Clinical, Quality & Regulatory
Overview

Why Arete?
Certified Audit Services
Boutique CRO Services
Where science meets strategy — building assays and core technologies that set the stage for everything that follows.
- Customized clinical trial planning and execution, from pre-clinical studies to post-market surveillance
- Strategic study design aligned with regulatory and commercial objectives
- Full coordination of site management, monitoring, and data collection
- Vendor selection and oversight, with transparent communication and accountability
- Cross-functional coordination between clinical, regulatory, and quality functions
- Support for under-resourced teams or emerging companies needing capacity and expertise
Clinical Affairs
Strategic clinical guidance to strengthen your development plans and submission package.
- KOL and investigator engagement strategy development
- Creation or gap analysis of clinical study conduct operating procedures and templates
- Development of clinical development plans aligned with product and regulatory strategy
- Guidance on clinical evidence requirements for regulatory submissions and market access
- Advisory on clinical endpoints, study populations, and feasibility in diagnostics
- Evaluation and optimization of clinical workflows
- Clinical due diligence for partnerships, acquisitions, or funding rounds
Custom Clinical Data Systems
Efficient, compliant platforms built to fit your study and scale with your needs.
- Build, design, and deploy 21 CFR Part 11 compliant electronic databases
- Deliver complete eCRF build specifications and user acceptance testing (UAT) reports
- Enable secure electronic informed consent (eConsent) workflows
- Provide custom dashboards and ongoing clinical data analysis to support regulatory and business decision-making
- Maintain in-house Certified Database Administrator and Builder for responsive, expert support
Clinical Operations & Data Management
Coordinated clinical execution, from site activation to clean data and sample logistics.
- Activate and monitor clinical sites, ensuring trials run smoothly, safely, and in compliance with protocols, GCP guidelines, and regulatory requirements.
- Develop data management and statistical analysis plans with final report generation
- Design CRFs for efficient and accurate data collection
- Compile and organize study line data
- Procure specimens to support all phases of product development
- Store clinical samples at our Carlsbad, CA-based biorepository
Quality Management System Support & Compliance
Scalable, audit-ready quality systems aligned with regulatory expectations.
- Build ISO 13485:2016 / 21 CFR 820-compliant QMS from the ground up
- Create ISO 14971-compliant risk management files
- Support document control and quality documentation processes
- Guide eQMS selection, validation, and rollout
- Review batch and manufacturing records for audit readiness
- Serve as quality representative on cross-functional product development teams.
Certified Auditing Services
Clear, professional and thorough analysis and guidance to strengthen your Quality Systems, promote continuous improvement and meet external audit goals.
- Conduct thourough and informative internal audits
- Perform system, process and product audits to ensure robust processes lead to safe, compliant products suitable for release
- Identify gaps in Quality Management System to regulations and standards (ISO, MDSAP, QMSR)
- Determine QMS audit readiness through thorough analysis and evaluation of processes, records and systems for compliance with national and international standards
- Provide feedback for Quality Management System improvement to ensure favorable audit outcomes
Regulatory Affairs
Smart, focused regulatory strategy to help you reach the right markets.
- Craft targeted regulatory strategies aligned with product and market needs and assist in defining intended use
- Lead FDA submissions: Q-Sub, 510(k), De Novo, CLIA Waiver, and more
- Navigate U.S. pathways for OTC, POC, and moderate and high-complexity diagnostics
- Review labeling for regulatory accuracy and compliance
- Develop Operator’s Manuals, IFUs, QRIs to meet FDA requirements and de-risk execution of studies
- Support the development of product naming conventions and system definitions to promote consistency, traceability, and regulatory clarity across documentation, submissions, and lifecycle management.
Verification Strategy & Execution
From study design to execution, we support every step of verification with scientific and regulatory rigor.
- Design FDA-submissible verification studies specific to your product
- Interpret FDA feedback and adjust study design for alignment and approval readiness
- Develop Design History File (DHF) documentation to support regulatory submissions
- Plan and execute Flex and Usability studies as required by device classification
- Offer flexible execution models: we can run studies, place experts on-site, or equip your team with ready-to-go documentation
- Define and justify product specifications with data-driven methodologies
- Develop and refine QC testing methods to support manufacturing and release

