Engram

Amendment Module

Protocol changes, fully analyzed.

Understand the complete downstream impact of protocol amendments: budget changes, coverage implications, operational adjustments, and billing modifications - before you sign off.

4 hrs
Impact analysis time
vs 2-3 days manual
$62K
Avg. cost impact identified
per protocol amendment
89%
Hidden impacts detected
missed by manual review

Amendments are operational landmines

Protocol amendments average 2.3 per Phase III study. Each one triggers a cascade of changes that are difficult to track manually - and mistakes are expensive.

Document Cascade

One protocol change triggers updates across CTA, budget, MCA, consent forms, and operational procedures.

Hidden Cost Impact

Added visits, new procedures, or frequency changes create budget implications that are easy to miss.

Stakeholder Coordination

Finance, regulatory, clinical ops, and site teams all need different views of the same amendment.

Time Pressure

Amendments often come with tight timelines, leaving little room for thorough impact analysis.

67%

of amendments have unidentified cost impacts

2-3 weeks

typical manual impact assessment time

$125K

average unplanned costs per missed impact

How It Works

From protocol comparison to stakeholder-ready deliverables in hours, not weeks.

1

Version Upload

Upload the original and amended protocol versions. AI extracts all procedure definitions, visit schedules, and requirements.

2

Diff Analysis

Automated comparison identifies every change: added procedures, modified frequencies, removed items, and schedule shifts.

3

Impact Assessment

Each change is analyzed for budget impact, coverage implications, CTA requirements, and operational considerations.

4

Deliverables

Generate stakeholder-specific reports: budget amendments, MCA updates, CTA change orders, and site communication packages.

Generated Deliverables

Budget Amendment

Line-item cost changes with justification

MCA Update Package

Coverage re-analysis for changed procedures

CTA Change Order

Draft amendment to trial agreement

Site Communication

Operational impact summary for sites

Amendment Impact Workbench

Upload two protocol versions and get a complete impact analysis across budget, coverage, and operations.

Protocol ABC-123
v3.0 → v3.1
+$47,200
Budget Impact
3
Added
4
Modified
1
Removed
2
Coverage Review
CTA / MCA Updates
ChangeProcedureVisit/FrequencyImpactCoverage
AddedPET/CT Scan
Cycle 4 Day 1
1x
+$3,200Sponsor → Sponsor
ModifiedCBC with Differential
All Cycles
Weekly → Twice Weekly
+$12,600Medicare → Medicare
AddedCardiac Troponin
Screening, C1D1, EOT
3x
+$255N/A → Sponsor
ModifiedMRI Brain
Screening, C4D1
1x → 2x
+$2,800Medicare → Review Needed
RemovedChest X-Ray
Cycle 2 Day 1
1x → 0x
-$250Medicare → N/A

PET/CT Scan

Added

Change Details

VisitCycle 4 Day 1
Frequency1x
Unit Cost$3,200
Total Impact+$3,200

Coverage Impact

SponsorSponsor

Notes

New imaging requirement per FDA feedback

Stop flying blind on amendments

See the complete impact of your next protocol amendment before you commit. Request a demo with a real amendment scenario and we'll show you what manual review misses.