Leila Cupersmith provides embedded executive leadership in Choice ClinOps, focusing on clinical operations and governance for global oncology, rare disease, and gene therapy sponsors through fractional clinical operations.
Leila Cupersmith provides embedded executive leadership in Choice ClinOps, focusing on clinical operations and governance for global oncology, rare disease, and gene therapy sponsors through fractional clinical operations.
Choice ClinOps serves as the clinical operations command center for small and midsize companies navigating high-risk, high-value oncology, rare disease, and cell and gene therapy programs on a global scale.
We act as an extension of the sponsor team, particularly when internal sponsor bandwidth is strained or when specific expertise in clinical operations is lacking. In situations where visibility is diminishing, vendors are misaligned, sites are underperforming, or when significant transitions such as mergers, acquisitions, or changes in CRO/large vendor partnerships create potential disruptions, Choice ClinOps steps in to ensure continuity.
The result is enhanced control, accelerated execution, improved stakeholder alignment, avoidance of excessive spending, and reduced operational risk, all while eliminating the need for the fixed overhead associated with a full-time executive hire. Leila Cupersmith leads this initiative, ensuring that our fractional clinical operations model meets the unique challenges faced by our sponsors.
When clinical operations lack adequate sponsor-side governance, bandwidth, or specific expertise, the quality and safety of clinical trials, along with study funds, can deteriorate rapidly. Choice ClinOps teams are often burdened with excessive complexity without sufficient senior operating capacity. Although CROs and vendors are engaged, sponsor visibility, governance, and accountability remain insufficient. M&A, portfolio growth, and trial expansion lead to fragmentation across teams, systems, timelines, and decision rights. As a result, site startup, enrollment, communication, and execution consistency are not meeting required standards. In the fields of oncology, rare diseases, and cell and gene therapy clinical trials, execution drift is not just an administrative issue; it poses a significant enterprise risk. Fractional clinical operations, like those led by Leila Cupersmith, can help address these challenges.

Integrate a fractional clinical operations expert, such as Leila Cupersmith, into your team at the level and capacity your portfolio needs. This will enhance global clinical trial operations governance, execution, oversight, continuity, and sponsor control across Canada, North America, South America, LATAM, EMEA, UK, and APAC, optimizing your clinical operations with Choice ClinOps.

Restore governance, alignment, and execution in delayed or drifting clinical operations studies with the expertise of Choice ClinOps.
Set up for success: Early intervention during study planning, start-up, or within an active study is crucial. Conducting study and/or vendor audits with ready-to-execute accelerated proprietary strategies has been proven to prevent the need for study rescue in clinical operations. Leila Cupersmith emphasizes the importance of proactive measures in fractional clinical operations to ensure smooth execution.
Rapid Rescue: If an active study faces delays, faster than expected study burn, or other issues necessitating study rescue, implementing study and/or vendor audits along with our accelerated proprietary strategies can avert the need for rescue, ensuring efficient management of your clin ops initiatives.

Protect global clinical operations continuity, governance, and ROI across planned or acquired assets, teams, vendors, and workflows — M&As, CRO and vendor transitions, portfolio shifts, management changes, and other large disruptions in clinical operations. This is achieved through the proprietary and proven Choice ClinOps risk and change management standard operating processes, led by experts like Leila Cupersmith in the field of fractional clinical operations.

Strengthen sponsor governance, accountability, communication, execution, oversight, and performance across internal and external partners in clinical operations throughout North America (including Canada), LATAM, South America, EMEA, the UK, and APAC with Choice ClinOps and fractional clinical operations expertise from Leila Cupersmith.
Silos eliminated.
Clarity gained.
Objectives achieved.
Surprise change orders eliminated.

Accelerate site and vendor readiness in clinical operations, strengthen oversight, communication, engagement, and execution consistency with Choice ClinOps and Leila Cupersmith's fractional clinical operations expertise.



Ongoing fractional, sponsor-embedded ClinOps work that the Diagnostic scopes.
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