Decentralized trials · DCT · EU MDR

Decentralized clinical trials, built for devices.

Bring the study to the patient. We design and run decentralized and hybrid clinical investigations for medical devices, combining remote data capture, ePROs and in-home visits with EU MDR and ISO 14155 rigour.

Decentralized & hybridePRO / eConsentRemote monitoringISO 14155:2026MILO EDC
Eclevar MedTech Platinum Award xShare EUCROF Amsterdam Platinum Award 2026

Eclevar MedTech and Milo took the Platinum Award at xShare & EUCROF.

Top prize in the xShare x European CRO Federation "EHDS & Clinical Research" Open Call, awarded to Eclevar MedTech and its Milo Health platform, presented at the EUCROF 2026 conference in Amsterdam.

Co-funded by the European Union

Horizon Europe · Grant Agreement No. 101136734 · Amsterdam, 2 Feb 2026

Social proof

Trusted by MedTech manufacturers.

Leading device manufacturers choose Eclevar for clinical evidence and real world evidence. Read all client success stories.

TERUMOMerilNIHON KOHDENVYGONColoplastSHOFUASAHI INTECCRegenLabTERUMOMerilNIHON KOHDENVYGONColoplastSHOFUASAHI INTECCRegenLab
Dr Mark Da Costa, COO Eclevar MedTech, former TUV SUD Notified Body reviewer
Dr Mark Da CostaCOO · Former Notified Body reviewer · Senior Consultant SurgeonFormer reviewer atTUV SUD
Regulatory leadership

Decentralized data a reviewer actually accepts.

Dr Mark Da Costa, COO and former TÜV SÜD reviewer, leads a team that designs decentralized studies so that remote and in-home data hold the same traceability and quality a Notified Body expects, with in-house CRAs overseeing every site.

Ex NBFormer TÜV SÜD reviewer
7Countries with in-house CRAs (UK, DE, FR, SE)
Chapter VIEU MDR Articles 62-82
Former NB reviewerDCT & hybridISO 14155:2026
LinkedIn
Compliant withEU MDR 2017/745ISO 14155:2026GCPISO 13485GDPR
Why decentralize

Faster recruitment, real-world relevance.

Traditional site-only studies limit recruitment to patients near a hospital and burden them with travel. Decentralized and hybrid designs widen access, improve retention and capture data in real-world settings.

For devices this must be done carefully: remote data still needs source verification, device accountability, eConsent and endpoints that a Notified Body can rely on. That is exactly how we build them.

Clinical data analysis and biometrics for medical devices
DCT components

The building blocks of a decentralized study.

Each component is validated, traceable and EU MDR / ISO 14155 aligned.

01
eConsent

eConsent & ePRO

Remote consent and electronic patient-reported outcomes.

02
Remote

Remote & in-home visits

Televisits, home nursing and connected devices.

03
Data

Remote data capture

Direct capture on the MILO EDC platform with full audit trail.

In-house CRAs

We do not outsource monitoring

Eclevar deploys in-house Clinical Research Associates in the United Kingdom, Germany, France and Sweden, ensuring smooth study initiation, ethics-committee submissions (for example CPP in France) and high-quality clinical data collection.

What we deliver

Hybrid designs, done properly.

01

Study design

Decentralized or hybrid design tuned to your device and endpoints.

02

Remote operations

ePRO, eConsent, televisits and device accountability.

03

Oversight

Risk-based monitoring by in-house CRAs.

Objectives of a decentralized study
01

Wider access

Recruit beyond the catchment of a single hospital.

02

Better retention

Lower patient burden improves retention.

03

Real-world data

Data captured in the patient’s real environment.

04

Data integrity

Source verification and audit trail for remote data.

05

Regulatory compliance

ISO 14155:2026 and EU MDR alignment throughout.

06

Faster timelines

Quicker recruitment and fewer site bottlenecks.

Our methodology

A five-step DCT methodology.

Data quality means completeness, consistency and accuracy across all investigational sites.

1

Feasibility assessment

Assessing data-source quality, completeness and consistency.

2

Protocol development

A robust protocol aligned with ISO 14155:2026 and GCP.

3

Conduct

Site activation, in-house CRAs, high-quality data collection.

4

Data analysis

Rigorous statistical analysis of safety and performance.

5

Documentation

Comprehensive reports for Notified Body and authorities.

Selected experience

Programs we have delivered.

RegenLab · Advanced wound care

Registry-based RWE-PMCF for wound care

Advanced wound care device · CE mark renewal

RegenLab needed PMCF data to renew its CE marking without disrupting clinical workflows. Eclevar designed a targeted RWE-PMCF registry study on the MILO EDC platform capturing wound-healing trajectories and adverse-event tracking.

160patients · 14 sites
5EU countries
MDRChapter VI
RWE registryMILO EDCWound care
Vascular patch · Class III

Multicentre study on a Class III vascular patch

Knitted polyester vascular prosthesis · EU MDR Chapter VI

Multicentre study with retrospective and prospective record data from French university hospitals (CHU Valenciennes, Nantes, Brest), covering carotid and femoral locations up to 3 years post-op and meeting EU MDR requirements for CE certification.

250-300patients · 3-8 sites
3 yrsfollow-up
≥100per location
Class IIICHU networkChapter VI
Regulatory framework

Compliant in EU, France, Germany and the UK.

EU
EU MDR

EU MDR 2017/745

  • Clinical evidence under Chapter VI (Articles 62-82)
  • PMCF plan mandatory for Class IIb and III
  • Clinical Evaluation Report and ISO 14155:2026
  • Notified Body review and competent authority reporting
FR
ANSM

France

  • EU MDR plus national requirements
  • Ethics committee (CPP) approval
  • Data collection across the French hospital network
  • Annual safety reports, French documentation
DE
BfArM

Germany

  • EU MDR plus national requirements
  • Protocols filed with BfArM
  • Ethics committee approval mandatory
  • Quarterly safety reports, German documentation
UK
MHRA

United Kingdom

  • UK MDR, aligned with the EU MDR
  • Plan for Class IIb and III
  • Research Ethics Committee (REC) approval
  • NHS hospital data, annual reports to the MHRA
Official content

Our content, signed Eclevar.

Whitepapers, client testimonials and publications produced by our teams and partners (BSI, TÜV SÜD, RegenLab).

Whitepaper by BSI and Eclevar on the EU MDR
Whitepaper · BSI × Eclevar

A BSI and Eclevar whitepaper on the EU MDR.

Written with Notified Body BSI: a practical reading of the clinical evidence expectations under EU MDR 2017/745, relevant to any clinical program.

PMCF Studies · Regenerative Medicine · 5 EU Countries

A client's live testimonial on Eclevar's capability to run complex trials.

Eclevar manages RegenLab's PMCF program on chronic wound devices: a randomized study of 160 patients across 14 sites in 5 EU countries, covering both diabetic foot ulcer (DFU) and venous leg ulcer (VLU) indications. The partnership combines Eclevar's ISO 14155 clinical expertise with the Milo Studio platform to deliver post-market clinical follow-up evidence that supports both Notified Body scrutiny and reimbursement endpoints.

« Eclevar, with its tailor-made approach and advanced Milo Studio platform, represents a major strategic asset. »
Antoine Turzi, CEO, RegenLab
160patients · 14 sites
5EU countries
RegenLab video testimonial on the PMCF programme managed by Eclevar
FAQ

Decentralized trials, answered.

What is a decentralized clinical trial?

A study where some or all activities happen away from a traditional site, using remote data capture, ePRO, eConsent and in-home visits.

Are decentralized designs accepted for devices?

Yes, when data integrity, source verification, device accountability and endpoints are handled to ISO 14155 and EU MDR standards.

What is a hybrid trial?

A study that mixes on-site and remote elements, keeping site visits where they are clinically necessary and decentralizing the rest.

How do you keep remote data reliable?

Validated systems, eConsent, direct capture on MILO EDC with a full audit trail and risk-based monitoring by in-house CRAs.

Which devices suit a DCT?

Those with remotely measurable endpoints or PROMs; we assess feasibility per device during design.

Guaranteed response within 24 hours

Run a decentralized study without cutting corners.

Talk to our team about a decentralized or hybrid design that widens recruitment while staying Notified Body ready.

Book a free call

Reforming Clinical Evaluation of Medical Devices in Europe