This paper argues that managing the explosion of clinical trial data requires an integrated ecosystem. IQVIA’s eSource platform digitizes analog information, connects devices to capture high‑quality data in near real time and standardizes it to SDTM, creating a single source of truth. Data are centralized in a repository with business‑tool interfaces and a metadata overlay, enabling holistic visibility, risk‑based monitoring and automation. Centralization, standardization and automation improve collaboration and support adaptive trial designs.

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