Product Update — April 2026

Centralized AI-Powered
Clinical Data Assessment

First R&D Accelerator Product deployed at scale — embraced by users and business sponsors

📅 April 30, 2026
Executive Summary

Why ClinShow Matters

A product-level overview for leadership — where we are, what we deliver, and where we go next.

🎯 The Vision

ClinShow is Sanofi's centralized, AI-powered clinical data assessment platform. It replaces fragmented legacy tools (SAS listings, static PDFs) with a single, real-time environment for clinical data review, validation, and predictive risk monitoring — deployed across 88 live studies and 800+ users.

💰 Business Impact

  • €10M+/year efficiency savings from near-real-time data access and AI-powered assessment
  • -2 weeks database lock acceleration on every study
  • -25% queries to study sites through predictive KRIs, improving investigator relationships

🚀 Key Achievements (Q1 2026)

  • Patient Profile released across all Pharma studies with queries integration and Snowflake migration
  • Data Validation Agent approved by DRC and in limited release — first AI agent in clinical data ops
  • Data Quality Prediction entering UAT — ML models predicting AE under/over-reporting
  • 93.7% user activation rate and 83% satisfaction (NPS 39)

📊 User Engagement Highlights

  • 93.7% activation — 759 of 810 granted users are active. Near-total adoption across all roles.
  • 77.4K sessions this quarter — engagement nearly doubled between January and March (+85%).
  • Patient Profile: instant traction. 52 events/user in its first month — 2nd most-used feature on day one.
  • Review Tracker +492%. From 2 to 18 events/user in 3 months — review workflows are now core to daily usage.
  • Data Managers are power users. 74 active users with the broadest feature footprint — only role using Patient Profile, Study Config, and Review Tracker.

🔬 Product Pipeline

👤 Patient Profile Live
⚡ Data Validation Agent Limited Release
📈 Data Quality Prediction UAT
🔍 Data Review Agent Coming Next
At a Glance

ClinShow in Numbers

Key performance indicators showcasing adoption, speed, and user satisfaction across the platform.

800+
Granted Users
700+ active
88
Studies Live
Phase I to IV
83%
User Satisfaction
NPS 39
9 mo
Time to Deliver
vs. 3 years legacy
20x
Faster Data Loading
vs. previous system
AI-ready
Snowflake Migration
Complete
Product Metrics

Engagement Dashboard

Usage analytics from GA4 — Jan 27 to Apr 26, 2026.

810
Users Granted
759
Active Users
93.7% activation
89
Studies in Prod
phase I to IV
257
Comments
collaboration events
77.4K
Sessions
total sessions

Stacked by Therapeutic Area — Dec 2025 to Apr 2026

Event Volume

Total GA4 events across all studies

Studies with at least one event in the month

Study Reach

Number of active studies per month

Daily event count (subject_selected) from launch — Apr 13 to Apr 28, 2026

Launch KPIs

27 studies active on Patient Profile within 15 days of launch — immediate adoption across the portfolio.

Peak on day 2 (Apr 14) driven by EFC17504 power users. Usage then stabilizes at a healthy daily baseline.

Sustained engagement. No drop-off after initial spike — users come back daily, confirming the feature solves a real workflow need.

Daily Patient Profile Activity

subject_selected events — all studies combined

Key Insights

Data Managers dominate. 74 active users (38% of identified roles) with the highest feature breadth — only role using Patient Profile & Study Config.

Collaboration is passive. ~4,400 comment list views but only 257 comments created (5.8% conversion). Users read, rarely write.

Top Roles by Engagement
Data Manager 74 users · 6.0 sess/user
Study Clinical Scientist 24 users · 3.3 sess/user
Global Study Manager 21 users · 2.1 sess/user
Study Medical Manager 20 users · 4.7 sess/user
Global Safety Officer 15 users · 4.6 sess/user
PV Science Expert 11 users · 3.5 sess/user

Events per user vs active users — who are the power users?

Key Insights

Data Managers lead in reach. 74 active users — largest pool by far. High volume but moderate intensity per user.

SMMs are power users. Fewer users (20) but 4.7 sessions/user — deep, repeated engagement with clinical workflows.

GSOs punch above weight. Only 15 users but high event density — safety-focused roles drive disproportionate activity.

Activity vs Reach by Role

Bubble size = total events — top-right = most engaged

How deeply each role uses each feature

Key Insights

Data Listing is the workhorse. Highest events/user across almost all roles — the daily go-to view for clinical data.

Collaboration skews toward DMs. Data Managers generate most collaboration events. Other roles interact but create fewer comments.

Power BI adoption is uneven. Strong usage by DMs and GSMs, but low or zero for safety-focused roles — opportunity for targeted onboarding.

Average Events per Active User

Higher = deeper engagement with the feature

Which roles use which features — signals for targeted investment

Key Insights

Data Managers have broadest access. Only role touching Patient Profile, Study Config, and Review Tracker — widest feature footprint.

Core 3 features used by all. Comment List, Data Listing, and Power BI Reports are universal across every role.

Rave Queries is niche. Only DMs and SMMs actively use it — consider whether broader access would reduce query turnaround.

Role x Feature Heatmap

Active users shown — darker = more users

Users

Our Personas

Who uses ClinShow and what activities they perform.

Primary
📊
Data Manager (DM)
74 users · 444 sessions/month

Ensures integrity, quality, and compliance of clinical trial data throughout the entire study lifecycle. Follows eCRF setup, supports database design, centralized monitoring activities, data cleaning, and study conduct until final database lock.

“We follow the eCRF setup, we support the design of the database and all the related centralized monitoring activities. We are also involved in the data cleaning activities and on the study conduct until the final database lock.”
Database Management Regulatory Compliance Data Validation Centralized Monitoring Cross-functional Collaboration
Data Review Patient Profile Study Config Data Validation
Primary
⚕️
Study Medical Manager (SMM)
20 users · 94 sessions/month

Provides medical oversight and expertise for clinical trials. Ensures scientific integrity, patient safety, and protocol compliance throughout the clinical trial process. Part of the Core Study Team.

“The Study Medical Manager is part of the Core Study Team that uses collaborative solutions to efficiently share information, manage risk and make informed decisions during clinical trials.”
Protocol Development Medical Oversight Safety Monitoring Medical Review (CCR) Cross-functional Collaboration
Data Review Patient Profile Clinical Case Review Data Validation
Primary
🔬
Study Clinical Scientist (SCS)
24 users · 78 sessions/month

Plays a crucial role in the planning, execution, and oversight of clinical trials. Assists the SMM on a day-to-day basis, provides support on operational activities, and helps with regulatory issues and ethics committees.

“My role is to assist the Study Medical Manager (SMM), also known as Clinical Research Director (CRD) on a day-to-day basis. I provide support as much as possible on every kind of activity and particularly on operational ones.”
Protocol Development Medical Oversight Data Review & Analysis Patient-Centric Approach Cross-functional Collaboration
Data Review Data Validation
Secondary
📋
Central Monitor (CM)
1 user (growing) · 5–6 studies at a time

Specialized clinical operations professional responsible for centralized, risk-based oversight of clinical trial patient data without conducting physical site visits. Continuously analyzes data flowing from investigative sites to detect potential risks before they become critical. Works in RBM team pair with a Data Scientist (CM handles communication & interpretation; DS handles programming & technical). Future main user of the Clinshow predictive KRI module.

“The setup phase is the more time and effort consuming phase. We need to read the protocol, understand it thoroughly… and communicate a lot with study team.” — CM Interview, 04/03/2026
KRI Specification & Thresholds QC of DS Programming KRI / DQA / QTL Monitoring Signal Identification & Triage Action Delivery & Follow-up Pre-lock & Study Close
Data Review AE Prediction
Secondary
🛡️
Global Safety Officer (GSO)
15 users · 69 sessions/month

Monitors safety signals across studies. Reviews AE reports, assesses causality, and ensures timely reporting to regulatory authorities.

Data Review
Secondary
📋
Global Study Manager (GSM)
21 users · 45 sessions/month

Orchestrates study operations globally. Tracks milestones, coordinates teams, monitors study progress via KRI dashboards.

Data Review
Secondary
💊
PV Science Expert
11 users · 38 sessions/month

Pharmacovigilance specialist supporting signal detection and benefit-risk assessments across the portfolio.

Data Review
Secondary
💻
Clinical Data Coordinator (CDC)
Emerging

Manages collection, entry, and verification of clinical trial data. Works with EDC systems, supports audit readiness, and maintains data quality standards.

Data Review Study Config
Changelog

What's New

Recent milestones and releases across ClinShow.

WIP
2026
Medical Agent for Clinical Case Review TO COME
AI-powered medical agent to assist clinical teams with document review and data analysis. Use case and scope currently under evaluation.
Apr 28
2026
AE Reporting Prediction entering UAT UAT
First Predictive KRI for Risk-Based Monitoring. ML model predicts AE under-reporting. Production on 2 pilot studies targeted end of May.
View module →
Apr 13
2026
Patient Profile live on all Pharma studies LIVE
CCR activity now performed directly in ClinShow. Replaces manual PDF exports. Data refreshed every 4h.
View module →
Mar 25
2026
Data Validation Agent deployed on pilot studies LIMITED RELEASE
First AI Agent live after full DRC validation. SMEs labeling outputs to validate accuracy on 3 pilot studies. Target: -50% workload for DM/SMM.
View module →
Feb
2026
Snowflake migration completed (except Data Review/CDR)
ClinShow datamart migrated to Snowflake for Patient Profile, Study List, Queries, and Silver layers. Platform now AI-ready. CDR tables migration still in progress.
Feb
2026
Risk Profile V2 validated
All NFRs updated, AI-related controls reviewed and validated in ServiceNow. Enables AI features in production.
👤

Patient Profile LIVE

Patient Profile screenshot
Clinical Case Review (CCR) is an individual-level medical review. After a serious adverse event (SAE, AESI), SMMs review the complete medical history and patient data to ensure the clinical picture is medically coherent and complete enough for the regulatory safety narrative (CIOMS).

The reviewer opens the Safety Narrative, extracts every clinical fact (dates, diagnoses, symptoms, medications, lab results, procedures), then locates the matching CRF page and verifies the data is entered, consistent, and complete. When something is missing or inconsistent, a manual query is raised to the site.
SMM SCS DM
Before: Manual extraction of static PDF Patient Profiles each time a CCR was needed. Data always outdated at time of review. No search, no filter, no collaboration between reviewers.
After: Fully digitized Patient Profile on Snowflake. Data refreshed every 4 hours. Smart UX: toggle, sort, pin columns, search, highlight. Cell-level comments and historical queries display to avoid duplicate questions.

Latest news

  • Apr 13 — Released on all Pharma studies (10 stories shipped):
    • Queries integration — Rave queries visible per record with detail drawer
    • Navigation overhaul — Left menu rebuilt based on SAS PP structure
    • Smart display — Empty tables hidden by default, search bar, adaptive column widths
    • Domain enhancements — Smoking Habit, Medical History, Medications, Central Lab
  • Feb 26 — Data migrated from Teradata to Snowflake. Patient Profile is now AI-ready.
  • NextMedical Review Agent: compare Safety Narrative vs Patient Profile data to auto-detect inconsistencies and suggest queries.

Data Validation Agent LIMITED RELEASE

Data Validation Agent screenshot
Data Validation (DV) is the monthly process where Data Managers review clinical data to identify anomalies and raise queries to study sites. DMs and SMMs currently review hundreds of SAS-generated excel listings with thousands of cells and duplicated patients across files.

The DV Agent automates this by running 28 CMS validation rules on AE & LB domains (representing 46% of total DV scope) across 3 PHARMA I&I pilot studies. The agent flags anomalies, suggests query text, and supports bulk-validation — all with a human-in-the-loop approval workflow.
DM SMM SCS
Before: Hundreds of SAS excel listings. Manual line-by-line review of thousands of cells. Duplicated patients across files. Monthly burden for DMs and SMMs.
After: AI agent identifies anomalies automatically using Snowflake Cortex. Cross-data checks, suggested actions, bulk-validation. SMEs label each output as True Positive, False Negative, or True Negative.

Latest news

  • Mar 25 — Limited release after full DRC approval (10 stories shipped):
    • Anomaly views — List per rule, subject detail with AI analysis, affected subjects count
    • Navigation & UX — Domain menu (renamed from "Anomalies"), table sorting, anchored guidelines panel (CMS, DRMP, Protocol)
    • PP integration — Open anomaly directly on relevant Patient Profile domains (AE, LB)
    • Rule enhancements — Enriched rules list, rule detail with AI card, Rule ID linked to CMS
  • Now — SMEs labeling outputs (TP/FN/TN) to validate accuracy. User research ongoing to improve UX.
  • Next — Roll out to all users on 3 pilot studies once scores validated. Target: -50% DV workload. Then scale to all data families.
📈

Data Quality Prediction UAT

Data Quality Prediction screenshot
Risk-Based Monitoring (RBM) teams use Key Risk Indicators (KRIs) to monitor study quality. Today, data quality issues are detected after they happen, generating reactive queries to sites.

Predictive KRIs use ML models to detect issues before they materialize. The first use case, AE Under-Reporting (AEUR), detects sites/subjects with potentially under-reported adverse events. The model analyzes demography, labs, vital signs, medications, exposure, and medical history to predict expected AE patterns. A second use case, AE High-Reporting, detects over-reporting patterns (more AE dates, SOC variety, outcome variations than expected).
CM DM
Before: Data quality issues detected after they happen. Reactive queries to study sites, increasing workload for Data Managers, slowing trial timelines.
After: ML models predict AE under- and over-reporting proactively. Central Monitors intervene before issues become critical. Direct impact: fewer anomalies upstream = less Data Validation downstream.

Latest news

  • Apr 28 — Entering UAT phase. First use case: AE Reporting Predictions (under- and over-reporting).
  • Next — Production on 2 pilot studies targeted end of May 2026. Target: -25% queries to study sites.
  • Later — Expand to Missing Critical Data Prediction, Query Rate Prediction, and Data Entry Time Prediction. Goal: make prediction the standard for data monitoring across all studies.
🔍

Data Review Agent COMING NEXT

Data Review screenshot
Clinical Data Review (CDR) is performed on PowerBI dashboards where DMs review study-level data to identify discrepancies and protocol deviations. Standard dashboards are available since mid-2025, with study-specific dashboards added in December 2025.

The Data Review Agent will go further by automatically detecting misalignments between collected data and the study protocol, surfacing findings to the right people, and enabling timely course-corrections.
DM GSM
Before: Manual cross-referencing of patient data against study protocol on dashboards. Time-consuming, repetitive, prone to human error. Solicited Events dash only added Apr 2026 for Vaccine studies.
After: AI detects protocol misalignments automatically. Surfaces clinical findings and deviations to the right people at the right time. Target: -50% CDR workload.

Latest news

  • Apr 26 — Solicited Events dashboard added for all Vaccine studies (study endpoints).
  • Now — Backlog of 15 new dashboards + 15+ enhancements. Specific dashboards built by China DMP team.
  • Next — AI agent MVP planned for Q3 2026. Built on Patient Profile, Snowflake, and Validation Agent patterns.
Strategy

OKR Tree

From business goals to product metrics — how every initiative connects to value.

Business Goal
Reduce the workload of clinical data management by 50%
Clinical Dev
Objectives
Reduce the workload of clinical development by 50%
Clinical Ops
Objectives
Reduce the workload of clinical data management by 50%
Hypothesis
Data Validation Agent reduces DV effort of DM/SMM by 50%
Clinical Case Review Agent reduces CCR effort by 50%
Product Goals
Q1
AE/LB DV executed 50% faster on 3 PHARMA I&I pilot studies
AE/LB domains represent 46% of total DV scope
Patient Profile fully replaces SAS exports for CCR on Pharma studies
Reducing CCR execution time by 10%
Lagging
Indicators
DV time reduced by 50% (avg active time)
Target5 days
Current10 days
ImpedimentProd approval
CCR execution time reduced by 10%
Targetx
Currentx
ImpedimentNo user metric
Leading
Indicators
Target
Current
% of DV CMS rules available in ClinShow
28
28
# SAS listings generated
0
28+
% of completed DV workflows
>90%
0
% of anomaly accuracy
>90%
?
% of studies enabled with DV agent
4%
0
NPS (Net Promoter Score)
30
?
Target
Current
% of CCR-required Data Families available
100%
100%
# CCR SAS listings generated
0
?
# of completed CCR workflows
0
0
% Patient Profile visits for CCR eligible
100%
?
% of studies enabled with Patient Profile
100%
20%
NPS (Net Promoter Score)
30
?
Strategy

High Level Roadmap

Features grouped by value delivered — Q4 2025 to Q4 2026.

Done
In Progress
Planned
Continuous

*Source: Jira CLINSHOW project, label "Roadmap" — features and timelines are working hypothesis and might evolve as we test and learn