---
title: Clinical Change Order Evaluation and Vendor Negotiations
description: A few tips on vendor selection and CRO strategy to drive effective vendor negotiations as part of your compliant vendor management process
image: https://www.triradial.com/hubfs/AdobeStock_167707174_2.jpeg
---

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# Clinical Change Order Evaluation and Vendor Negotiations

![](https://www.triradial.com/hubfs/AdobeStock_167707174_2.jpeg)

- October 29, 2024

[Leo Dodds](https://www.triradial.com/blog/author/leo-dodds)

Client Challenge Faced

**A small biopharma company was expecting a large Change Order (CO) from it’s primary CRO on a Phase IIB global clinical program that was experiencing delays. The company had limited means by which to evaluate the CO, given a mix of performance issues and COVID-related delays in study start-up and recruitment, as well as cost overruns due to low initial estimates for investigator pass-through grants. **

**TriRadial Approach**

- The TriRadial team of experienced SMEs performed a deep-dive root-cause analysis into the patient recruitment delays and cost over runs
- The team benchmarked investigator grants based on the site mix and our knowledge of current international rates in this therapeutic area
- Performed a cost impact analysis of increases only, to facilitate a rapid negotiation approach
- Revised the budgeting methodology used by the CRO to ensure transparency and to support negotiations
- Helped client prepare for negotiation and participated in actual negotiation meetings with vendor

**Results**

- Root cause analysis identified specific areas the needed to be addressed
- Cost Impact Analysis enabled a timely review and immediately evident identification of cost changes and reconciliation
- The team achieved a 33% reduction from originally proposed increases in Direct Fees
- The client’s study and management team received firsthand experience leading contracting and vendor negotiation practices

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## More from the Blog

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### [Considerations for Clinical Vendor Selection Process](https://www.triradial.com/blog/considerations-for-vendor-selection-process)

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### [Are you maximizing the value of your asset for out-licensing?](https://www.triradial.com/blog/are-you-maximizing-your-asset-value-for-out-licensing)

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