Premarket study · Clinical investigation · EU MDR

Clinical investigations before market launch.

For high-risk devices and innovations, we design and run premarket clinical investigations to ISO 14155:2026 that deliver the clinical evidence for CE marking.

ISO 14155:2026Class IIb & IIIPremarket investigationCHU networkMILO 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 DaCosta, COO Eclevar MedTech, former TUV SUD Notified Body reviewer
Dr Mark DaCostaCOO · Former Notified Body reviewer · Senior Consultant SurgeonFormer reviewer atTUV SUD
Regulatory leadership

Premarket evidence a reviewer actually accepts.

Dr Mark DaCosta, COO and former TÜV SÜD reviewer, knows what clinical evidence a Notified Body expects before CE marking. We design premarket investigations so that study design, endpoints and data quality hold up under review.

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

The clinical evidence that carries the CE mark.

For novel and high-risk devices, literature alone is not enough. The EU MDR often requires a dedicated clinical investigation to demonstrate safety and performance before market entry.

A solid premarket investigation defines the clinical question, selects meaningful endpoints and delivers the data that underpins the Clinical Evaluation Report.

Clinical data analysis and biometrics for medical devices
Study types

The right investigation for your device.

We choose the design that delivers the evidence with the least burden on your sites.

FIH
Pilot

First-in-human & feasibility

Early safety and feasibility data for innovations.

PIV
Pivotal

Pivotal investigation

Confirmatory study to demonstrate safety and performance.

RCT
Comparative

Randomized & controlled

Comparison with standard of care where required.

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

From question to clinical evidence.

01

Study design & endpoints

Scientifically sound design with meaningful endpoints.

02

Sites & investigators

Selection and activation of suitable sites in the CHU network.

03

Data capture

eCRF and monitoring on the MILO EDC platform.

Objectives of a premarket investigation
01

Safety evidence

Demonstrating an acceptable benefit-risk profile.

02

Performance evidence

Proving clinical performance at the intended purpose.

03

Endpoint validation

Meaningful, measurable clinical endpoints.

04

CER foundation

Data that underpins the Clinical Evaluation Report.

05

NB readiness

Documentation that holds up under Notified Body review.

06

PMCF transition

A seamless handover into post-market follow-up.

Our methodology

A five-step investigation 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.

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
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
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

Premarket investigation, answered.

When is a dedicated clinical investigation required?

Mostly for Class III and implantable devices, and for innovations where insufficient equivalence data exist.

Which standard do you conduct to?

ISO 14155:2026 and GCP, aligned with EU MDR 2017/745.

How do you choose the endpoints?

From the intended purpose, the state of the art and the Notified Body’s expectations of measurable clinical outcomes.

Do you handle the ethics submissions?

Yes, our in-house CRAs coordinate submissions to the relevant ethics committees.

What happens after CE marking?

The premarket investigation feeds into a PMCF plan for continuous follow-up.

Guaranteed response within 24 hours

Bring your device to market with solid evidence.

Talk to our team about study design, sites and the fastest compliant route to Notified Body ready clinical evidence.

Book a free call

Key Benefits of Our Approach

Expert Oversight

Experienced physicians and clinical researchers guide your trial from protocol design to final report.

MDR Compliance

All protocols and documentation are designed to meet MDR requirements from the outset.

Cost-Effective

Efficient trial management and timely patient recruitment reduce overall development costs.

Robust Trial Design

Our team works closely with you to develop a trial design that answers your scientific questions while meeting all regulatory requirements. We consider:

  • Study objectives and endpoints
  • Patient population and eligibility
  • Statistical analysis plans
  • Risk mitigation strategies

Our Process

1

Protocol Development

Comprehensive protocol design aligned with MDR requirements

2

Site Selection

Identification and engagement of qualified clinical sites

3

Trial Execution

Ongoing monitoring and quality assurance throughout the trial

4

Final Report

Comprehensive clinical trial report ready for regulatory submission

Regulatory Expertise

MDR Compliance

Our team has extensive experience with the EU Medical Device Regulation (MDR) and ensures that all aspects of your pre-market clinical investigation comply with current requirements.

We stay updated on regulatory changes and guidance to ensure your trial remains compliant throughout its duration.

Why Choose Eclevar?

Proven Track Record

Years of experience managing successful pre-market clinical trials

Expert Team

Physicians, clinical researchers, and regulatory specialists

Milo Healthcare Platform

Advanced EDC platform for efficient data management

European Network

Strong partnerships with clinical sites across Europe

Technology Platform

Powered by Milo Healthcare

Our proprietary EDC platform streamlines data collection and management throughout your clinical trial.

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Real-Time Dashboard

Monitor trial progress with live data visualization and reporting.

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Secure & Compliant

21 CFR Part 11, GDPR, and MDR compliant data management.

Easy Integration

Seamless workflow integration with existing clinical systems.

Frequently Asked Questions

What is a pre-market clinical investigation?

A pre-market clinical investigation is a study conducted on a medical device that is not yet CE marked. It is designed to generate clinical data to support the safety and performance claims required for regulatory approval under the MDR.

How long does a pre-market clinical trial typically take?

The duration varies depending on the device, study design, and patient recruitment. On average, pre-market clinical trials take 12-18 months from protocol approval to final report submission.

What are the key MDR requirements for pre-market trials?

Pre-market trials must comply with MDR requirements including proper protocol design, ethics committee approval, informed consent procedures, adverse event reporting, and comprehensive documentation of all trial activities.

How does Eclevar support patient recruitment?

We leverage our extensive network of clinical sites and use AI-powered tools within the Milo Healthcare platform to identify and recruit eligible patients efficiently, reducing recruitment timelines and costs.

What deliverables can I expect at the end of the trial?

You will receive a comprehensive Clinical Investigation Report (CIR) that includes all study data, statistical analysis, safety assessments, and conclusions. This report is designed to support your regulatory submission for CE marking.

Ready to Start Your Pre-Market Clinical Trial?

Our team of experts is ready to guide you through every step of your clinical investigation. Schedule a consultation to discuss your project.

Reforming Clinical Evaluation of Medical Devices in Europe