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What I Brought Back from PAINWeek 2026

Attending PAINWeek this year was especially meaningful because pain research has been a major part of my career. Over the past 12 years, I have worked on more than 50 […]

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The Parkinson’s Trial Alignment Principle

Staying cohesive through long and complex Parkinson’s disease trials Parkinson’s disease trials, like most clinical trials, are rarely a straight path from start to finish. Protocols evolve, real-world conditions change, […]

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The Real-World Dynamics Dilemma

Six challenges in acute pain trials and one differentiator—coordinated execution We’ve all been there before. Your acute pain trial strategy is sound, the protocol looks solid, and everything progresses as […]

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The Assumption-Reality Paradox

Acute pain trials start with assumptions. How you execute—when reality sets in—determines the outcome. When you’re designing an acute pain clinical trial, it’s perfectly normal to have some early assumptions […]

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Regulatory Friction You Don’t See Coming in Clinical Development

Early in clinical development, it’s easy to focus on what’s directly in front of you. After all, your goal is to hit milestones, generate strong data, and keep the program […]

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Guides
Parkinson’s Disease Trial Readiness Diagnostic

Parkinson’s disease trials are not only complex studies, but they are long, personal commitments for every patient, caregiver, and investigator involved. That raises the question: Is your study truly structured […]

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Guides
The Acute Pain Uncertainty Principle

How confident are you that your acute pain study will behave the way it’s designed to? In planning sessions, most protocols look neat and predictable. But the moment your study […]

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Blog
When Early Decisions Shape Late-Stage Risk

Early clinical decisions shape regulatory risk and the path to approval   Assumptions about study design and real-world execution don’t stay contained to a single milestone. Over time, they influence […]

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Blog
The Cohesion Museum Convergence

Four scientific principles. One unifying concept. The Cohesion Effect experience. SCOPE Summit is a place where innovation thrives. Thousands of attendees and hundreds of exhibitors from around the world, all […]

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Blog
The Sponsor and CRO Symbiosis Effect: How cohesion carried us through a high-pressure NDA

When Tonix came to us, the stakes were high, and the timelines were tight. Their goal? To submit a New Drug Application (NDA) for TONMYA™ and, for the first time […]

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