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Building Internal Expertise vs. Outsourcing: Partnerships for High-Speed, Low-Drag Clinical Programs

Writer's picture: Tommy McPhatterTommy McPhatter

Maintaining optimal efficiency in clinical programs is the brass ring for all commercial drug companies. The process requires expertise in all functions and for each functional team to deliver their best work at the various and critical inflection points along the timeline. While building internal expertise offers long-term advantages, partnering with specialized firms for contingent support ensures programs remain on track even during unplanned disruptions.


The Case for Building Internal Expertise

Developing in-house capabilities provides companies with long-term sustainability. By investing in the training and development of internal teams, companies can reduce reliance on external resources and maintain consistent quality and control over the clinical and regulatory process. In-house teams with company, program, and study-specific knowledge and experience are well-positioned to roll with the inevitable punches that patients, sites, vendors, or technology may throw at them.

Maintaining a core of internal staff of experts is cost-effective over time. The upfront investment in training and development translates into reduced exposure to the premium costs of external consultants. Additionally, fostering a highly skilled internal workforce boosts employee morale, attracts top talent, and creates a team that is not only very capable, but also very dedicated.

The road to establishing in-house expertise is not without challenges. Companies must commit significant resources to training programs, mentorship, and continuous professional development to keep pace with evolving regulatory guidelines and technological advancements. Furthermore, building a team with expertise across all necessary domains, adds to the overall expense.


The Role of Outsourcing and Specialized Partnerships

Outsourcing to CROs or independent consultants is a common solution to address gaps in expertise. While CROs provide a broad range of services, a monolithic approach may not always align with the needs of some programs.

This is where partnering with firms like TalentAUG becomes an strong option. By offering highly-experienced drug development personnel on a contingent basis, these firms provide targeted solutions that bridge skills and labor gaps. Depending on the scope and scale of the need, niche providers deliver higher levels of precision in type and timing. It is a model that is unmatched in flexibility, cost efficiency, and quick integration with sponsor teams.


A Balanced Approach: Internal Expertise + Contingent Support

Combining internal expertise with strategic contingency partnerships offers a balanced approach. Internal teams bring institutional knowledge and long-term commitment, while partnerships offer the following:

  1. Expertise-based solutions - professionals with deep therapeutic knowledge, regulatory pathways, or patient/site experience.

  2. Functional area support - expertise in biostatistics, trial design, medical writing, regulatory projects and CMC, and pharmacovigilance, and medical monitoring provide immediate relief in high-demand areas.

  3. Contingency planning - rapid matching and engagement with skilled consultants to address unplanned shifts in timelines or team availability.

This collaborative approach mitigates cost risks associated with skills obsolescence and allows companies to stay agile in the face of evolving regulatory landscapes. Independent consultants and interim executives bring fresh perspectives, best practices, and specialized knowledge to complement internal efforts, ensuring timely and successful clinical programs.


The complexities and costs of drug development require sponsors to be dynamic and strategic in their approach to resource planning. The most resilient are building internal expertise while partnering with specialized firms like TalentAUG to ensures they meet all challenges without compromising quality or timelines.

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