When Clinical Trial Design Fails, Capital Fails Too: The Due Diligence Gap Investors Still Don’t Audit
In biotech investing, diligence is usually strong on biological risk: target validation, mechanistic plausibility, safety signals. But there’s another risk that is more predictable, more auditable, and still routinely under-examined: Design risk — when a trial’s implicit assumptions (about population, endpoints, adherence, measurement, site behavior, missingness, or operational drift) fail under real-world conditions. Late-stage programs…
