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Case Study 3:
The "First Patient In" Challenge

Creative Problem-Solving & Logistical Excellence

Situation: I was overseeing a rare disease study when we hit a "study-killer" roadblock. During start-up, we discovered that none of our selected investigative sites had access to a critical piece of diagnostic equipment that was mandatory per the protocol. The entire study in our country was at risk.

My Approach:

  1. Diagnosis: I confirmed the scale of the problem and found there was only one eligible facility with this specialized equipment in the entire country.

  2. The Challenge: This single facility was thousands of kilometers from our main site. The first potential patient lived over 2,000 km from their site and 3,000 km from the new diagnostic center.

  3. Systemic Solution: This was no longer just a "site" problem; it was a complex logistics, contracts, and travel problem . I immediately brought together a "solution team" with leads from feasibility, logistics, and contracts to map out a cross-functional plan.

  4. Execution: We worked in parallel. The contracts team drafted new agreements with the diagnostic facility in record time. Simultaneously, the logistics team and I planned the entire patient journey—including flights, hotels, and ground transport for the patient and their caregiver.

Result: The plan worked. We successfully coordinated all moving parts and screened the first patient. Despite these incredible odds, our country became the first to enroll a patient globally for the entire study.

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