GenPrime · Initialization·vision pitch · 2026-05-28

Advanced Clinical OS

One operating system across the clinical stack — documentation & planning, multi-modal data pipelines, operational systems, and a copilot brain — anchored on a real-world data spine that follows patients from year 0 to year 15.

The whole map · three lanes + RWD · phase-aligned timeline

Documentation / PlanningDataClinical CopilotRWD
PhasePre-INDPhase 1 → 3 developmentCTA / INDNDA / BLA filingDocumentation / PlanningCDP → CP → Eligibility → SAP → derived → CTA/IND → eCTD M1–M5 (NDA/BLA/MAA)Datamulti-modal sources → mid-layer → operational systems → DW → ADaM → TFL/CSR + C.A.P.Clinical Copilotdecision-makers + specialist advisors + external KOL — implicit at every junctionReal-World Datayear 0 → 15 long-tail · registries · claims · post-marketing · HEORInitialDerivedAuthorizationSourcesMid layerWarehouseAnalyticsprePK sub-lineDB LockUnblindingM5long-tailCDPClinical Development PlanTPP · Phase 1/2/3endpoints · reg pathrisk / 竞品CDP — clinical-cdpClinical ProtocolCP · CTPdesign · endpointsstats · visitsDMC charterEligibilityI/E criteriaprior tx · biomarkercomorbidity · washoutEligibility — clinical-eligibility-criteriaSAPStatistical Analysis Planprimary · interimsensitivity · subgroupestimandsDerived docsdownstream of initial 4IB · ICF · CRF · DMP · MOP · DSUR · PSUR/PBRERBriefing Book · Amendment · RMP · PV PlanPharmacy Manual · Lab ManualCTA / INDtrial authorizationNMPA CTA · FDA INDEMA CTIS30-day revieweCTD M1–M5NDA · BLA · MAAM1 admin · M2 sumM3 CMC · M4 non-clinM5 clinSourcesmulti-modal patient streamsbaseline / demovitals (持续监测)EMR · case · follow-upePRO / eCOAimaging (DICOM)AE / SAEconcomitant medsgenomic / seqwearablesdose historyMid-layer pipelineVLM · OCR · NLPVLM extractOCR / handwritingMedDRA · WHODrug codingSDV / queryedit checksde-identification (HIPAA / GDPR / PIPL)Mid-layer pipeline — prepk-pipelineOperational systemsdata + metadata sinks for the trialEDCcase report formsEDC — edc-workflowCTMSsite · accrual · monitoringCentral LabPK/PD · biomarkers · safety labsIWRS / IRTrandomization · IMP supplyBiorepositoryBMA · blood · biopsy · chain-of-custodyPharmacovigilance DBAE/SAE · MedDRA · E2B(R3)Data WarehouseSDTM-like wide & sparseversioninglock stateslineage / auditDefine-XML · ARMprePKPDF → xlsx → plot → narrativeIASO206 pilotprePK — prepk-pipelineADaManalysis-readyTFLtables · figures · listingsCSRICH E3CSR — clinical-csr-writerC.A.P.Clinical Analysis Platforminterim · DSMBexploratory · subgroupHEORBayesian / adaptiveML modelingComprehensive resultsdeep studies · postersDecision-makers (core)P.M. · P.D. · P.I. · CMOSpecialist advisorsCRA · Data Mgr · Biostat · PV · RA · Med WriterKOLexternal advisorydisease · methodregulatoryRWD sourcesyear 0 → 15disease registriesclaimsEHR longitudinalwearables · mortalitypatient panelsRWE outputsevidence + reg packetsPMS · HEOR · RWElabel extensionsoff-label surv.comparative effectivenesssubpop evidence
⌘/Ctrl + wheel · zoomdrag · pan·node click · open linked repov0.3 · edit: web/src/lib/vision-schema.ts
Lane 1

Documentation / Planning

From the Clinical Development Plan (CDP) through Clinical Protocol, Eligibility, and SAP — feeding a constellation of derived docs (IB · ICF · CRF design · DMP · MOP · DSUR · PSUR · RMP · Briefing Book · Pharmacy & Lab Manuals) — then up through CTA/IND trial authorization and finally the eCTD M1–M5 submission package (NDA / BLA / MAA).

  • clinical-cdpCDP · Phase 1/2/3 strategy
  • clinical-csr-writerCSR drafting (ICH E3)
  • clinical-eligibility-criteriaEligibility platform
Lane 2

Data

Patient baseline, vitals, EMR, follow-up, ePRO, imaging, genomic, wearables, AE, dose history — through a mid-layer (VLM · OCR · NLP · MedDRA/WHODrug coding · SDV · edit checks · de-identification) — into the operational sinks (EDC / Lab / Biorepository) and operational systems (CTMS / IWRS / Pharmacovigilance DB). Everything lands in the wide & sparse SDTM-like Data Warehouse; DB Lock + Unblinding gates the ADaM → TFL → CSR spine, with C.A.P. forking off for HEOR, Bayesian / adaptive, and ML modeling. prePK runs as a side branch from Lab back into the warehouse.

  • prepk-pipelineMulti-modal PDF → narrative
  • edc-workflowEDC source
  • clinical-csr-writerTFL → CSR sink
Lane 3

Clinical Copilot

Two tiers. Decision-makers (P.M. · P.D. · P.I. · CMO) own strategic and clinical calls. Specialist advisors (CRA · Data Mgr · Biostat · PV · RA · Med Writer) own execution quality. External KOLs sit alongside as a third tier for advisory weight on disease, method, and regulatory dimensions. The copilot is implicit at every junction across Lanes 1 and 2 — we keep its cross-lane edges off the diagram for clarity.

  • clinical-platformCapability building · KPI
RWD · Real-World Data subgraph

Long-tail follow-up (year 0 → 15) pulled out of the Data Warehouse on a separate downstream branch. Sources: disease registries · claims · EHR longitudinal · wearables · mortality · patient panels. Outputs: PMS · HEOR · RWE · label extensions · off-label surveillance · comparative effectiveness · subpopulation evidence — the assets that power label expansion, HTA dossiers, and payer negotiation.