ImpactSphere™ Clinical

Research & Insights

Turning questions from clinical operations into evidence — and putting that evidence to work in strategy, industry collaboration, and the practices that shape clinical trial access.

Horizon Scanning

Industry intelligence & strategic foresight

Monitoring emerging trends, regulatory and ethics developments, policy changes, and evolving industry practices to help organizations anticipate change, inform strategy, and advance clinical trial access, participant support, and opportunities to extend impact beyond the trial.

  1. Emerging Signals

    Regulatory • Ethics • Policy • Industry Trends

  2. Intelligence & Foresight

    Monitor • Connect • Interpret

  3. Informed Strategy

    Clinical Trial Access • Participant Support • Extending Impact Beyond the Trial

Evidence Generation

Original research & evidence generation

Original research into what sponsors actually pay clinical trial participants, and how those practices vary across the countries where studies run.

7,500+

Informed consent forms analyzed using AI — first-of-its-kind baseline data on sponsor payment practices

40+

Countries covered in global participant payment mapping

15+

Years of global clinical research operations informing the work

Industry Service

Working groups & collaborations

Engaging with leading industry organizations to help shape the future of clinical trial access through collaborative research, policy dialogue, and operational innovation.

Equitable Access to Clinical Trials (EACT) Project

Project member & steering committee

Visit

Coalition to Transform Clinical Trial Engagement

Participant Compensation & Benefits Working Group — Ignore No More

Visit

DIA Participant Payment Consortium

Member — led the consortium landscape analysis on participant compensation

Visit

Tufts Center for the Study of Drug Development (CSDD)

Participant compensation data study collaboration

Visit

Publications

Participant payments & support

Clinical Leader

Static Reimbursement Structures Aren't Enough: Patients Need Whole-Person Support

April 2026

Applied Clinical Trials Online

Strategic Participant Payments for Twenty-First Century Clinical Trials

September 2025

Journal for Clinical Studies, Vol. 16, Issue 2

Reviewing Research Participants Payments Through a Diversity Lens

September 2025

DIA Global Forum

Breaking Financial Barriers: Making the Shift to Reasonable Compensation for Clinical Trial Participants

December 2024

Clinical Leader

How Did Clinical Researchers Actually Use AI in 2024

December 2024

Clinical Trial Vanguard

Participant Payments Pulse Check: How and Why to Prioritize Your Strategy

February 2024

Speaking

Conference presentations

Presenting on participant payment strategy, participant burden, and clinical trial access where operational rigor meets strategic innovation.

DIA

Drug Information Association Global Annual Meeting

SCOPE

Summit for Clinical Ops Executives — U.S. and Europe

SCRS

Society for Clinical Research Sites

WCG MAGI

WCG MAGI Clinical Research Conference

GCSG

Global Clinical Supplies Group

Donna Libretti Cooke presenting on global participant payment strategy at the DIA Global Annual Meeting
Presenting on designing payment strategy correctly from the start — globally — at the DIA Global Annual Meeting.

Speaking or research inquiry?

I collaborate on research, panels, and industry working groups focused on clinical trial access.

Get in Touch