FlowTrial

Smaranda Doucet — Clinical Operations & Sponsor Oversight Consultant
Smaranda Doucet
Smaranda Doucet
Independent Clinical Operations & Oversight Consultant | Founder, FlowTrial
19 years in clinical research · Former CRO founder · GCP Auditor certified · English · French · Spanish · Romanian

Sponsor oversight.
Operational leadership.
Delivered flexibly.

I help biotech sponsors, CROs, and growing clinical organizations build solid operational foundations — without the overhead of a full internal team.

  • Former CRO founder — built and led clinical operations teams from scratch (hiring, training, leading, overseeing and assessing CRAs)
  • Certified GCP Auditor — an inspection-readiness lens on every decision, from vendor selection to team-building
  • Engagement: fractional, operational, mission-based, or project-based — via FlowTrial or directly, starting small and scaling as needed

EU and US experience across international multi-site studies.

What I Solve

The same pressure points, every time.

  • Limited resources for operational quality infrastructure
  • Rapid growth, no scalable framework in place
  • CRO/vendor relationships hard to manage or track
  • Inspection risk from fragmented documentation
  • First trial, no structure yet — vendors not selected or assessed
  • Trial scaling (Phase IIa → IIb, or Phase II → III) — more vendors, sites, and regions than the original setup can track
  • Need senior leadership, not a full-time hire

"I fill these gaps — fast, pragmatic, hands-on, independent and autonomous from day one."

Engagement Options

Two contracting paths. Same senior expertise.

Toggle between the two to see how each is structured.

Engagement Modes

How each path can be structured, specifically:

Mode
FlowTrial
Smaranda Doucet
Fractional leadership
Available on demand
Core offering
Operational leadership
Available on demand
Core offering
Mission-based
Available on demand
Core offering
Project-based
Available on demand
Core offering
Visit-based (oversight visits)
Core offering
Available
Core Services

Three ways I add structure.

Fractional & Operational Leadership

  • Embedded fractional or interim clinical ops leadership
  • CRO/vendor management: selection, performance, issue resolution
  • Operational troubleshooting for struggling sites, vendors, or CROs
  • Feasibility & study start-up support
  • Vendor selection & assessment, structure from day one

Sponsor Oversight & Quality

Sponsor oversight, plainly: consistent, documented CRO/vendor oversight — issues tracked from detection to closure.

  • Oversight visit execution (on-site)
  • Remote oversight activities
  • SOPs, templates, and logs for consistent, documented oversight
  • CRO and vendor performance evaluation
  • CRA performance assessment during oversight visits
  • Issue tracking & closure — found, resolved, by whom, how long
  • Inspection readiness — proactive or at-risk
  • ICH E6(R3) / GCP implementation strategy

Team Building, Training & CRA Leadership

12 years founding and scaling a CRO/SMO — hiring, training, leading teams.

  • Hiring, training, leading, overseeing and assessing CRAs and clinical ops staff
  • Building teams and processes from scratch — sponsors, CROs, startups
  • GCP training delivery for site networks and investigator teams
  • Sponsor Oversight Monitor/Manager training course — live, certificate-awarded, AI Copilot included; open cohort or delivered in-house for your CRA team or internal resources
  • Speaker — CRA Connect Live 2026, Barcelona (May 2026): "The CRA Mindset Shift: From Monitoring Details to Recognizing Patterns Across the Study"
Ideal Support Scenarios

Where this expertise has the most impact.

Start-up's first trial — selecting and assessing vendors and CROs from scratch
Building structure and oversight from day one, pre-site-activation
Growing org needs to hire, train, or build its first clinical ops team
Trial scaling (Phase IIa→IIb, or II→III) — more vendors and sites than the original setup can track; targeted oversight on high-risk sites
Sponsor needs embedded fractional or interim leadership
CRO underperforming or vendor relationship breaking down mid-study
Inspection readiness — at-risk or proactive
ICH E6(R3) / GCP transition strategy and implementation
International studies needing multilingual coverage
Operational troubleshooting for struggling sites, vendors, or CROs
Clinical Studies — Career Overview | 2007–2026

Nearly 20 years, ten therapeutic areas, three continents.

Co-founded and ran a CRO/SMO in Romania for over a decade, then pivoted independently to sponsor oversight and international operations since 2022.

#Therapeutic AreaStudy TypePhasePatients (approx.)SitesRegionSponsorRole
1RespiratorySore throat / acute respiratory infections~25010RomaniaUndisclosedCRA
2Infectious disease — vaccinesAdult vaccinationPhase II–IV~2,500 (2 studies)15 nationalRomaniaBig Pharma (GSK)Associate Director / Co-Founder
3Infectious disease — vaccinesPediatric vaccination (newborns)Phase II–IV~800~10 nationalRomaniaBig Pharma (GSK)Associate Director / Co-Founder
4RespiratoryCOPD & AsthmaPhase II–III>2,000 (10+ studies)RomaniaBig Pharma (GSK)Associate Director / Co-Founder
5Respiratory — biologicsAsthma & COPDPhase II–III~90 (2 studies)~12 nationalRomaniaBig Pharma (GSK)Associate Director / Co-Founder
6Immunology / AutoimmuneLupus (SLE) — non-interventionalPhase IV220RomaniaBig Pharma (GSK)Associate Director / Co-Founder
7OncologyNetwork feasibility studyFeasibilityN/A12RomaniaBig Pharma (GSK)Freelance Consultant
8CardiovascularHypertensionPhase II–III~1,500 (2 studies)United StatesStartup (George Medicines, London UK)Clinical Operations Director / Sponsor Oversight
9CardiovascularPK studyPhase II–III~501Czech RepublicStartup (George Medicines, London UK)Clinical Operations Director / Sponsor Oversight
10Rare disease — ophthalmologyThyroid Eye Disease (TED)Phase II–III50–70/study (4 studies)15EMEA (UK, France, Spain), USA occasionallyPharma (Beaufort CRO / Viridian, USA)Sponsor Oversight & Clinical Quality Assessor
11Hematology/Oncology — MDSAnemia in MDS — dose-escalation study (molecule/protocol confidential)Phase II1 of 43SpainPharma (Beaufort CRO / Takeda)Sponsor Oversight & Clinical Quality Assessor

Physician specialties engaged: General practitioners · Pediatricians · Pneumologists · Allergologists · Immunologists · Cardiologists · Endocrinologists · Ophthalmologists · Otorhinolaryngologists (ENT) · Oncologists · Hematologists Patient numbers and site counts are approximate. Molecule names and protocol numbers omitted for confidentiality.

Geographic & Language Coverage

Based in Barcelona. Working across Europe and North America.

Spain France Romania United Kingdom United States
Languages

English · French · Spanish · Romanian

Delivery

Remote and on-site, with international travel available for any engagement

Selected Expertise

Fractional operational leadership · CRO/vendor relationship management · Operational troubleshooting · Sponsor oversight (CRO/vendor evaluation, documentation, issue tracking) · Feasibility & study start-up · Team building & CRA leadership · Trainer · Speaker · Sponsor oversight training (certificate course) · GCP Auditor certified · Inspection readiness · ICH E6(R3) · SOP development

Available for strategic and operational support.

Book a 30-minute call