Clinical Outcome Assessment (COA) Solutions

Access end-to-end consultation, from licensing to electronic clinical outcome assessment (eCOA) migration, and improve the patient and healthcare provider experience with all types of COAs.  

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Electronic Clinical Outcome Assessment

End-to-End COA Solutions: Speed Time-To-Market, Mitigate Risk, and Ensure Global Regulatory Compliance

Enable superior patient data quality with centralized COA management. Regulatory authorities and patient advocates are demanding more visibility than ever before into patient engagement and safety measures. Sponsors are tasked with improving their data collection strategies while navigating the ever-changing landscape of compliance.

TransPerfect helps sponsors and eCOA providers streamline this complexity with AI-powered eCOA migration and data collection. These COA solutions improve ease, speed, compliance, and quality of patient data reporting - all while minimizing the risk for error. Meet the next generation of clinical data integrity and patient safety.

    Translation and COA Linguistic Validation

    License, translate, and adapt COAs across a variety of therapeutic areas, while improving data quality. Translate and validate patient-reported outcomes (PRO), clinician-reported outcomes (ClinRO), observer-reported outcomes (ObsRO), and performance outcomes (PerfO). Our specialists follow the latest guidelines and ISPOR Good Practice recommendations.

    Our comprehensive COA solutions include:

    • Translation and Linguistic COA Validation 
    • Licensing/Copyright Services
    • Face Validity Assessment
    • Translatability Evaluation
    • eCOA Integration and Usability Testing
    • Cognitive Debriefing for Source Questionnaires
    • Web-Based COA Library and Online Document Management
    • IVRS Prompt Recording
    • Interview Transcription
    • Study Binder Formatting
    • Research Abstracts/Posters/Manuscripts

    GlobalLink XCompare™ for eCOA Migration

    Streamline your eCOA migration process with an industry-leading eCOA platform that improves the ease, speed, compliance, and quality of patient data reporting. GlobalLink XCompare is our proprietary risk-mitigating technology used during the migration of validated paper COAs to electronic platforms. Avoid common migration issues with our eCOA solutions.

    Our end-to-end eCOA solutions include:

    • Paper to eCOA content adaptation
    • eCOA usability testing
    • Licensing
    • Translation/linguistic validation
    • Migration assessment
    • eCOA adaptation & migration  
    • Screenshot review & certification  
    • Post-localization device testing  

    Applanga™ for Screenshot Review

    Remove the need for passing technical files back and forth and rounds of review. Applanga™ connects directly to the  ePRO/eCOA app via API. TransPerfect specialists manage the full testing process and remove the electronic patient reported outcomes (ePRO) vendor, which allows for 2.5 times faster turnaround time and reduced project management.  

    Licensing and Copyright Support

    Ensure a smooth permissions process with TransPerfect’s COA Division licensing and copyright team. TransPerfect’s long-standing relationships with copyright holders, authors, and developers streamlines necessary processes and procedures.  

    COA Library and Document Management

    Store all clinical outcome assessments (PRO, ClinRO, ObsRO, and PerfO) as well as documentation from the development of the assessments, COA qualification submissions, licensing/copyright information, final (linguistic validation) reports, certifications, all relevant eCOA documentation and screenshots, final PRO batteries, and any additional documentation in the cloud. Track and manage all ongoing activities surrounding formatting projects, eCOA projects, translation projects, and the management of COA content.

    Rater Training Support

    Provide a comprehensive suite of solutions to support rater training efforts through TransPerfect Linguistic Validation. We offer translation and adaptation of all training materials, including those delivered by video and through interactive e-learning courses. TransPerfect has over 1,200 clinician reviewers in our network to review any Clinician-Reported Outcomes (ClinRO) work, from neuropsychologists to urologists and almost anything in between. 

    Patient Interviews

    Specialized end-to-end support for patient-centered outcomes research, including the execution of patient interviews throughout the life cycle of the clinical study. As a trusted partner to CROs and sponsors, TransPerfect offers a comprehensive range of interview services, including concept elicitation, patient experience, and exit interviews. Each collaboration includes a thorough review of the sponsor’s goals to ensure that qualified interviewers are trained on the study-specific requirements. We also provide timely delivery of interview materials, such as transcripts, translations, adverse event reports, and feedback reports. 

    Upholding the highest industry standards to ensure conceptual equivalence and cultural appropriateness for a variety of therapeutic areas.

    Protect patient safety

    All TransPerfect COA Division production staff complete ongoing Good Clinical Practice (GCP) training, which contributes to the high quality of our deliverables. Our clients also have access to ongoing training on the most up-to-date industry standards for the translation of clinical outcome assessments as well as full-service consulting resources.

    Accurately capture patient data

    TransPerfect’s linguistic validation team has extensive knowledge of industry standards as stated in FDA, EMA, and ISPOR Guidance documents. As an ISO- and EN-certified company, TransPerfect’s linguistic experts and offerings comply with ISO and EN international standards and undergo regular audits for quality assurance. Our eCOA solutions help to amplify the patient’s voices.

    Meet global compliance standards

    TransPerfect’s 21 CFR Part 11 compliant Trial Interactive online document repository allows for web-based archiving of COAs for easy access and retrieval. It centralizes clinical outcome assessments (PRO, ClinRO, ObsRO, PerfO), in one place, as well as all relevant eCOA documentation. 

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    A Checklist for eCOA Solutions Deployment

    Selecting and deploying a new eCOA solution involves many important factors - from determining the capabilities of the Language Service Provider (LSP) to identifying the technology used for each COA migration - and it’s impossible not to worry about missing a key detail in the process.

    Download our checklist to learn about the eCOA landscape.

    Our COA Solutions

    Learn more about our COA solutions and how clients can enable superior patient data quality with centralized COA management

    • 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?

    The Future of eCOA and Wearable Devices

    Electronic Clinical Outcome Assessment (eCOA) wearables help to simplify the collection of large volumes of patient-reported data. Learn how eCOA wearables can optimize your eCOA data collection and how identifying the right eCOA company can ensure a seamless experience. This webinar explores the benefits and considerations of utilizing wearable devices for improving eCOA patient data capture.

    Innovation in Clinical Outcome Assessment Solutions by the Numbers

    97 %

    Risk mitigation during eCOA migration

    50 %

    Faster review cycles

    2.5 x

    Faster turnaround times by eliminating ePRO vendor

    100 %

    Compliance with copyright holders for legal requirements


    365 days of the year access

    Ensure Conceptual Equivalence and Cultural Appropriateness in COAs Across a Variety of Therapeutic Areas

    • 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

    Certifications and Memberships

    TransPerfect is an active participant in the outcomes research and health economics world and has a strong record of academic achievement and participation.

    C-Path Institute

    News and Thought Leadership

    C3 Summit London 2024

    THE BREWERY 52 Chiswell St London EC1Y 4SA United Kingdom ...

    C3 Summit London 2024

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    Clinical Content Trends: 2023 Reflections and 2024 Projections

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    LifeSci Talks COA Series | Licensing Challenges vs. eCOA Vendor Capabilities

    In this episode of LifeSci Talks, Mark Wade, Global Practice Leader at TransPerfect Life Sciences, sits down with Stacey Higgins, Associate Director, COA & Digital Implementation Team at AbbVie, to cover the intricacies of clinical trial licensing, contract variations among ...

    COA White Paper | The Tale of Two Trials

    In “The Tale of Two Trials,” Almac takes an in-depth look at the benefits and drawbacks of the traditional, paper-based outcomes assessment method, as well as the advantagesof the emerging electronic clinical outcomes assessment (eCOA) solutions. With each having the potential to ...

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