About the author
Mackenzie De Jesus, DHSc, MS, Head of Clinical Research. Mackenzie De Jesus, DHSc, MS, leads clinical research at Reputable Health, where she designs and runs decentralized studies that pair wearable data with validated participant-reported outcomes. She holds a Doctorate of Health Science from A.T. Still University and a master’s degree in experimental psychology from Nova Southeastern University. Her background spans health science, experimental psychology, and clinical research, including experience designing and executing clinical trials in functional medicine and digital health.
Clinical trial software is the set of systems that plan a study, capture its data, and keep a record of everything that happened, from enrollment to the last questionnaire. Most guides to it are written for drug sponsors comparing licenses.
A brand or ingredient manufacturer running a supplement or device study faces a different question. You may never license these systems yourself, yet your evidence rests on the record they leave behind.
Here is which systems a wellness study needs, and what to require from whoever runs them.
The short answer
- Several systems, one record. A typical study combines operations, data capture, questionnaire, consent, and device data tools.
- Wearables add a hidden step. Device readings pass through the device company’s app and cloud before they reach the study.
- Part 11 depends on your study. The Food and Drug Administration’s electronic records rule covers records tied to its requirements or submissions.
- Regulators can ask for raw data. For research without rigorous peer review, the Federal Trade Commission often requests the underlying documents.
- Secure the handover. Agree before enrollment that you receive the full dataset and its change history at the end.
Plan the data before the study
Bring the product or ingredient, the claim you want to evaluate, and how your team will use the results. We’ll walk through the design and show you exactly what you’d receive at the end.
What clinical trial software includes
No single product runs a study. The category is a stack of systems, each holding one part of the record, and the parts a supplement or device study needs differ from what a multisite drug trial needs.
Two of these systems have their own explainers on our blog: what a CTMS does in a trial and how electronic data capture works. The rest of this guide covers what changes when the study runs remotely, and the sponsor is a brand or ingredient manufacturer.
For a wellness sponsor, the system that most often decides whether the dataset holds up is the one that brings in device data. Reputable’s protocols use raw measures, such as nightly heart rate variability (HRV) and resting heart rate read against each participant’s own baseline, rather than composite device scores.
Map the wearable data path before enrollment
A reading from a ring or a watch travels further than a questionnaire answer before it reaches the study. Each step is a place where values can be transformed, delayed, or lost, so map the path in the protocol:
- Device. The sensor records a signal, and the device company’s algorithm turns it into values such as sleep stages, resting heart rate, or HRV.
- Device company’s app and cloud. The participant’s phone syncs the device to the company’s app (Oura or WHOOP, for example), which stores the readings, often alongside composite scores such as readiness or recovery.
- Aggregation. The research team’s system pulls the values through an authorized connection and attaches a participant ID and a timestamp to each one.
- Study repository. The values arrive in the database the study treats as its source.
The Food and Drug Administration’s (FDA) December 2023 guidance on digital health technologies (DHTs) treats that first durable repository as the location of the source data, and asks sponsors to plan ahead for app updates, security fixes, and devices that go out of stock mid-study. The guidance was written for medical product trials. Its checklist still fits any study that relies on a device, because the same updates reach a supplement study’s participants.
Two choices matter most for a wellness study that uses continuous wearable data. Composite scores such as readiness blend several signals by a formula the device maker controls, so raw measures make the safer endpoint. Device choice also follows the endpoint: a sleep endpoint calls for a device participants will wear through the night.
For the measurement side of this decision, our guide to wearables in decentralized trials covers which signals the common devices capture.
Trace one data point from consent to analysis
A single value in the final dataset depends on several systems agreeing with each other. Take one participant’s sleep latency on night 14 of a placebo-controlled sleep study:
- Consent. The eConsent record shows which form version the participant signed before any data were collected.
- Assignment. The randomization system holds the participant’s group, visible only to the people the blinding plan allows.
- Product use. The participant app logs the evening dose check-in, which the analysis may need to judge adherence.
- Measurement. The device reading arrives through the aggregation step carrying its participant ID and the date and time it was transferred.
- Self-report. The same morning’s sleep diary in the eCOA system adds the participant’s own account of the night.
- Analysis. The locked dataset joins all five records, and the statistical analysis plan decides how that night counts.
Each handoff between systems is an interface, and each interface is a place where a value can be dropped or mismatched. Ask whoever runs the study how the systems are joined, and whether those joins were tested before the first participant enrolled.
Check whether Part 11 applies to your study
21 CFR Part 11 is the FDA regulation that sets the conditions under which FDA accepts electronic records and signatures as trustworthy. Many software vendors describe their products against it. Whether it governs your study is a separate question.
FDA primarily oversees labeling and the FTC primarily oversees advertising; both expect claims to be truthful, adequately substantiated, and not misleading. Whether a particular study’s records fall under Part 11 is a legal question, so put it to qualified regulatory counsel before you choose systems.
See what a full study delivers
A full clinical study at Reputable runs from protocol and analysis plan to the final report and participant-level dataset. Here’s how that work is scoped.
Decide whether to license software or rely on a partner
On a first study, the software decision is usually a decision about who operates the systems. The answer depends on the team you already have.
License your own systems when you run studies continually, you employ data management, validation and quality staff, and you want direct control of every configuration and vendor contract.
Rely on a research partner’s systems when you are one of the brands and ingredient manufacturers without in-house research staff, the study is a one-off or an annual project, and you need a defensible dataset more than software skills. That partner is often a contract research organization (CRO).
Choose neither yet when the research question is still open. Settle the question and the design first; the systems follow from both, and a stack chosen before the design tends to shape the study around the software.
Your best setup depends on your study. Reputable runs decentralized studies, and the table below is honest about when another option serves you better.
Decentralized studies remove the need for clinic visits, which often makes them quicker to enroll and less costly to run. A remote design still has to fit the outcome, and some measures belong in a clinic.
Ask six questions about any study’s systems
Whichever setup you choose, these questions show whether the record will hold up. A good partner answers them in writing.
1Will you receive the full dataset and its change history?
FDA’s 2024 guidance asks sponsors to keep the metadata linked to each data point when a hosted system is retired or a contract ends, and notes that FDA may ask for audit trails when it reconstructs a study. Ask for the participant-level dataset, a guide explaining each variable, and the change history, in formats you can open without the vendor’s software.
2Who can change a value, and what does the log record?
Part 11 expects computer-generated, time-stamped audit trails in which a correction never hides the original entry. FDA’s guidance adds that the log should say why a value changed. A good answer names the roles allowed to edit and shows a sample entry with who, when, what, and why.
3How was the system validated for this protocol?
The International Council for Harmonisation (ICH) guideline for good clinical practice, ICH E6(R3), asks in section 4.3.4 for validation of both standard functions and protocol-specific configurations, including automated checks, calculations, and the interfaces between systems. The guideline was written for trials of investigational products, and its systems section is still a sound benchmark for a wellness study. Ask what was tested for your study’s build, such as eCRF edit checks or the device data feed.
4Who can see what, and how is access removed?
Section 4.3.8 of the same guideline ties access permissions to each user’s duties and blinding arrangements, and expects access to be revoked when someone leaves the study. In a placebo-controlled study, ask who can see group assignments and how that list is reviewed.
5What happens when a system fails?
ICH E6(R3) expects backups, disaster recovery, and contingency plans that keep data essential to safety and outcomes from being lost. Ask how often backups run, when recovery was last tested, and how a device sync outage is handled.
6Who helps participants when the app or device stops working?
Remote participants cannot hand a device to a coordinator down the hall. Ask who answers participant support requests, how issues are logged and reviewed, and how missing data is flagged so the analysis plan can account for it.
What software cannot fix in a study
An audit trail shows who changed the data after collection, when, and why. The trail says nothing about whether the endpoint was the right one, the sample was large enough, or the analysis was chosen before the results came in.
The FTC’s guidance treats analyses that depart from the original protocol with suspicion, because searching smaller groups after a flat main result tends to find chance differences. Fix the primary endpoint, the reasoning behind the sample size and the analysis plan before the first participant enrolls, and agree with your team how the findings will inform the next decision.
Software keeps the record honest. The design decides what the record can support.
Where Reputable fits
Reputable Health is a full-service decentralized CRO for health and wellness brands and ingredient manufacturers. The guidance above applies to whichever partner you choose.
- Model. Remote participation and data collection, with study design, timelines, and costs tailored to the research question.
- Offerings. Two offerings: a pilot study and a full clinical study, and the scope follows your question.
- Measurement. Consumer wearables (Oura, WHOOP, Apple Watch, Garmin, Fitbit), validated surveys, and at-home lab kits processed through CLIA-certified partner laboratories.
- Participants. Reputable reports 10,000+ participants in its research community, supported by the Heartbeats rewards program and the Reputable Health app.
- Operations. Reputable tracks adherence throughout the study, and the study report includes safety and adverse event reporting. Reputable reports an 87% compliance rate across its most recent completed clinical studies.
- What you receive. A complete study report and a participant-level dataset with a data dictionary, subject to the protocol, consent, and agreed data-access scope.
- Scope. Every study is scoped to your product or ingredient, your claims, and your budget.
Frequently Asked Questions
Short answers to what sponsors ask most often about study software.
The bottom line
A supplement or device study does not need its sponsor to become a software buyer. What it needs is a record that answers questions later, from your counsel, a journal, or the FTC, without anyone rebuilding it from memory.
Before you sign with any research partner, send the six questions above and ask to see an example of the dataset and variable guide they deliver at the end of a study.
Get the six answers for your study
Tell us what you hope to claim and what evidence you hold today. We’ll answer the six questions for your study and talk through a design that could close the gaps.