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Signant SmartSignals eCOA


Make it easier for patients and sites to provide high-quality clinical outcome assessments data

The Four S's of eCOA Success
Successful eCOA implementation requires four pillars: solution, science, scale, and service.

For eCOA Success, Start with These Four Pillars

  • Solution
    Our comprehensive technology offers ePRO, complex ClinRO, as well as the tools and reporting needed by sponsors and sites, without surprise capability gaps.
  • Science
    Over 50 full-time clinical and eCOA experts proactively guide and monitor the study from protocol design through regulatory submission, ensuring the best solutions and best practices are in place to generate reliable evidence.
  • Scale
    An end-to-end platform with accompanying global project delivery infrastructure that enable you to seamlessly scale from early phase, local trials to multinational pivotal trials.
  • Service
    Scale acquisition and implementation expertise, translation services, device provisioning and logistics, patient-facing local language helpdesk, and operational infrastructure enable hassle-free implementations for simple or complex studies in any indication and in any time zone.

Signant SmartSignals eCOA data are:



Digital assessments mean you no longer have to decipher handwritten responses. 



Built-in logic checks and rules keep data clean. 



Unique patient-specific credentials assign entries to each patient. 


Accurate & timely

Completion windows and time stamps guarantee data is collected at specific time. 

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Why choose Signant SmartSignals?

With Signant SmartSignals eCOA, you get so much more than advanced technology. You’ll gain access to Signant Health’s team of subject matter experts and data analysts who can help you navigate common trial complexities. Our industry-leading cyber security prevents your data from being compromised.

  • In-house scientific and clinical experts implement and develop instruments according to best practices.



  • Woffer flexible deployment to support provision devices, the web, or a patient’s personal device (BYOD).


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  • Signant’s extensive eCOA library of scales ensures the quality, validity, and speed of implementation. This includes standard scales for oncology and other therapy areas, as well as computerized adaptive tests (CATs) using PROMIS CAT


  • Preconfigured eCOA packages accelerate deployment, while ensuring quality and cost efficiency.


  • Our unmatched global logistics skills help you manage device installation, inventory, and international shipments so that devices arrive ready on time in any country.


  • Robust performance reporting through our interactive StudyIQ dashboard suite provides real-time data and insights across a wide range of study metrics.


  • Helpdesk representatives offer 24/7 support when it matters most.   

Frequently Asked Questions

What is an eCOA clinical trial?

An eCOA clinical trial uses technology to accelerate clinical data collection and ensure proper data quality analyses. More sponsors are choosing eCOA for their clinical trials to gain a better understanding of how patients feel and function in near real-time.

What is the difference between eCOA and ePRO?

The difference between Electronic Clinical Outcome Assessment (eCOA) and Electronic Patient-Reported Outcome (ePRO) is that ePRO systems are a type of eCOA. Clinical trial patients often use eCOA system technologies on mobile devices to remotely send their ePRO symptoms and experience directly to site staff. Other types of COA include Electronic Performance Outcome ePerfO, Electronic Clinician-Reported Outcome (eClinRO), and Electronic Observer-Reported Outcome (eObsRO).

Does Signant have an instrument library?

Signant’s instrument library contains over 50 instruments commonly used in clinical trials. In many cases, we offer pre-approved versions, which means an author review step is not required. Additionally, our library instruments are designed using best practices and are pre-validated, so they do not require additional testing when implemented in a new clinical study, saving you time and ensuring high quality.

Can you provide scientific consulting to support our eCOA approach?

Signant proudly provides expert consulting with our solutions, like eCOA. We believe that combining our advanced technology with scientific and clinical expertise properly sets studies up for success. Our focus on protecting data quality along with our credibility among authors and license holders helps us successfully navigate electronic implementations. With a deep understanding of regulatory needs, our team can help steer clients throughout their clinical trials.

Can Signant implement computerized adaptive tests (CATs)?

Yes. Signant SmartSignals eCOA includes the ability to implement the PROMIS CAT seamlessly alongside conventional PROMS. Choose from more than 20 domains including anxiety, depression, fatigue, sleep disturbance, pain interference, physical function, and social function. For more information, read our PROMIS CAT brochure and white paper.

Want to learn more?

Add eCOA to your study to collect accurate data at a larger scale – contact our team today.