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About

A senior team built around one problem.

Cadence is an independent consulting practice focused on trial enrollment for academic cancer centers.

We started Cadence because the hardest part of a cancer trial is rarely the science. It is getting the right patients enrolled, on time, and making sure the study reflects the people the treatment is meant to help. That is the work we do, and the only work we do.

The practice pairs deep clinical research experience with the data and technology to make recruitment measurable. Engagements are led by the principals and delivered with a vetted network of coordinators and trial managers.

The team
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Sierra Williams Thomson

Founder and Principal, Clinical Strategy

Fifteen years in clinical research, nine of them in oncology and genitourinary trials, including six years leading trial portfolios and the coordinator teams behind them. Has managed 20+ Phase I–IV NIH-funded and industry-sponsored studies, and served as study manager on investigator-initiated Phase 2 trials in locally advanced clear cell renal cell carcinoma, carrying both from start-up through full enrollment. Named author on peer-reviewed work in Cancer, the Journal of Urology, and Theranostics, and on abstracts presented at ASCO and ASCO GU. Leads enrollment diagnosis, protocol feasibility, and recruitment redesign on every engagement.

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Victor Thomson

Principal Technology Architect

Designs and owns the data systems and technology behind the recruitment work, including the accrual dashboards, tracking, and secure workflows that make the strategy measurable and repeatable.

Behind the principals sits a network of coordinators, trial managers, and regulatory specialists we bring onto engagements as scope requires, so a center works with a small, senior team and gets the depth of a much larger one.
Careers

Work on trials that need it most.

We bring experienced clinical research coordinators and trial managers onto engagements as they grow. If that is you, we would like to know you.

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