Fractional Technology Leadership

eClinical architecture built right the first time.

Clinical-stage biotechs and CROs need C-suite technology judgment to build eClinical infrastructure and compliant AI workflows — without the full-time executive commitment.

Scope your engagement on one call
The technology leadership gap

Three technology mistakes that cost biotechs 12–18 months and $500K+.

Most Series A and B biotechs make these mistakes at exactly the moment when capital efficiency matters most.

Integration failure

Buying eClinical tools from separate vendors that don't integrate — and no one on the team knows how to make them work together.

Visibility loss

Outsourcing the entire technology stack to a CRO — losing internal visibility and control over your own trial data.

Compliance risk

Adopting AI because investors expect it — without a compliant framework, creating FDA audit risk at the worst possible moment.

The architect

Elias Tharakan — the 60-second version

Elias Tharakan

Elias Tharakan

Chief Executive & Technology Officer, AyurDatta

15+ years at DSG as CTO and COO — built the industry's first unified eClinical SaaS (EDC + CTMS + RTSM + eCOA + Safety), 1,000+ trials, acquired by Signant Health in 2023. Created the FAST Methodology (70% faster delivery). Now CEO of CliniDash and Co-Founder of AyurDatta.

Accepts select mandates
When it fits best

Three moments when fractional CTO support makes the difference

Scaling from one trial to many

Technology choices made now can either accelerate future studies or create years of rework.

You need executive-level guidance quickly

Get founder-level support without a full-time executive commitment — typically active within 2 weeks.

AI adoption without compliance risk

Align innovation with 21 CFR Part 11, GxP, and inspection readiness from day one.

Advisory scope

Core advisory areas

eClinical Platform Strategy

  • Vendor selection and consolidation roadmap
  • EDC, RTSM/IRT, ePRO, CTMS, safety system integration
  • Implementation sequencing with measurable milestones

AI and Data Governance

  • Use-case prioritization for immediate operational value
  • Validation, auditability, and model risk controls
  • Data quality standards for submission-ready outputs

Operational Leadership

  • Technology operating model for lean biotech teams
  • Cross-functional governance between clinical, safety, and regulatory
  • Board-ready roadmap and investment-grade narrative

Execution Oversight

  • Monthly architecture and risk reviews
  • Strategic support for critical vendor decisions
  • Direct access to AyurDatta clinical leadership when needed
Engagement levels

Four commitment levels

Final scope depends on delivery cadence and complexity — finalized on the discovery call.

Light touch

Core Advisor

4–6 hrs / month

Periodic reviews and strategic guidance for teams with existing technical leadership.

Scoped on discovery call

Strategic

Strategic Partner

8–12 hrs / month

Vendor decisions, architecture reviews, and cross-functional alignment sessions.

Scoped on discovery call

Most common

Fractional CTO

20–30 hrs / month

Active platform leadership across vendor selection, implementation, AI governance, and board reporting.

Scoped on discovery call

Full integration

Embedded Executive

40+ hrs / month

Principal-level availability across all technology workstreams for complex or multi-trial programs.

Custom scope

Project-based engagements

Not ready for a retainer?

Audit fees can be credited toward a future retainer engagement.

eClinical Technology Audit

Fixed-fee · 4–6 weeks

Current stack assessment, gap analysis, remediation roadmap.

Vendor Selection & RFP Management

Fixed-fee engagement

Requirements, shortlist, scoring, recommendation.

Digital Transformation Roadmap

Fixed-fee engagement

Current vs. future state, phased execution plan.

AI Integration Assessment

Fixed-fee engagement

Where AI can be applied compliantly; build vs. buy guidance.

Who this is built for

Ideal client profile

Series A or B biotech with an active or planned clinical program and no internal CTO

Mid-size CRO (50–500 employees) using legacy or disconnected eClinical tools

Digital health or HealthTech company entering the clinical trial space

Any team that has bought Veeva, Medidata, or Oracle and isn't getting the ROI they expected

Common questions

Frequently asked questions

How quickly can you start?

Most engagements begin within 2 weeks of SOW signature.

Do you work with companies outside Philadelphia/NJ?

Yes. The majority of engagements are remote-first. Elias works with companies globally.

Is this separate from AyurDatta's safety governance services?

The technology advisory can be engaged completely independently. Many clients use only the fractional CTO engagement. Others engage both — technology leadership and safety governance oversight — and benefit from the coordination between them.

What if my need is project-based rather than ongoing?

Project-based engagements are the most common starting point. Most convert to an ongoing retainer after the first defined project.

Need a combined clinical and technology leadership model?

Pair this with Fractional CMO advisory for unified executive strategy across clinical and technology.