The Top CROs by Therapeutic Indication Share Strong Regulatory and Productivity Performance

Life Science Leader, September 2013

Sponsors often look for a contract research organization with specific therapeutic experience, including a track record of successfully completed projects. For a sponsor, therapeutic experience inspires confidence that the CRO’s project team has familiarity with data points specific to the therapeutic category.

While clinical trials are generally conducted the same way — according to the standards established by regulatory authorities — when it comes to detailed data specific to a disease, the metrics used can vary greatly.

In a recent market research study, therapeutic experience (59%) topped a list of attributes that influence CRO selection, edging out operational (57%) and methodological experience (49%), as well as geographic location (37%), financial stability (36%), risk sharing, (32%), and adaptability (27%). When asked how many studies need to have been conducted for a sponsor to regard a CRO as “experienced” in a therapeutic category, answers varied widely — the mean response was 5 studies. Many CROs have already acknowledged the importance of promoting therapeutic experience to potential sponsors, dedicating website space and marketing communications to conveying relevant qualifications by category.

Respondents to Nice Insight’s annual pharmaceutical and biotechnology outsourcing survey indicated their companies would engage outsourcing partners for projects across an average of 2.1 therapeutic categories. The most popular areas of focus for outsourced projects are cardiovascular disease (37%), oncology (34%), and infectious diseases (33%). Not surprisingly, the most common therapeutic categories correspond with the leading causes of death worldwide — heart disease, cancers and infectious diseases.

Big Pharma companies tend to have a higher spread of projects across therapeutic categories (2.8), while emerging pharma companies typically demonstrate a narrower focus, with projects covering an average of 1.2 therapeutic categories. Specialty pharma companies fall in the middle, responding that they plan to outsource projects across an average of 1.6 therapeutic categories. Established (2.1) and emerging (2.2) biotechs showed less variance, with each looking to outsource projects in approximately two therapeutic categories.


Regardless of the type of company you work for, there is a good chance that its drug development pipeline includes compounds in one of the most common therapeutic categories. To help sponsors make an informed decision when selecting a CRO for the project, Nice Insight collects data on CROs, and what follows are some of the results, including the top performers as indicated by peers for each of the leading therapeutic categories.

According to buyers of CRO services, the preferred contract research organizations for cardiovascular projects are Covance, Chiltern, Eurofins, INC Research and ABC Labs. Covance received the highest overall customer perception score from respondents outsourcing cardiovascular projects at 78%, and received “excellent” scores for productivity and regulatory compliance. Chiltern closely followed, also at 78%, with an “excellent” score for regulatory compliance. INC Research, with a CP of 76%, received an “excellent” score in innovation — reflecting the ability to improve upon a sponsor’s in-house capabilities by developing customized solutions – which is likely influenced by the “specialized recruitment and retention strategies” that the company deploys for cardiovascular trials.

The leading CROs for oncology projects based on customer perception were Eurofins and Covance, each with a CP of 77%, followed by Charles River Labs and INC Research, both at 75%, and Harlan Labs (74%). Covance and Eurofins received their strongest scores in productivity and regulatory compliance. Charles River Labs and INC Research had the highest quality scores in the group, and likely lost the top rankings due to their low scores in affordability. Harlan Laboratories, while not particularly well known, is highly regarded for its early development oncology portfolio, including rodent models and diet.

After a deeper examination of the strengths specific to the leading CROs by therapeutic category, it has become clear that strong regulatory knowledge is highly valued for facilitating study execution (and later, market entry) across regulatory jurisdictions.

For infectious disease projects, Eurofins – with a customer perception score of 79% —along with Covance and Chiltern (77% each), were once again among the top five CROs. Quintiles, at 78%, landed in second place and received “excellent” scores in three customer perception categories — innovation, productivity and regulatory compliance. Comprehensive Clinical Development rounds out the top five CROs for infectious disease projects, with the company’s strongest scores coming in innovation, followed by regulatory compliance.

After a deeper examination of the strengths specific to the leading CROs by therapeutic category, it has become clear that strong regulatory knowledge is highly valued for facilitating study execution (and later, market entry) across regulatory jurisdictions. Expediting the path to market with inventive methods of increasing productivity — such as rodent model diets or recruiting methods for in-patient clinical research — is another factor.


Nice Insight

Nice Insight, established in 2010, is the research division of That’s Nice, A Science Agency, providing data and analysis from proprietary annual surveys, custom primary qualitative and quantitative research as well as extensive secondary research. Current annual surveys include The Nice Insight Contract Development & Manufacturing (CDMO/CMO), Survey The Nice Insight Contract Research - Preclinical and Clinical (CRO) Survey, The Nice Insight Pharmaceutical Equipment Survey, and The Nice Insight Pharmaceutical Excipients Survey.