INSPECTION READINESS
Case Study: Closing the Gap Before It Became a Finding
September 28, 2026
A phase 2 oncology sponsor's critical imaging vendor had unassessed process changes and unescalated quality signals. Here's how an independent audit closed the gaps before inspection.

1 min read
Client: A US-based sponsor running a phase 2 oncology trial, with a critical imaging vendor supporting the primary endpoint.
The situation
The vendor had been qualified cleanly at study start, but oversight since then was calendar-driven, not risk-based. The sponsor's team had limited visibility into what was happening on the vendor's side and engaged VedX Clinical for an independent audit ahead of a regulatory inspection.
Key findings
- A reader-management change at the vendor had never been logged or assessed for impact on the endpoint
- Rising discordance and turnaround metrics had been filed but never reviewed or escalated
- No clear ownership of vendor-related decisions — history lived in emails and calls, not in a system
The outcome
VedX helped the sponsor close these gaps and build a defensible record well before the inspection. When it came, the team could answer every question on the vendor relationship with documentation, not recollection.
The takeaway
A clean audit at qualification is a snapshot. What holds up in an inspection is whether change gets noticed, assessed, and acted on — especially for critical vendors at a distance.
Want the detailed report on this case study for free? Request it at bd@vedxclinical.com.
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