_sync get your sync map _
the data plane the product what you own pricing compliance how to start get your sync map _
compliance and trust

what we can prove,
and what we cannot_

this page exists so that a security review can be finished without booking a call. the controls are listed by state — in the product, or committed and not yet shipped. everything that is unproven is named on this page as unproven, in the same list as everything that is not.

written for the person filling in the vendor questionnaire: the site's IT or security lead, or a sponsor's quality officer. if an answer here is not enough, the same answers are given in writing, in your format, without a meeting.

INFRASTRUCTURE the only facts of this kind we state
hosting
google cloud
region
us-central1
residency
united states
uptime
99.5% monthly, contractual
status page
public
no other infrastructure claim is made on this page2
go to the controls ↓
01

the controls, by state_

two states, and nothing in between them. a control is in the product, or it is committed and has not shipped. we do not carry a third column for work that is being thought about, because a questionnaire cannot be answered with an intention.

in the product

access controlrole-based access control and permission policies, set by your administrator, not by usin the product
electronic signatures21 CFR Part 11 electronic signatures, bound to the identity that made themin the product
audit trailimmutable audit trail, with audit-pack export for an inspector or a monitorin the product
PHI separationprotected health information held apart from the rest of the record, and the separation enforced in database rules rather than in application codein the product
de-identificationde-identification to the HIPAA Safe Harbor methodin the product
framework togglescompliance framework toggles, with the retention floors they imply enforced in code and not left to a setting somebody can lowerin the product
records retentionrecords held to the regulatory floor — seven yearsin the product
encryptionencryption in transit and at restin the product
status pagepublic status page — you do not have to open a ticket to learn we are downin the product
vulnerability scanningcontinuous vulnerability scanningin the product
penetration testannual penetration testin the product

committed, and not yet shipped

  • eConsent in more than one language GA ——
    we hold and version-control the translations your IRB approved. we do not generate them — a consent form translated by a machine has been approved by nobody.
  • remote and decentralised consent GA ——
    the patient consents away from the site, with identity verification and the witness recorded, and the audit trail says which step happened where.
  • sponsor-readable consent status GA ——
    who is consented, on which version, in which language — read-only, scoped to the protocol that sponsor is delegated to. no write path.
  • automatic re-consent on protocol amendment GA ——
    an approved amendment raises the re-consent work and chases it, on the same schedule as the checks in section 02.

a dash means engineering has not given us the date yet, and we would rather show you the gap than a number we made up. when a date is set it appears here, and when the thing ships the badge changes.

certification status is confirmed in writing during the security review, not asserted on a web page. we also do not describe the product as "Part 11 compliant" or as "validated" — the FDA does not certify eClinical software, and validation belongs to your intended use. a validation package is available to support yours.2

02

the twelve checks that run whether or not you open it_

a CTMS is a thing you open. an operating system runs whether you open it or not. twelve scheduled checks run against your studies on their own clock — the deadline you would have missed is found at 06:00 whether anyone logged in that morning or not. they are listed here with their cadence because a reviewer is entitled to know what executes without a human present.

compliance deadline scannerwalks every open study for deadlines coming due and raises them before they are lateevery 4 hours
compliance deadline digestone message with what is due, to the people delegated to itdaily 06:30
compliance sweepsthe standing checks across the organisation's studies, run as a setdaily 06:00
critical signature alertsan unsigned record that should have been signed is chased, not left in a queuehourly
study status ripplea status change on a study is carried through to everything that depends on iton update
visit completedcompleting a visit fires the work that follows it, at the moment it completeson event
retention expiry notificationstells you what is approaching the end of its retention period before anything movesdaily 02:00
monthly purgeremoves what is past retention, once a month, on a schedule you can put in front of an inspector1st, 03:00
audit TTL backstopa second pass over audit-trail lifetimes, so retention does not depend on the first pass having worked2nd, 03:00
inspection session expirycloses inspection access that has run past its window, without waiting to be askeddaily 02:00
sync log sweepsreads the connection logs and surfaces what failed quietlyhourly
EDC data syncmoves the record across the connections that have been switched on, and only thoseevery 30 minutes

times are the schedule the platform runs on. a check that fails is a line in the sync log, and the sync log sweep is itself one of the twelve.

03

what you own_

most software in clinical research is written so that leaving is expensive. ours is written the other way, and it is written into the agreement rather than into the marketing. these are the clauses, not a description of them. open any one.

01the site organisation holds the account+

no sponsor, CRO or monitor can remove your access to your own studies. the administrator rights sit with the site, and a commercial dispute you are not party to cannot make your protocol unreachable.

a sponsor invited into your organisation is a reader inside your account. they are not a co-owner of it, and there is no path by which their contract with us changes yours.

02the data is yours, and the export is real+

source, documents and the audit trail belong to the site. full export in a readable format, at any time, with no fee and without asking us first. an export you cannot open is not an export.

because the record is one record, the export is the whole thing — not the fraction of it one module happened to hold. the audit trail comes with it, as an audit pack, not as a screenshot.

03the source stays under the investigator's control+

this is not our preference, it is a regulator's. EMA's qualification opinion on eSource direct data capture holds that the investigator must retain continuous access and control of the data during and after the trial, and that eliminating sponsor-independent source data would significantly affect data integrity.4

a system the sponsor provides for one study cannot satisfy that once the study closes. yours can, which is the reason the account sits where it does.

04read access to closed studies does not expire+

when a study closes, read access to it stays available to your site at no cost, with no end date, and with no requirement to hold a paid study line to reach it. an inspector can arrive four years later and you can still answer.

this is the clause most vendors will not sign. ask your other vendors for it in writing and compare what comes back.

05if you leave, you tell us, and that is the whole process+

no retention call, no exit interview, no requirement to explain. the timings are fixed and they are in the agreement:1

export bundle available within 14 days of termination · you elect return or deletion within 30 days · deletion completes within 30 days of that election · written certificate of deletion within 10 business days of completion.

sixty days is the outside case, and the certificate is a document you can file, not an email saying it is done.

04

what we do not do_

naming the limit is faster than being asked. a review that finds these on the page instead of in a call is a shorter review.

we are not an EDC, and we cannot write into theirs

the sponsor selects and licenses the EDC. we remove the first transcription and hand your coordinator one screen to key from. a direct feed exists only where that sponsor switches it on — we will not pretend otherwise, and we will not name a system we have no write path into.

we are not a sponsor platform

a sponsor can read your site through _sync. they cannot own your account, change your configuration, or take your data at the end of a protocol. the read is scoped to the protocol they are delegated to, and it ends when the delegation does.

we do not replace the vendors you were told to use

the eTMF, the IRB system, the central lab portal stay where they are. we connect to them so the visit stops being typed into each one. if your contract obliges you to use a named system, this changes nothing about that obligation.

we are not right for everyone

fewer than five trials with no plan to grow, or halfway through another implementation — we will say so on the first call, before you spend a meeting on it. a review that ends in "not yet" is a good outcome for both of us.

05

eight questions to ask any vendor, with our answers_

ask these of every system that touches your trial data, including this one. our answers are below, and where the honest answer is unflattering it is written that way rather than left out.

01who holds the account if we stop paying?+

the site organisation holds it, and non-payment does not move it to a sponsor, a CRO or to us. what non-payment does is start the exit written in section 03 — you tell us you are leaving, the export bundle is available within 14 days of termination, and read access to closed studies survives at no cost.

the unflattering half: an account is only as durable as the company behind it, and we are a small one. that is why the protection you should rely on is the export and the read access, which do not need us to be healthy to work.

02can you show me an export before I sign?+

yes, and you should refuse to sign with anyone who says no. we will produce a full export in front of you and open it, so you can see the format rather than be told about it.

the honest caveat: today it comes off a study built and run end to end on synthetic data,3 because there is no customer data in the product to export. the format is the format; the content is invented, and we say which is which as we go.

03what happens to the audit trail when a study closes?+

it is retained to the regulatory floor of seven years, it stays immutable, and it stays readable by your site with no end date and no fee. it exports as an audit pack.

two of the twelve scheduled checks exist for this: retention expiry notifications tell you before anything moves, and the audit TTL backstop runs a second pass over audit-trail lifetimes so retention does not depend on the first pass having worked.

04which of your integrations write, and which only read?+

a direct feed into a sponsor's EDC exists only where that sponsor switches it on. where it is not switched on, the answer is read or nothing, and we say read or nothing. sponsor access to your site is read-only in every case.

we answer this connection by connection, in writing, during the review — because the true answer depends on which systems you actually run, and a page that claimed otherwise would be claiming to know your stack.

05what does your subprocessor list look like?+

the platform is hosted on Google Cloud, in us-central1, in the united states. the full subprocessor list is provided in writing during the review, current at the date it is given, with notice of changes written into the agreement.

we do not publish the list on this page, because a list published here would be the version that was true in august. the one you should hold is the one attached to your agreement.

06what happens to my data if you are acquired?+

an acquirer inherits the agreement, including the ownership clauses, the export right and the exit timings. those survive a change of control because they are contract terms, not policy.

what no agreement can promise you is the acquirer's intentions, their pricing, or their roadmap. so the correct protection is the one that works on day one of any such event: your export is available at any time, with no fee and without asking us first. take one periodically. we would.

07what is your uptime commitment, and is it contractual?+

99.5% monthly, and it is contractual — it sits in the agreement, not in a marketing page, and there is a public status page so you are not asking us whether we are down.

read it plainly before you sign: 0.5% of a month is not nothing. we publish the number we are willing to be held to rather than the number that would look best next to somebody else's.

08how do I get a security review done without a call?+

send us your questionnaire in whatever format your organisation uses. we complete it in writing and return it. certification status is confirmed in writing during that review, not asserted on a web page — so where the answer is "not held", the document you get back says not held.

this page is the same content, given first, so that most of the questionnaire is already answered before it reaches us.

06

what is not true yet_

the short list of things a reviewer would find out later. we would rather you find them out now, from us, than in month three.

  • nobody uses this in production yet.
    there are no case studies because there are none to publish, and there are no references because there is nobody to refer you to. what exists instead is a study built and run end to end on synthetic data,3 and we will walk it with you — including the parts that were awkward.
  • no sponsor has accepted one of our study lines yet.
    the pricing and the sponsor-facing packaging are written and priced. nobody on the sponsor side has signed one, and we would rather say that than dress it up.
  • the EU-US Data Privacy Framework is on the roadmap and is not held.
    transfers today run on standard contractual clauses with the UK addendum. if your review requires the framework itself, the answer today is no.

nothing in this section is expected to move because we said it here. it moves when it is done, and then it moves out of this section and into section 01 with a badge on it.