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A multi-agent AI platform for clinical trial operations: specialized agents to accelerate feasibility assessment while ensuring data accuracy

Yi Ni*

Bio LIMS INC, Boston, Massachusetts, United States

*Corresponding author: yi.ni@biolims.net

2026 ASCO Annual Meeting — American Society of Clinical Oncology

May 29 – June 2, 2026

McCormick Place, Chicago, IL

Poster

Abstract

Clinical trial feasibility assessment is one of the slowest, most resource-intensive steps in study start-up — particularly for sponsors evaluating multi-country deployments in emerging clinical research markets. Site questionnaires arrive as unstructured documents, capabilities are scattered across hundreds of sites, and matching the right protocol to the right site traditionally requires weeks of manual review. We present a multi-agent AI platform that orchestrates specialized agents across document ingestion (NLP and OCR), structured knowledge graph construction, site-protocol matching, and analytics generation — turning a workflow that traditionally consumes three weeks of expert effort into a three-day automated process. The platform was deployed in production with Clinical Research Malaysia (CRM), a Malaysian government-owned organization under the Ministry of Health that manages 400+ clinical trial sites and 200+ international multi-center trials annually, powering their FeasIQ Feasibility Management System across 90+ active sites. Headline outcomes include 89% site-matching accuracy, 65% improvement in site selection precision, 95% time savings on questionnaire processing, 80% reduction in manual workload, and a 40× efficiency gain in data processing. A human-in-the-loop architecture preserves expert oversight at every decision point, while a unified knowledge graph dissolves data silos across the trial site network and supports real-time visual analytics and predictive insights for sponsors.

Platform capabilities

Intelligent data architecture

NLP and OCR agents convert unstructured site questionnaires — PDFs, scanned forms, free text — into structured digital knowledge graphs for downstream reasoning.

AI-powered site selection

Specialized matching agents move site selection from "needle in a haystack" search to precision navigation, achieving 89% protocol-site matching accuracy.

Enterprise data platform

A unified data fabric integrates site capability, capacity, and historical performance across 90+ trial sites, breaking down the silos that block portfolio-level decisions.

Automated intelligence

Real-time visual analytics and predictive insights surface feasibility risk, capacity bottlenecks, and competitive site landscape for sponsors in a single dashboard.

Headline outcomes

Feasibility cycle

3 days

from 3 weeks manual

Site-matching accuracy

89%

protocol-to-site

Site selection precision

+65%

vs. manual baseline

Questionnaire processing

−95%

time required

Manual workload

−80%

human effort reduced

Data processing throughput

40×

efficiency gain

Deployment context

Production deployment

Partner

Clinical Research Malaysia (CRM)

System

FeasIQ — feasibility management system

Trial sites managed by CRM

400+ nationwide

International trials per year

200+ multi-center studies

Cumulative sponsored projects

2,500+ since 2012

Compliance certifications

ISO 9001:2015, ISO 37001:2016

CRM is a Malaysian government-owned organization under the Ministry of Health and serves as the principal gateway for global pharmaceutical sponsors entering Southeast Asia.

Why this matters for oncology

Oncology trials are increasingly multi-country, biomarker-driven, and competitive for limited site capacity — feasibility assessment lag is one of the leading causes of slow study start-up and missed enrollment timelines. Bringing feasibility from three weeks down to three days, while raising site-selection accuracy, materially shortens the path from protocol design to first patient in, particularly in emerging trial geographies where capability mapping has historically depended on manual outreach.

Keywords

Clinical trial operationsFeasibility assessmentMulti-agent AISite selectionKnowledge graphNLP & OCRStudy start-upSoutheast AsiaOncology trialsFeasIQ

How to cite

Ni Y, et al. A multi-agent AI platform for clinical trial operations: specialized agents to accelerate feasibility assessment while ensuring data accuracy. Poster presented at: 2026 ASCO Annual Meeting; May 29–June 2, 2026; McCormick Place, Chicago, IL. Available at: https://www.asco.org/abstracts-presentations/264224

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