Expert-Led UAT: Safeguarding Clinical Supplies in a Global Compliance Era

By Krisanne Flynn
Lead Consultant,
eClinical Systems and UAT Services, CSC

Across the globe, regulatory expectations for clinical trial User Acceptance Testing (UAT) are evolving. No longer satisfied with basic pass/fail results from vendor-supplied scripts, inspectors expect sponsors to demonstrate that their UAT is thorough, risk-based, and reflective of real-world trial operations.
That’s where Clinical Supply Consulting (CSC) steps in. Our consultants bring decades of combined drug supply and IRT experience to help sponsors transform UAT from a compliance requirement into a strategic safeguard. By blending regulatory rigor with operational insight, CSC ensures your testing not only satisfies inspectors but also protects your supply chain against costly trial disruptions.
The Expanding Clinical Trial Compliance Landscape
From the FDA to EMA to regulatory bodies across APAC, agencies are signaling a clear message: system validation must do more than check core functions. It must demonstrate that potential operational risks have been identified, tested, and mitigated before go-live.
This means that UAT documentation must not only be audit-ready, it must withstand inspection questions such as:
• How did you determine your test coverage?
• Did your scenarios reflect protocol-specific risks?
• What steps did you take to verify the system under realistic trial conditions?
The answer can no longer be, “We ran the vendor’s test scripts.”
Where Traditional UAT Approaches Fall Short
Vendor-generated scripts often validate whether an IRT system works as designed—but not whether it will work as needed. They tend to follow predictable, positive paths through the system, leaving blind spots for complex or unexpected scenarios that can directly affect supply chain performance.
In practice, this means that critical supply-related issues—incorrect resupply rules, kit shortages, untested visit schedules—may remain invisible until they disrupt a live trial.
The CSC Difference: Risk-Focused, Expert-Led UAT
At CSC, we approach UAT with the mindset of both compliance officers and trial operators. Our methodology includes three key layers:
- Risk Mapping Before Testing Begins
We work with sponsors to identify trial-specific risks before the first script is run, ensuring testing is tied to operational priorities, not just functional requirements. - Custom Scenario Design
Instead of relying solely on vendor templates, we build targeted test cases that mirror your protocol’s complexity, including edge cases like mid-trial amendments, region-specific supply needs, or adaptive design triggers. - Exploratory Testing
Using their real-world experience, our consultants go beyond scripted runs to explore how the system behaves under unexpected conditions, often where the most critical vulnerabilities hide.
From UAT Compliance to Operational Confidence
When UAT is expert-led and risk-focused, sponsors achieve two critical outcomes:
• Global regulatory readiness — thorough, defensible documentation that satisfies even the most detailed inspection.
• Operational assurance — confidence that the IRT system will perform reliably under the unique demands of your study.
The result is a shift in mindset: UAT becomes a proactive tool for protecting your clinical supply chain, rather than a reactive checkbox before go-live.
A Case Study Snapshot
In one recent engagement, a global Phase III trial was preparing for UAT using the vendor’s standard scripts. During exploratory testing, our team discovered that a randomization setting, untouched in the standard scripts, would have prevented site re-supply for certain patient visit schedules. Left undetected, this would have delayed treatment for dozens of participants and triggered a costly mid-trial system change. Because the issue was caught in UAT, the sponsor corrected it before go-live, avoiding regulatory findings and safeguarding patient supply.
Why Expert-Led UAT Is Now Critical for Clinical Supply Compliance
Global regulatory scrutiny is only increasing, and the margin for error in clinical supply is shrinking. Sponsors that continue to treat UAT as a scripted formality risk both compliance findings and operational disruption.
By combining rigorous testing practices with decades of real-world drug supply and IRT expertise, CSC helps sponsors turn UAT into a genuine supply chain safeguard—protecting both the integrity of the trial and the patients it serves.
Don’t let UAT be a checkbox. With CSC’s expert-led approach, every test is an opportunity to protect your trial’s supply chain and your reputation.
