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ClearCohort

Senior enrollment specialists · Adults 60+

Your trial does not have a science problem. It has an enrollment problem.

In cognitive and Alzheimer's studies, fewer than 2 in 100 prescreened candidates reach randomization. Reaching, screening, and scheduling adults over 60 by phone is a specialist's job. It is the only job we do.

Fig. 1 · Cohort attrition100 candidates
Active candidateScreened outRandomized
Published enrollment norm in cognitive and Alzheimer's trials: fewer than 2 of every 100 prescreened candidates reach randomization. The funnel above the site is where enrollment is won or lost.

§ 01 · The enrollment math

Recruitment is where trial timelines go to die.

Enrollment, not science, is the leading cause of missed clinical trial deadlines. The economics of every slipped curve compound against you.

30%
Timeline consumed

Patient recruitment consumes up to 30% of total trial timelines across common indications.

<2/100
Reach randomization

In cognitive and Alzheimer's studies, fewer than 2 in 100 prescreened candidates are randomized.

$19.5K
Per dropped participant

Replacing a single dropped participant costs a sponsor approximately $19,500, before timeline damage.

Figures: published industry enrollment benchmarks, 2026.

§ 02 · What we do for sponsors

We deliver the candidate your site never had to find.

ClearCohort sources, contacts, and phone-prescreens adults 60 and older, then hands your sites consented, scheduled referrals with full documentation.

CC-01 · Registry

An opted-in senior research registry

A proprietary registry of adults 60+ who have affirmatively consented to hear about health research, built through direct-response acquisition and maintained under counsel-approved consent protocol.

CC-02 · Acquisition

A senior-specific digital funnel

Condition-specific landing pages and paid acquisition tuned to the 60+ demographic, and, for dementia studies, to adult children as study-partner gatekeepers.

CC-03 · Prescreening

Industrial-scale phone prescreening

Dedicated, trained outbound teams conducting protocol-specific prescreens from IRB-approved scripts, with full call recording and documented consent on every contact.

CC-04 · Delivery

Consented, scheduled referrals

Candidates who pass prescreen arrive at your sites consented, calendared, and documented. Your investigators make every clinical and eligibility determination.

Operating system

Compliance is not a feature. It is the operating system.

Every script and every ad is approved before it runs. No exceptions, including paid media copy.

  • TCPA consent architecture
  • Do-not-call scrubbing
  • HIPAA-grade data handling
  • IRB material discipline
  • U.S. patient data stored in the U.S.
  • Full call recording & audit trail

§ 03 · How an engagement works

Five steps from protocol to referral.

i

Protocol intake

You share the protocol's inclusion/exclusion criteria and target geographies.

ii

Build & approve

We build the funnel and prescreening script. Your team and the IRB approve all materials before use.

iii

Acquire & contact

We acquire and contact candidates through the registry and senior-tuned digital acquisition.

iv

Prescreen

Trained teams prescreen by phone against your criteria, recorded and documented.

v

Deliver

Consented, scheduled referrals arrive at your sites with full documentation. You pay on results.

The IRB and your team approve every material before anything runs. That is not friction; it is how a compliant recruiter operates.

§ 04 · Why a senior specialist

General recruiters treat 60+ as a segment. We treat it as the entire business.

Reach

A purpose-built 60+ funnel

The media channels that reach seniors, the call pacing that converts them, and the adult-child dynamic behind every Alzheimer's dyad. This is the demographic every cognitive and chronic-disease trial needs and no general recruiter reliably reaches.

Economics

A cost structure that makes performance pricing real

Offshore prescreening capacity at a cost base domestic recruiters cannot match. That is what lets us carry the enrollment risk instead of billing you for effort.

Heritage

Compliance-first operating heritage

TCPA consent architecture, call recording, DNC scrubbing, and HIPAA-grade data handling already in production with our contracted operations, now pointed at research recruitment.

Footprint

Cross-border by design

Montreal-based with PIPEDA and HIPAA footing on both sides of the border. For Canada-inclusive protocols, that is a structural advantage no U.S.-only recruiter offers.

§ 05 · Pricing posture

Pricing that carries its own risk.

A flat monthly campaign fee, market-priced and set in advance, with a defined share of that fee at risk against a committed delivery plan. Fall short of plan, and credits flow back to you automatically, capped and specified in the Statement of Work.

01Plan

Committed delivery plan

Every engagement states planned first office visits per month, by geography and protocol. That number is contractual, not aspirational.

02Mechanism

Credits, not arguments

Shortfalls convert to capped fee credits automatically. No renegotiation, no dispute cycle.

03Setup

A setup fee that works for you

The one-time build fee covers funnel, scripts, and IRB materials, and can be structured as a credit against later campaign fees.

Where a protocol's reviewing IRB approves it, a per-qualified-referral alternative is available. Our fee structure is disclosed to the IRB on every engagement.

§ 06 · Start the conversation

Talk to us about your enrollment gap.

Tell us which protocols are behind curve. We will come back with a scoped, geo-matched pilot: the funnel we would build, the milestone definitions, and the performance price.

This form is for sponsors, CROs, and research sites. ClearCohort does not enroll study participants.