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List of Clinical Research Organizations (CRO) for Clinical Trials in Europe (Part 1)

Patricio Ledesma

Head Of Clinical Operations at Sofpromed

24 January, 2024

Contact us at if you need CRO services for clinical trials in Europe.

Here you can find a comprehensive list of small and medium-sized European contract research organizations (CROs) specialized in clinical trial management.

These are full service CROs focused on managing phase I-IV clinical trials, including services such as regulatory affairs, site management, monitoring, data management, pharmacovigilance, biostatistics, and medical writing, among others.

The CROs listed are located in EU member states or associated countries, which have been alphabetically ordered.

This list is structured in two parts. The first part of the list (presented in this article) contains the following countries: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, and Greece.

The second part of the list can be seen in this link, and includes the following countries: Hungary, Ireland, Italy, Latvia, Lithuania, Netherlands, Norway, Poland, Portugal, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, and Ukraine.


Clinical Investigation Support (CIS)

CIS is a completely independent, internationally operating contract research organisation. CIS offers consulting services in clinical research and development, in particular in the areas of quality assurance and regulatory affairs. CIS has a documented broad international experience in West and East Europe, but also in non-European countries.

J&P Medical Research

J&P Medical Research Ltd. offers the entire range of clinical research services for phases II-IV. Our interdisciplinary principal investigators and research staff have long-standing expertise in conducting clinical phase II and phase I-IV clinical studies. Our outstanding reputation stems from diligently focusing on planning and conducting scientific studies, pharmacokinetic and statistical analyses, clinical trial monitoring and the preparation of standardized medical documents.

pan Clinical Research Consulting

pan Clinical Research Consulting provides the following services: Clinical trial services and consulting (Phase I-IV), site identification / investigator recruitment, study setup (including investigator / hospital contract management), regulatory authority -and Ethics Committee- submissions, monitoring, project management and resourcing of Clinical Research Associates (CRAs).


Archer Research

Archer Research is a contract research organization dedicated to helping companies and healthcare professionals with their clinical investigations. Our expertise is strongly focused on the medical device industry. Archer Research is located in the heart of Europe with a fast connection between Belgium, France, The Netherlands and Germany.


DICE is a CRO specialized in clinical study design, biostatistics, clinical data management, medical monitoring, medical writing, and central imaging review. Our mission is to enhance access to medical treatment by delivering excellence in the design and execution of clinical trials.

Sillar Clinical

Sillar Clinical is specialized in assisting companies from clinical development strategy to the full setup and management of clinical trials. In parallel we offer GCP auditing services and vendor assessments.


4Clinics is a Contract Research Organization (CRO) providing data management, biostatistics, scientific writing, regulatory affairs and clinical operations services for clinical, observational and epidemiological studies with a particular expertise in vaccines, immunotherapeutics, cell and gene therapies with a dedicated branch for medical devices.


August Research

August Research is a CRO providing the following clinical trial services: study feasibilities and strategy consultation/country selection, regulatory and ethics submissions, site and investigator contract preparations/negotiations, all monitoring and study oversight (during start-up, initiation, maintenance, close-out), local drug and equipment management, project management, clinical study supplies provisioning, site/investigator payments, investigator meeting organization, document archiving, insourcing/ FSP projects, and legal representative services.

Comac Medical

Comac Medical offers a broad range of early to late phase drug development services managed by professionals fully devoted to the clients’ programs and needs. The services can be contracted as part of a full-service integrated program or as stand-alone solutions. We work in partnership with our clients to maximize opportunities, remaining flexible to individual requirements and meeting key milestones on time and on budget.

Convex Clinical Research

Convex is a clinical research services provider in Bulgaria with extensive experience in the management of clinical trials. As a local CRO we deliver high quality clinical trial services in Bulgaria and in other countries in Eastern Europe through our partnering companies. Convex offers a full range of services in clinical study management for: Phase I–IV studies on drugs, bioequivalence and bioavailability studies, clinical studies on food supplements, clinical studies on medical devices, and clinical studies on vaccines.

Ramus Medical

Ramus Medical is a full service CRO established in 2009 by Assoc. Prof. Dr. Rossen Mihaylov, Managing Director and Founder, having its headquarters in Sofia, Bulgaria. The company provides services from protocol development to final report through RA consultancy, clinical monitoring, site management, GxP auditing, bioanalysis (HPLC and LC-MS/MS), statistics and data management.


Marti Farm

Marti Farm Ltd, company based in Zagreb, Croatia, is a Contract Research Organization supporting the needs of the pharmaceutical, biotechnology, medical devices, food supplements, cosmetics and healthcare industries across a variety of core services areas. We are internationally recognized as a reliable partner and provider of consultancy and regulatory services across pharmacovigilance, registration and market access, clinical trials, patient support programs and medical writing.


Established in 2006, Optimapharm is a full-service Contract Research Organization that provides tailored solutions for our clients, and has a high-level of expertise in managing trials across Europe. With unrivalled access to patients in the emerging markets of Eastern and South Eastern Europe, and with strong presence in Western Europe, our operational excellence and customer-focused approach has resulted in our achieving a 95% repeat business level.                 

Sermon CRO

We are an independent, private company providing high quality clinical trial monitoring services in the South-Eastern Europe region. We provide a full range of activities required for the regular and legal conduct of a clinical trial, including: site selection, feasibility and evaluation; negotiation of contracts with institutions and investigators; regulatory submissions and obtaining of approvals; obtaining import permits and organizing the import of study medication and all study materials; all monitoring activities including Site Initiation Visit, Interim Monitoring Visits and Close-Out Visits; SUSAR reporting; drug safety reporting; 24 hour expert support; communication between trial sponsor and trial site; monitoring (phases I-IV); pharmacovigilance; translation of clinical trial-related documentation; and specialized medical and certified translations.



BECRO is an independent contract services organization (CRO) founded by professionals with research and clinical experience in academia, regulatory authorities and pharmaceutical industry in order to promote excellence in clinical research. Our services include clinical trial monitoring, data management and biometrics, pharmaceutical market research, pharmaceutical advisory boards, and regulatory affairs. 


ClinBAY’s services involve statistical consulting and programming for clinical trials. We manage approximately 40 clinical trials per year, spanning from phase I to phase IV. Our consultants are also available for functional sourcing support in Biometry. Last, we develop custom data analysis packages in R and SAS.

Ilikos Drug Development Solutions

ILIKOS offers comprehensive site evaluation and monitoring services from feasibility through site close-out across North America, Europe and the META (Middle-East, Turkey and Africa) regions. Our monitors have 10+ years of experience on average along with excellent understanding of regulatory guidelines in their region. 

Czech Republic


A-Pharma is a privately owned Czech CRO (Contract research organization) founded in 1996. The company can offer complete services in the field of clinical trials, medical devices, drug registration, data management, biostatistics, quality assurance including GCP auditing, translations of medical text and GCP trainings.


NEOX is a CRO providing drug development, medical device development, pharmacovigilance and regulatory, real world evidence/ data and HEOR, data management and biostatistics, and professional life sciences, medical and regulatory translation services.


Founded in 2003, Pharmservice is a Clinical Research Organization (CRO) and Pharmaceutical Consulting Company delivering high quality services in the Czech and Slovak Republics. Our clinical research services include start-up and regulatory, clinical trial monitoring, data management and analysis, project management, site contract negotiation, post marketing studies (PMS), regulatory affairs and pharmacovigilance services.

Prague Clinical Services

Prague Clinical Services is a full-service, independent contract research organisation. Our services include clinical operations, regulatory services, medical writing, data management, biostatistics, quality assurance, pharmacovigilance, bridging studies, and medical monitoring. 



Larix is a family founded, privately owned CRO offering full service (statistics, data management, clinical operations, medical writing, pharmacovigilance) solutions. Our offices are located near Copenhagen, in the middle of the Medicon Valley region and we have strong ties to the thriving pharmaceutical and biotech activities in this region. In 2015 Larix expanded to Sweden, Norway and Finland and now ranks as one of the largest local Nordic CROs.


NBCD is dedicated to clinical drug development in osteoarthritis. We specialize in design and execution of clinical trials within both pain and DMOAD compounds for osteoarthritis. We are experts in placebo response mitigation and selecting the right patients. Our background makes us experts in precision medicine using unique biomarker technologies. We support our biotech and pharmaceutical clients advance their osteoarthritis compounds through all clinical development phases.

Qmed Consulting

Qmed Consulting is a global full-service Contract Research Organization (CRO) based in Copenhagen, Denmark. We provide strategic consulting services in connection with medical device approval as well as best-in-class expertise in clinical affairs, regulatory affairs, quality management and commercial healthcare.


Clinical Accelerator

Clinical Accelerator is a clinical CRO and a patient enrollment organization operating since 2006. We also manage a network of investigators and patient referring physicians who are our valuable partners in implementing clinical studies. We place our studies in Central and Eastern Europe, the region with many well documented advantages for clinical trials. As a clinical CRO, Clinical Accelerator offers a full range of clinical trial services from protocol development and regulatory affairs through clinical conduct to data management, biostatistics and study reporting. We have performed numerous projects in all main therapeutic areas, including oncology, CNS, cardiology, pulmonology, GI, dermatology and ophthalmology.


Gaea was established in 1994 as a clinical consultancy to assist in clinical development plans, and to provide project management within Sponsors. Gaea expanded to become a trial enrollment acceleration company working at problematic sites that are common in many trials. In 2010 Gaea became a full-service CRO in Europe, from the UK. In 2018 Gaea exited the UK and moved European trial management to Estonia and Ukraine. Gaea works with difficult to enrol trials and complex IMP in oncology, acute care, intensive care, and neurology. 


AKL Clinical Trials & Consulting

AKL clinical trial services include feasibility studies, site selection and pre-study activities, regulatory and ethics submissions (Finland), budget and contract negotiation support, site initiation and site staff training, site monitoring, site close out activities, and trial management.

Crown CRO

Established in 2005, Crown CRO is a privately owned CRO with Finnish roots and a global network. We specialize in customer-oriented, competitive, and flexible services for clinical trials and regulatory affairs in Europe and the United States, serving the pharmaceutical, biotech, functional food, and medical device industries as well as contract research organizations. Our headquarters are located in Finland, and we have a strong presence in Sweden, Denmark, Norway, Estonia, Latvia, and Lithuania.


4Pharma is a contract research organization (CRO) providing medical research services to pharmaceutical, biotechnology, medical device and food companies. Focused on biostatistics, data management and medical writing, 4Pharma employees offer a unique blend of industry experience, service provider flexibility and the academic excellence of truly data driven mindsets.


Biomedical and Global Clinical Solutions

Biomedical and Global Clinical Solutions (BG ClinicalS Ltd) is an independent, privately held Contract Research Organization (CRO) located in southwest France. BG ClinicalS expertise applies to the full process of phase I to III biomedical research studies, from concept to clinical report. BG ClinicalS excellence in trial management addresses most expectations of our customers in pharmaceutical, biotech companies and agro-food/nutraceutical industries.


ClinSearch is a French Clinical Research Organization which provides clinical development and commercialization services for medical device and drug development on a European level. We are committed to offering individualized, cost-effective solutions to managing pre- or post-marketing studies in Europe, as well as obtaining reimbursement in key markets. From developing study methodology, to writing and reviewing study documents, conducting regulatory and site feasibility, adapted electronic data management solutions, monitoring in Europe, producing top-notch study and statistical reports: we have it all under our roof in Malakoff, South-West Paris.


Excelya stands apart from all other clinical development companies working for healthcare businesses. We are the only independent European CRO providing R&D players with full-service offers within a cooperative framework. Our clients can depend on the highest degree of involvement to guarantee the excellence they need. Our customized solutions perfectly match the scope and specificity of our clients’ research projects. We galvanise the finest scientific and human skills to be found in the clinical, biometric, regulatory, medical writing, data science and pharmacovigilance fields.


ExperTrials is a full-service Clinical Contract Research Organisation (CRO) dedicated to biotech and medtech startups. Our service portfolio includes clinical operations, quality assurance, regulatory affairs, pharmacovigilance and safety, medical monitoring, and vendors management.


Founded in 2010, Pharmaspecific is an ISO9001 certified company located in the Paris region. We are both a CRO and also an SMO (site management organization) in France. Specialists in clinical research, we provide a complete service for the conduct and track of clinical and observational studies. We collaborate with pharmaceutical companies (human and veterinary drugs), CROs, biotechs, clinical sites and medical device companies. 


Popsicube-Fovea is not only a CRO. We act in several collaborative projects in the area of the future of healthcare, like personalized and predictive medicine, and artificial intelligence, where our combined expertise in clinical trials and new technologies have great applications. We provide clinical services, data management, biostatistics, innovative data collection tools, secured gateway, biosensors, and tailor made applications.



CONET GmbH is a privately owned, well established full-service CRO (Contract Research Organization) headquartered in Mannheim, Germany, with a representative office in Moscow, Russia. For more than 14 years, CONET offers clinical trial management service from small pilot studies to large multicenter international clinical trials for all phases (1-4), including pediatric clinical trials as well as IITs and medical device trials in accordance with EU Directives, internationally accepted guidelines and standards, like ICH-GCP or ISO EN 14155 and national laws.

FGK Clinical Research

FGK Clinical Research is a Europe-based CRO of an ideal size for cooperation with smaller and middle-size biotech, pharmaceutical or medical device companies. We currently have 140 employees in-house at our offices – all very experienced in their own fields and trained according to the latest standards in clinical research. Our services include consulting, regulatory affairs, project management / monitoring, data management / biostatistics, pharmacovigilance, medical writing, quality assurance, medical safety, and eSolutions.


Sacura is a full-service contract research organization granting a high level of quality (FDA approved), flexible structures and qualified staff. We are dedicated to the success of our clients by providing extensive support through a network of veterans previously experienced in leading positions in the big pharmaceutical industry to cover the entire life cycle process of your product. We are experts in the set-up, managing and performance of clinical trials. We are experienced in more than 70 indications and more than 130 different studies. 


SCIRENT was founded in 2012 with the vision to help clients develop innovative medical drugs and devices for patients with cardiovascular diseases. Our dedicated team of experienced clinical and regulatory professionals shares your enthusiasm for developing effective therapies for heart patients. What makes us different from our competitors is our profound expertise in cardiovascular therapeutics and diagnostics. Our CRO offers access to an excellent network of dedicated trial sites in Europe and North America with extensive experience in cardiovascular trials.

SSS International Clinical Research

As an internationally operating Clinical Research Organisation (CRO), we have managed clinical trials in almost 20 countries. Starting with quality assurance services back in 1993 we have successfully run more than 250 clinical trials and non-interventional studies to date. Our clients are ‘big pharma’ (4 out of the top ten), biotech, diagnostics and medtech companies. We are a full-service provider covering every aspect of clinical research. SSS International Clinical Research is DIN EN ISO 9001:2015 certified.  



ANTAEA is one of the largest regional Contract Research Organizations (CROs), providing high quality services in South-East Europe, Middle East and Africa with coverage in Greece, Cyprus, Egypt, Lebanon, Jordan, Tunisia, Morocco, Gulf states, Saudi Arabia, Sudan and Ghana. Since 1998, we provide professional flexible solutions supporting our clients to optimize allocation of their research resources achieving timely results in a cost effective manner. ANTAEA is committed to deliver services of scientific quality, management expertise, and precision based on reliable technologies. To date, we have performed over 520 clinical trials and over 1900 Registration & Regulatory submissions


Operating for more than two decades in Greece and Cyprus, CORONIS has been delivering a full spectrum of services to national and international pharmaceutical, biotechnology and medical device industries and other healthcare-related organisations. The configuration of our services has followed our customers’ demands and has been built according to the following main categories: clinical development, real world data, commercialization, regulatory affairs, vigilance, training and learning.


Health Data Specialists (HeaDS) is a full-service European Contract Research Organization (CRO) dedicated to the conduct of clinical studies, with particular expertise in hemato-oncology studies. We provide the complete range of clinical trial services, from start-up to completion, from Phase I to IV. In addition, we provide strategic oncology drug development consulting and expert advice as we understand the challenges of developing anti-cancer drugs in the complex, highly competitive and rapidly developing oncology market.


NEXT CRO is a highly added value, Contract Research Organisation (CRO), running Clinical Trials in Greece, Turkey and Cyprus, and with its alliances, globally, offering “plug and play” study teams. NEXT CRO provides added value clinical trial services in all therapeutic areas, including rare diseases.


ZEINCRO is a contract research organization (CRO) that provides its services to more than 21 countries in Europe, with special focus on the region of Central and South-Eastern Europe. ZEINCRO provides clinical trial services to the global drug development industry and offers additional services in the areas of post-marketing safety and efficacy studies, regulatory affairs and pharmacovigilance (IRISG), Phase I studies, including risk management plans.


Click here to see the second part of this CRO list.

Patricio Ledesma

Patricio Ledesma (B.Eng Concordia University, Montreal, Canada and Master’s Degree in Clinical Trials, University of Seville, Spain) is the Head of Clinical Operations and Founder at Sofpromed CRO. Patricio is a professional consultant providing comprehensive, one-stop expert advice and guidance to biotechnology and pharmaceutical companies worldwide in the field of clinical trials and drug development. He is personally and enthusiastically devoted to helping biotech Chief Executive, Operations, Scientific, Medical, and Regulatory Officers in the planning and execution of phase I-IV clinical trials across North America, Europe, Asia-Pacific, Latin America, and Middle East regions. You can contact Patricio at: +34 607 939 266 

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Patricio Ledesma

Patricio Ledesma (B.Eng Concordia University, Montreal, Canada and Master’s Degree in Clinical Trials, University of Seville, Spain) is the Head of Clinical Operations and Founder at Sofpromed CRO. Patricio is a professional consultant providing comprehensive, one-stop expert advice and guidance to biotechnology and pharmaceutical companies worldwide in the field of clinical trials and drug development. He is personally and enthusiastically devoted to helping biotech Chief Executive, Operations, Scientific, Medical, and Regulatory Officers in the planning and execution of phase I-IV clinical trials across North America, Europe, Asia-Pacific, Latin America, and Middle East regions. You can contact Patricio at: +34 607 939 266