Open Nav Arete Access

Our integrated pathways

Evidence-to-Access Integration Matrix

Where evidence meets execution. We deliver integrated projects that don't just check boxes—they compound impact across regulatory approval, payer acceptance, and clinical adoption.

Discovery & Early Dev
Target ID → IND
Phase I/II Clinical
FIH → PoC
Phase III Clinical
Pivotal Trials
Regulatory Submission
BLA/NDA → Approval
Launch Preparation
P&T → Commercial
Post-Launch Lifecycle
RWE → Expansion
Protocol → Proof of Concept
Clinical Strategy & Evidence
Protocol → Proof of Concept
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Protocol Optimization & Endpoint Strategy
Regulatory endpoint mapping, adaptive trial framework
Time Reduction
Real-Time Evidence Generation
Biomarker integration, patient-reported outcomes
Risk mitigation
Pivotal Trial Evidence Development
Comparative effectiveness data, safety database
Revenue acceleration
Regulatory Decision Support
Risk assessment, advisory committee prep
Competitive advantage
Launch Evidence Foundation
Safety monitoring plan, post-marketing commitments
Revenue acceleration
Real-World Evidence Studies
Registry outcomes research, lifecycle evidence generation
Revenue acceleration
Insights → Decisions
Regulatory Strategy
Insights → Decisions
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Regulatory Roadmap & Scientific Advice
Global regulatory strategy, FDA breakthrough designation
Time Reduction
Development Program Optimization
Protocol amendments, regulatory flexibility
Cost Reduction
Pre-Submission Strategy
Pre-filing meetings, guidance, CMC strategy
Time Reduction
BLA/NDA Submission & Review
Complete submission package, FDA response management
Competitive advantage
Launch Regulatory Support
Label optimization, promotional review, compliance framework
Competitive advantage
Lifecycle Regulatory Management
Label expansion, regulatory maintenance
Revenue acceleration
Science → Clinical Practice
Scientific Engagement
Science → Clinical Practice
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KOL Strategy & Scientific Platform
Advisory board formation, therapeutic roadmap
Competitive advantage
MSL Enablement & Data Dissemination
Scientific communication, treatment algorithms
Competitive advantage
Comparative Evidence Platform
Indirect meta-analysis, comparative effectiveness strategies
Competitive advantage
Medical Information & Publications
Medical information resources, publication
Competitive advantage
Launch Medical Education
Speaker training, clinical practice guidance
Revenue acceleration
Post-Market Medical Strategy
Real-world evidence studies, investigator-sponsored research
Revenue acceleration
Value → Reimbursement
Market Access
Value → Reimbursement
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Value Proposition Development
Payer landscape analysis, value narrative foundation
Cost Reduction
Health Economics Evidence Generation
Economic endpoint integration, budget impact modeling
Cost Reduction
HTA Preparation & Modeling
Cost-effectiveness models, HTA submissions
Revenue acceleration
Payer Engagement & Access Strategy
HTA submission, payer advisory boards
Revenue acceleration
Launch Access Implementation
Formulary positioning, patient access programs
Revenue acceleration
Access Lifecycle Optimization
Real-world value evidence, pricing optimization
Revenue acceleration
Strategy → Approval
Insight Acceleration
Strategy → Approval
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Competitive Intelligence Platform
Pipeline analytics, patent landscape mapping
Competitive advantage
Trial Performance Analytics
Operational metrics, protocol optimization
Time Reduction
Predictive Modeling & AI Insights
Outcome prediction models, ML-driven optimization
Time Reduction
Regulatory Intelligence Dashboard
Submission tracking, approval pathway optimization
Competitive advantage
Commercial Performance Analytics
Launch tracking, market access optimization
Revenue acceleration
Portfolio Strategic Intelligence
Portfolio optimization models, market expansion analysis
Revenue acceleration

Featured Case studies

Integrated Value in Action

Clinical Strategy & Evidence Regulatory Strategy Scientific Engagement Phase III Clinical Phase I/II Clinical Regulatory Submission Infectious Disease

Medical Writing Strategy and Regulatory Documents for Global Vaccine Portfolio

Issue

Global vaccine company needed comprehensive medical writing and regulatory documentation across multiple vaccine products for Phase 2 through Phase 3 transition.

Method

Delivered integrated medical writing strategy spanning protocols, investigator brochures, study reports, and regulatory submissions across US, EU, and global markets.

Achievement

Timely Phase 3 study initiation with successful regulatory document approvals across global jurisdictions including submissions to EU-CTR and CBER.


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Scientific Engagement Market Access Launch Preparation Post-Launch Lifecycle Oncology & Hematology Rare & Orphan Diseases

Global Value Dossier for Rare Hematologic Therapy

Issue

Precision medicine company faced payer resistance despite breakthrough clinical data for rare hematologic therapy.

Method

Delivered integrated value communication strategy combining therapeutic expertise with market access intelligence.

Achievement

Global value dossier acceptance with scalable communication framework across key markets.


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Scientific Engagement Market Access Launch Preparation Post-Launch Lifecycle Neurology & Neurosurgery Medical Devices & Interventions

Publication Portfolio and KOL Management for Spine Surgery Devices

Issue

A leading medtech company in spine and neurosurgery lacked a clear publication process, limited writing capacity, and needed to better connect clinical evidence with market access value.

Method

We embedded specialists, built publication workflows, and aligned education programs with payer priorities—integrating communications, event insights, and faculty engagement into one streamlined approach.

Achievement

A global communication framework was established, producing 18 publications and accelerating the reach of credible, consistent content that elevated both education and market access discussions worldwide.


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Featured publications

Publications

Insight Acceleration Post-Launch Lifecycle

Incidence and Burden of Herpes Zoster in Sweden

Journal: Infect Dis Ther
Authors Södergren E, Mårdberg K, Nishimwe M, et al.

Regional population-based register study examining the incidence and disease burden of herpes zoster across Swedish populations.

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Clinical Strategy & Evidence Insight Acceleration Post-Launch Lifecycle

Global Prevalence of Varicella-Associated Complications

Journal: Infect Dis Ther
Authors Shah HA, Meiwald A, Perera C, et al.

Systematic review and meta-analysis examining the global prevalence of complications associated with varicella infection.

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Market Access Post-Launch Lifecycle

Health Technology Assessment Paradigm in Rare Diseases

Journal: Value in Health
Authors Jain P, Pandey S, Ostawal A

Examines critical determinants shaping HTA frameworks for rare disease therapies and provides strategic recommendations for navigating reimbursement pathways.

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Clinical Strategy & Evidence Market Access Discovery & Early Dev

The Value of Treatment for Infertility

Journal: Best Practice & Research Clinical Obstetrics & Gynaecology
Authors Fenwick E, Eze A, Hooghe T, Pandey S, Chaudhari V, Ostawal A, Luyten J, Harty G

Systematically reviews willingness-to-pay thresholds and methodological approaches for determining cost-effectiveness of fertility therapies.

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Testimonials
  • "It has been a commendable effort from you and the team to have done this. It is quite exciting to see all of this currently being implemented at the sites. Finally, interactions with the stakeholders as well as the partners—albeit with challenges—has laid a solid foundation for future collaborations."

    Director, Therapy Area Head, Viral Vaccines
    Global leader in vaccines and infectious diseases
  • "The therapeutic understanding combined with strategic insights created materials that truly resonated with stakeholders. Our teams gained the confidence and tools needed for effective value communication across diverse markets." 

    Global Market Access Leader
    Precision oncology biopharma advancing targeted therapies for molecularly defined cancers
  • "Working with this team transformed our medical affairs capabilities. They delivered comprehensive publication strategy implementation, managed our KOL networks across multiple regions, and established the evidence generation framework that became foundational to our spine and biologics portfolio success. This elevated both our education programs and our market access discussions.”

    Senior Medical Affairs Manager, International
    Global leader in spinal and surgical innovation

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