North America
BIOTECHS DEMAND CLARITY, PRECISION, AND CONFIDENCE
Metabolic Expertise Built for Complex, Data-Driven Decisions
Metabolic studies demand more than execution—they require scientific fluency, data integrity, and disciplined coordination across endpoints, populations, and timelines. HiRO’s metabolic teams bring together global therapeutic expertise, advanced clinical data science, and steady operational oversight to guide programs with clarity and confidence.
Through our HiRO LINKAGE™ Approach, we connect people, systems, and data into a unified framework—helping sponsors anticipate challenges, reduce uncertainty, and make evidence-based decisions without compromising scientific rigor.
From early-phase innovation through late-phase validation, our metabolic experience reflects a consistent ability to translate complexity into actionable insight and reliable progress.
Metabolic Indications
HiRO supports a broad range of metabolic and endocrine programs, with experience spanning glycemic control, cardiometabolic risk, and complex liver and endocrine disorders.
Diabetes & Glycemic Disorders
- Type I Diabetes
- Type II Diabetes
- Hypoglycemia · Diabetic Complications
Hepatic & Metabolic Liver Disease
- Non-Alcoholic Steatohepatitis (NASH)
Cardiometabolic Risk
- Obesity
- Hypertension
- Dyslipidemia
Endocrine Disorders
- Hyperthyroidism
Metabolic Experience by the Numbers
Our metabolic experience spans early-phase exploration through late-phase confirmation, supported by disciplined data practices and globally coordinated execution. These results reflect the reliability, depth, and operational consistency sponsors rely on when metabolic studies demand accuracy across multiple endpoints and long-term timelines.
215
Sites Globally
2.3K
Patients Enrolled
How Disciplined Execution Strengthened a Phase II Metabolic Program
Explore how HiRO supported a Phase II obesity trial through structured site selection, proactive retention strategies, and steady operational oversight. This case study illustrates how metabolic programs benefit from integrated planning, real-time issue resolution, and regionally aligned execution.
Exceeding Recruitment Targets for a Phase II Obesity Trial
101
Of enrollment target achieved (327 of 325).
1
Day from site activation to first patient visit.
DISCIPLINE MEETS ADAPTIVE EXECUTION
A Modern Approach to Metabolic Studies
Metabolic programs require a partner who can bring structure to complexity and adaptability to evolving data. With protocols spanning multiple endpoints and timelines under pressure, sponsors need guidance that is both disciplined and flexible.
HiRO combines biometrics rigor, transparent communication, and thoughtful oversight to help teams move through each stage with confidence. By integrating global operational strength with deep metabolic insight, every program benefits from unified standards and deeply connected teams.
Regulatory Confidence, End-to-End
We don’t just manage timelines—we help metabolic sponsors navigate the full regulatory journey with confidence. From early strategy through IND submission and beyond, our teams bring practical experience across global regulatory expectations.
Proactive Planning: Anticipating risks before they impact timelines
Integrated Execution: Aligning clinical, regulatory, and operational strategy
Global Perspective: Supporting multi-regional development with consistency
Collaborative Partnership: Working side-by-side to ensure clarity and compliance.
Our Goal: To help you move from concept to clinic efficiently—while maintaining the highest standards of quality, compliance, and data integrity.
Book A Meeting With
Our Metabolic Team