing, translation and linguistic validation, and eCOA migration can require coordinating multiple vendors. TransPerfect’s COA solutions bring your entire program under one accountable team that works with the platforms you already use. From paper through the final electronic build, we help keep your instrument accurate.

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Patient holding a tablet with an electronic clinical outcome assessment

Vendor Fragmentation Delays COA Submissions

When different vendors manage licensing, translation, and eCOA migration, communication is decentralized. Missed handoffs can impact quality and extend timelines, leaving study teams to fill workflow gaps:

  • Multiple vendor handoffs add review cycles that can delay submission to an ethics committee or IRB, as well as the study’s first dosing visit.

  • Licensing requirements don't automatically follow the instrument to the next vendor, risking copyright compliance.

  • An unvalidated or unchecked translation risks data validity once it’s built into the electronic platform.

One Team, Start to Finish

TransPerfect manages your clinical outcome assessment (COA) translations, electronic COA migration, and full COA program with end-to-end or individual services. One team secures licensing, translates the instrument, and checks the electronic build against the translation before it goes live. Our specialists advise across the full program lifecycle, from technology and COA strategy to licensing, localization, digital health, and AI with human-in-the-loop.

How Does TransPerfect's COA Program Work?

    Licensing and Copyright Support

    TransPerfect combines our Library with an in-house licensing team to secure copyright permissions before translation or migration begins, helping prevent licensing from delaying the start of your study.

    Translation and Linguistic Validation

    Run your study in every required language without compromising data quality. Instrument translation and linguistic validation help ensure your COA and PRO translations preserve the source meaning, remain culturally appropriate, and support consistent measurement across sites.

    eCOA Migration

    Transform your instruments and diaries into electronic form with confidence. eCOA migration, eCOA adaptation, and eCOA implementation are handled end to end with our proprietary migration technology, GlobalLink XCompare, ensuring accurate transfer.

    Screenshot Review

    Identify discrepancies before go-live with automated screenshot review. GlobalLink Strings connects directly to the eCOA provider’s platform, allowing reviewers to check app screens against their translations. No file exports, back-and-forth exchanges, or version control issues.

    Testing

    Deploy your eCOA with accessibility and usability confirmed. TransPerfect can test builds for accessibility, usability, and localization accuracy on actual devices, supporting better patient experiences and clinical outcomes.

    Rater Training Support

    Our customized process ensures rater training materials are ready for site activation and aligned with validated instruments across all languages. Whether training is delivered through e-learning modules, PowerPoint presentations, or other media, TransPerfect can reuse existing materials to help avoid unnecessary costs and delays.

    COA Library and Document Management

    Gain full visibility into every COA record through TransPerfect’s centralized, 21 CFR Part 11-compliant repository. Your team can access licensing details, validation reports, and eCOA documentation wherever and whenever they’re needed.

    Patient Interviews

    Capture the patient voice across the full study lifecycle, from early concept elicitation to exit interviews at the study’s end.

    TransPerfect Life Sciences by the Numbers

    97 %

    Fewer migration errors than manual review


    50 %

    Faster eCOA migration timelines with XCompare

    60 %+

    Faster screenshot review timelines with GLS

    100 %

    Compliance with copyright holder licensing requirements

    Certified & compliant

    TransPerfect is certified to ISO 9001, ISO 17100, ISO 13485, and applicable EN standards. Every translation follows FDA, EMA, PMDA, and MHRA guidance, as well as ISPOR guidelines for linguistic validation. Our services are fully documented and traceable to your original instrument.

    Active member in the organizations shaping COA science

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    C-Path Institute

    Trusted COA Solutions for Clinical Trial Success

    Discover how TransPerfect streamlines COA management and translation.

    • Video

      What Is TransPerfect's COA Solution?

    • Video

      Why Was TransPerfect's COA Solution Created?

    • Video

      What Are the Main Challenges TransPerfect's COA Solution Solves?

    • Video

      What Are the Main Benefits of Our COA Solution?

    • Video

      Who Does TransPerfect's COA Solution Help?

    • Video

      Why Do Clients Love TransPerfect's COA Solution?

    • Video

      Why Should Clients Choose TransPerfect's COA Solution?

    Do You Have Specialists in My Therapeutic Area?

    • Aesthetic Medicine
    • Cardiology
    • CNS/Neurology/Psychiatry
    • Congenital/Hereditary Diseases
    • Dermatology
    • Endocrinology
    • Gastroenterology
    • Genetic Disease
    • Healthy Volunteers
    • Hemic/Lymphatic
    • Hepatology
    • Immunology
    • Infectious Diseases
    • Musculoskeletal
    • Nephrology
    • Neurology
    • Obstetrics/Gynecology
    • Oncology
    • Ophthalmology
    • Otolaryngology
    • Otorhinolaryngology
    • Orthopedics
    • Pediatrics
    • Pain
    • Plastic Surgery
    • Psychiatry/Psychology
    • Respiratory
    • Rheumatology
    • Sexual Functioning
    • Sleep Disorders
    • Spondylitis
    • Trauma
    • Urology
    • Vaccines

    Wherever You Are in Your Study, We Can Help

    Whether your study is still a few years away or you’re already enrolling patients, the right time to act is now. We can help you secure licensing, initiate linguistic validation, and meet key milestones to keep your COA and eCOA programs on track.

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    News and Thought Leadership

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    Has eCOA Lived up to Its Promise? A Retrospective View on the Evolution of Electronic Clinical Outcome Assessments

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    C3 Summit 2026 - San Francisco

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    LifeSci Talks COA Series | Nothing Remains the Same: Why Measures Have to Evolve

    In this episode of LifeSci Talks, Mark Wade, Global Practice Leader at TransPerfect Life Sciences, sits down with RJ Wirth, CEO and Consulting Psychometrician at Vector Psychometric Group, to talk about why the measures we rely on are living things rather than fixed artifacts. ...