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What’s new

The platform keeps growing.

The biggest things we’ve shipped lately — for the researchers who run studies and the patients who live them.

October 2026 · Latest features

For researchersNew

A DSMB process you can show a regulator

Interim looks in a platform study are now frozen and hashed. The statistical analysis center builds an open and a closed report from each cut and releases them to the DSMB, which records one recommendation against them. The people who prepare the analysis never vote on it.

For researchersNew

Adaptations with the limits written first

Re-estimate an arm’s sample size or enrich enrollment, only within bounds stated in a locked rule. Randomization enforces the result. New arms go through an IRB amendment before they open, and first-in-human arms start with gated sentinel cohorts.

For researchersNew

Sites, only where home can’t reach

Studies stay decentralized first. Add sites for scans, infusions, and other visits home can’t do, open each one through a readiness checklist, give every participant a site of record, and watch risk and enrollment by site.

For researchersNew

Sponsors who share a platform, kept apart

Each company sponsoring an arm sees only its own arms, from its own organization, and never an interim result. Treatment kits ship to the right arm without breaking the blind, and serious events are reconciled between the safety database and the dataset before lock.

For researchersNew

Operations you can measure

See decision turnaround from every interim cut, dataset build time from cut to export, enrollment forecasts by site and arm checked against what happened, and cost per arm from an append-only ledger.

For patientsNew

Know who is looking after you

If your study needs a clinic visit, the app says why, where, and how to get there. Your study contact screen names the study doctor who oversees your care while you take part from home.

Show earlier updatesAugust, July and June 2026

August 2026

For researchers

Trial Signal, without breaking the blind

See the direction of a trial across check-ins, assessments, wearables, and specimens, with confidence intervals and arm comparisons where the design allows. Blinded teams stay blinded; completed studies can open the readout to the full team, and eligible studies can publish a privacy-protected public signal.

For patients

A complete study, right in the browser

Browser-compatible studies can now run without an install, including consent, check-ins, assessments, reports, and completion. TrialPilot clearly identifies tasks that require the mobile app, while wearable data already synced by a phone remains available as familiar trends on the web.

For patients

From finding a study to crossing the finish line

Browse studies you can join, scan a channel-specific recruitment QR code, choose whether to share wearable data, and start when your plan is ready. The study calendar shows what happened each day and marks the finish without turning missed work into shame.

For researchers

A Study Builder that shows the way forward

Move through clear planning, setup, and launch stages with participant burden visible while you design. Launch review groups every missing requirement and takes you directly to the section that needs attention.

For researchers

Single-timepoint specimen studies, end to end

Run kit-based and biospecimen studies without forcing them into a daily adherence model. A shared journey now covers activation, collection, chain of custody, lab accessioning, result ingest, consent over stored samples, and appropriate result return.

For patients

A health timeline built around real life

Track symptoms that matter to you, including your own labels, and record illnesses and vaccinations as they happen. Gentle, research-backed attention signals can surface meaningful within-person changes, while study teams only receive the de-identified context their study is allowed to use.

July 2026

For researchers

Remote eligibility, without the privacy tradeoff

Participants can screen from home. Criteria that need a coordinator stay pending until staff verify them, while answers and identity remain on the participant side of the privacy boundary.

For patients

Study supplies that come to you

Track a study kit, report a damaged delivery, and confirm receipt with the kit code from the app. Research teams get the accountability trail they need through return or final disposition.

For researchers

Risk-based monitoring in one view

Write the monitoring plan, track deviations, and review six live risk indicators without crossing the blinding or identity boundaries. Thin data stays “not enough data,” never a false alarm.

For patients

A real voice before the protocol is final

Review a short, plain-language protocol digest and rate what feels workable. Feedback is pseudonymous, optional, and hidden from research teams until enough people respond.

For researchers

From startup checks to a verifiable archive

Launch readiness, protocol versions, trial-registration clocks, milestones, reconciliation, audit inventory, and closeout now form one governed path from draft study to hash-stamped archive.

For researchers

An inspection package that knows what it contains

The unified audit export carries a machine-checked inventory across every study-scoped audit domain, with de-identified participant events and blinding-safe unblinding records.

June 2026

For researchers

Regulatory activation & IRB oversight

No enrollment or randomization without a current IRB approval bound to the exact protocol and consent versions it covers. Generate submission packets from structured data, and track amendments and reportable events in one regulatory hub.

For researchers

Randomization & blinding

Permuted-block, minimization, uploaded-list, or simple randomization for everyday RCTs and crossovers, with open, single, and double-blind modes, a code-versus-arm firewall, and an audited emergency unblind.

For patients

A baseline that banks itself

Wearable data can start collecting before you enroll, and recent coverage waives the baseline wait when a study begins. A configurable baseline window and wearable sync-health surface gaps early.

For patients

eConsent, made humane

Accessible, resumable informed consent with gentle comprehension checks, an electronic signature workflow, and a countersigned PDF receipt. Consent that respects a hard day and can be re-read anytime.

For researchers

Adaptive platform trials

A perpetual, multi-arm protocol with deterministic randomization, response-adaptive allocation inside preset guardrails, factorial domains, and a blinding firewall that keeps interim looks away from the people who shouldn’t see them.

For researchers

Electronic data capture + CDISC export

A versioned, audited dataset with an edit-check engine and query workflow, coding review (licensed dictionaries are not connected in the preview), soft and hard database lock with audited unlock, and one-click CDISC SDTM + define.xml export.

For patients

Pacing & readiness

A within-person heart-rate ceiling, time-over-threshold, an orthostatic-aware POTS split, and a morning readiness read from resting HR and HRV — framed as a pattern, never a prediction. Quiet by default.

For patients

Patient-led self-trials

Guided single-case (n-of-1) studies with on-device single-case experimental design and segmented-regression analytics, a primary endpoint you choose, and an honesty layer that won’t let a hopeful trend pose as proof.

For patients

Study results & history

A calm, within-person Green / Yellow / Red read of your own measures — never red on missing data — plus a unified history of every study and self-trial you’ve run.

Safety

Objective PEM capture

Post-exertional malaise detected from ordinary participation — check-ins plus wearable data — against a versioned, patient-anchored definition, with a tap-only enrichment flow.

For patients

Gentle investigator nudges

A coordinator can queue a one-way, templated check-in that arrives as a considerate local notification — rate-limited, never stacking, and silent when someone is unwell.

Safety

Adverse-event safety & escalation

A reporter-not-actor model so the person who notices a safety concern isn’t forced to act, with review routing and a privacy boundary between identity and clinical data.

Coming next

More flexibility. Less to keep track of.

A look at the next participant experience. These features are in development and are not yet released.

01 / COMING NEXT

Choose the activities your study needs.

Configure questionnaires, check-ins, wearable sharing, visits, intervention logs, supplies, and payments. Optional work stays separate from required completion.

Sites can also link an already-enrolled participant to an approved app activity plan while preserving their original study timeline.

02 / COMING NEXT

One plan for the week ahead.

See what needs attention, what is coming up, what is waiting, and what is complete. Quiet weeks stay quiet, and saved-on-device work is clearly labeled until received.

The plan brings assigned activities, visits, kit updates, payment records, routine help requests, and released summaries together.

03 / COMING NEXT

A change of plan that keeps your progress.

Offer approved home, site, or local-provider visit options. Participants can request an available alternative for the team to arrange.

Completed questionnaires stay complete when an arrangement changes. Provider availability and clinical suitability are confirmed by the site.

04 / COMING NEXT

Help requests with a visible next step.

Give routine requests an owner, acknowledgment, status, and outcome. Participants can follow progress and reopen a request when they still need help.

Device, visit, kit, callback, and study questions stay distinct from urgent safety reporting. Staff email requires a configured delivery service.

Development preview of the actual Study Builder, with selectable participant activities and a weekly check-in schedule
Study Builder · Development screenshot, September 7, 2026. Synthetic study data. Select to enlarge.
Development preview of the actual participant support queue showing an assigned request, a participant response, and request history
Participant support · Development screenshot, September 7, 2026. Synthetic study data. Select to enlarge.