Clinical Trial Management For independent research sites

Your site, inspection-ready by default.

One system of record for your studies — every change captured with who, what, when, and why.

Designed and tested against 21 CFR Part 11 · built for sites running 1–25 studies · from $299/mo, no seat fees · your data exports anytime.

What Nexrial replaces

The dozen places a site keeps its trial — or one record.

Today, scattered across…
Visit windowsExcel Visit → invoiceQuickBooks AR / unbilledan Excel tab AE / SAE logpaper + Excel DeviationsExcel + Word IP accountabilitywet-ink paper log Delegation + 1572printed Word IRB deadlinesOutlook reminders Training + SOPsExcel matrix Reg binderbinder / Dropbox Sponsor queriesflagged emails

Keeps running alongside the systems you don’t move — your sponsor’s EDC, your IRB’s portal, and your accounting.

The product

One record for the whole site.

Built ground-up as a CTMS — one schema, one audit log, one role system. It sits alongside your sponsor’s EDC, not on top of it: the integration-open command center for site operations, regulatory, and finance.

Subjects & visits

Full subject lifecycle with protocol-window visit scheduling — enrollment, adverse events, deviations, and concomitant meds, in one view across every active study.

Delegation & access

The delegation log drives system permissions — who can do what is governed by the same record an inspector reviews on day one.

Supports Form FDA 1572

Audit trail & e-signatures

Every action logged with user, timestamp, and reason for change. Native PI e-signatures capture signing meaning — exportable for monitors and sponsor submissions.

21 CFR §11.10(e) · §11.50

See all six modules →

On inspection day

The two documents an inspector asks for first.

Nexrial keeps both current automatically. The delegation log governs system access; the audit trail records every edit with its reason. No reconstructing binders the night before.

Delegation of Authority LogSupports Form FDA 1572
Team memberDelegatedEffective
Dr. A. SamplePrincipal Investigator
Oversight, consent, AE review
04 Apr 2026
J. Rivera, NPSub-Investigator
Exams, consent, dosing
04 Apr 2026
M. OseiCoordinator (CRC)
Visits, eCRF, IP logs
11 Apr 2026
L. Tran, PharmDPharmacist
IP accountability
18 Apr 2026
Audit Trail21 CFR §11.10(e)
2026-06-16 14:02:11Z · m.osei UPDATESubj 1042 · Visit 4 date  12 Jun16 Junreason: within protocol visit window
2026-06-16 11:48:30Z · a.sample SIGNSubj 1039 · AE assessment — meaning: approved§11.50 signature manifestation captured
2026-06-16 09:15:02Z · l.tran UPDATEIP lot 7841 · count  120116reason: dispensed to Subj 1051
2026-06-15 16:37:55Z · j.rivera CREATESubj 1051 · Screening visit recordentry contemporaneous · ALCOA+

Sample records, de-identified — new entries append live above, the way a working trail grows. Audit entries can’t be edited or switched off — that’s the point of §11.10(e). How Nexrial implements Part 11 →

From $299/month per site — unlimited users, no seat fees, no setup fee, cancel anytime.

Founding sites: 50% off, locked for life
Provenance

Built inside site operations, not beside them.

The people behind Nexrial prepare delegation logs, sit through monitoring visits, and invoice sponsors in working clinical-research operations. The system exists because the spreadsheet-and-binder version of that job kept breaking — not because a software company went looking for a market.

Tyrian Murex Founder

Tyrian has spent his career in clinical research operations — running study visits, preparing for monitor and sponsor reviews, and closing out the billing behind them. Nexrial is the system he needed on those days and couldn’t buy.

Built inside a working research site — real studies run on Nexrial every day.

Questions, before or instead of a call? Write to [email protected] — it reaches the people who build the product.

Founding Site Program 50% off, locked for life — for the first 3–5 founding sites. Limited cohort. See the program →

See your site’s record, end to end.

A 30-minute walkthrough on your own studies — no slide deck.