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ICON [NASDAQ:ICON]: Reading Cardiac Risk Across The Clinical Trial

ICON [NASDAQ:ICON]

Reading Cardiac Risk Across The Clinical Trial

Cardiac safety issues rarely appear as a single obvious finding. A signal may surface as a change in the QT interval, an intermittent arrhythmia, an unusual blood pressure pattern or a shift in ventricular function. Detecting such a signal is only part of the job. Sponsors also need to decide which measurements matter, collect them consistently across study sites and patients and then distinguish a genuine safety concern from normal psychological variation or procedural noise. ICON [NASDAQ:ICON] addresses these challenges through an end-to-end cardiac safety model spanning clinical strategy, monitoring technology, centralised analysis and regulatory reporting. Its services include electrocardiography, blood pressure and event monitoring, long-term Holter recording, cardiac MRI and MUGA studies, with equipment available for site-based and at-home use. Because cardiac safety signals can emerge in different ways, each development programme calls for its own combination of evidence. That work begins before the first device is deployed. Medical doctors, cardiovascular scientists, electrophysiologists and other experts contribute to protocol design, statistical planning and cardiovascular safety reporting. As a result, monitoring becomes part of the development strategy rather than being added as a technical service after the protocol is fixed. Risk Is Designed into the Protocol An appropriate cardiac safety plan begins with the type of therapy, the patient population, the development phase and how the therapy is expected to affect the heart. A first-in-human study may require intensive ECG collection with real-time review to detect early safety signals. As one programme progresses, researchers are noticed to rely more on longer rhythm monitoring, repeated imaging or a decentralised assessments that keep monitoring participants between visits. Planning these elements early shapes both data quality and safety decisions available later in development.

Digital Magazine

ICON [NASDAQ:ICON]: Reading Cardiac Risk across the Clinical Trial

CDMO

Richter BioLogics

Development, Manufacturing, and Continuity

Thilo Kamphausen, Head of Business Development

As biologics programs move closer to commercialization, timelines tighten and expectations for quality, regulatory readiness and scalability increase. Decisions made during development increasingly shape manufacturing performance, technology transfer and commercial readiness, making execution risk just as important as scientific progress. Richter BioLogics supports the commercial production of therapeutic proteins, antibodies (including VHH/Nanobodies), bacterial vaccines and pDNA with a fully integrated development to-manufacturing model. Backed by deep expertise in process and analytical validation and process performance qualification, the Germany-based contract development and manufacturing organization (CDMO) reduces execution risk, improves timeline predictability and supports seamless progression from start to finish. “Our clients are involved with our manufacturing team from the beginning. There are no translation errors, here are no surprises,” says Thilo Kamphausen, Head of Business Development. Richter BioLogics specializes in microbial process development, fermentation, purification, and GMP manufacturing. Process development, analytical strategy and manufacturing are aligned, ensuring every stage supports the next without disruption. With nearly four decades of GMP manufacturing experience and recent investments in new GMP production lines, Richter BioLogics continues to strengthen its position as a trusted partner for biotechnology and pharmaceutical companies worldwide. .

Drug Discovery and Development

Evumed Limited

Building a More Dependable Route to Medicine Access

Colm Moynihan, President

Evumed Limited is a pharmaceutical company that helps developers and market partners move complex medicines from regulatory planning to market entry without losing time between strategy, supply and commercial execution. That discipline became clear when Evumed prepared to introduce Enoxaparin, an anticoagulant, into a key European market. Rather than following a traditional sequential development process, the programme brought together regulatory strategy, manufacturing readiness, supply planning and commercial execution from the outset to support the intended market-entry timeline. The programme illustrates the value of integrating these functions early to improve coordination and execution across the product lifecycle. That integrated approach reflects Evumed’s operating model: aligning regulatory, quality, manufacturing and commercial planning from the earliest stages of product development to accelerate readiness for market. Across Europe, regulatory expectations continue to shift, procurement windows dictate commercial timing and supply disruption can turn an established therapy into an access challenge overnight. Developing a strong product is no longer sufficient for the healthcare leaders and procurement teams Evumed serves. Evumed integrates regulatory affairs, quality oversight, manufacturing coordination and commercial planning from the earliest stage of each programme, giving every function visibility into the others. Teams identify constraints sooner, make decisions with better information and advance critical activities in parallel, instead of treating each function as a separate stage. Quality and compliance are embedded from day one, not added as final checks. Manufacturing Built for Scale Evumed collaborates with established global manufacturing partners that provide advanced manufacturing capabilities across sterile injectable and biologic products. Through integrated quality oversight, regulatory coordination and longterm supply planning, Evumed aligns manufacturing with commercial objectives from the earliest stages of development. This model supports reliable supply, regulatory compliance and operational flexibility for European healthcare systems. The same disciplined approach is reflected in Evumed’s development pipeline. Evumed is advancing more than 55 medicines into Europe, with 22 already filed and another 33 moving towards submission. .

Supplements

Lab4 Probiotics

Four Strains, Three Decades and a Growing Body of Evidence

Dr Nigel Plummer, CEO and Founder

Long before probiotics became one of the fastest-growing categories in health and wellness, the team behind Lab4 was engaged in a scientific pursuit that would ultimately define the company's future. During the early 1990s, researchers set out to identify which probiotic strains could deliver the greatest benefit to human health. As Dr. Nigel Plummer, the founder of Lab4 recalls, “We screened around 100 strains and only four strains came out at that time as being the most beneficial strains, looking at things like promotion of intestinal health and immune health.” Those findings laid the foundation for the Lab4 consortium. The original consortium combined two strains of Lactobacillus acidophilus CUL21 and CUL60, one strain of Bifidobacterium animalis subsp. lactis CUL34, and one strain of Bifidobacterium bifidum CUL20. The same four-strain formulation remains central to the company's work and has evolved into a probiotic formulation supported by clinical investigation and a growing body of evidence across multiple areas of health. The long-term approach has resulted in more than 36 double-blind, placebo-controlled clinical trials and over 70 scientific publications investigating Lab4family probioticsin multiple health applications. Results demonstrated benefits across digestive health, including relief from constipation, diarrhoea, and symptoms associated with irritable bowel syndrome..

Clinical Laboratory Services

Cerba Research

Driving Global Clinical Success through Laboratory Excellence

Maria Fotiu, CEO and Managing Director

Modern drug and vaccine development hinges on one essential truth that life-changing therapies are born from scientific data that must be trusted across continents. As trials become increasingly global and assays more complex, sponsors struggle to maintain data quality, regulatory compliance and operational harmony across multiple laboratories. Success depends on not just great science, but the ability to ensure precision and speed at scale. Cerba Research empowers clinical trial sponsors, pharma and biotech companies and contract research organizations to translate their vision into life-changing therapies for patients worldwide. State-of-the-art specialty and central laboratory solutions are at the heart of its offerings. The solutions help clients run the world’s most complex clinical trials with accuracy, scale and scientific intelligence. Cerba Research drives breakthroughs across high-impact therapeutic areas, from virology and vaccines, oncology and immunology to infectious diseases and gene therapy. With the integration of Viroclinics-DDL, its laboratories specialize in infectious disease research, offering advanced virological, immunological and molecular assays under one roof. They are equipped with a wide range of testing, from routine safety to advanced molecular and genetic assays. A robust portfolio of specialty laboratory solutions supports the full drug and vaccine development lifecycle, helping clients from the preclinical to post-marketing and approval phases. The deep expertise and agility of a specialist laboratory combine with the capacity, breadth, and global reach of a central lab. “Our goal is to support complex clinical trials through deep scientific knowledge and scalable infrastructure,” says Maria Fotiu, CEO and managing director. With laboratories across five continents, clients can tap into services that include protocol review, kit design and sample handling. Additional services include biobanking, testing and reporting, all delivered through a unified global database. Cerba Research maintains BSL-3 certification across multiple sites. This ensures global access to high-containment facilities that support customers wherever their studies are conducted. All laboratory services are backed by standardized, harmonized workflows. Validation is a defining force, enabling Cerba Research to establish and drive rigorous standards across both internal and partner labs. The same capabilities and quality are delivered across regions, providing a unified experience that reduces protocol deviations and accelerates trial timelines. .

Cell and Gene Therapy Companies

The Tipping Point for Scalable Manufacturing Processes to Pivot Gene Therapies

Dr Linda Randall, AVP Biologics Development, Manufacturing & Control, Pharmaron

Therapeutics

Advancing Cell and Gene Therapies with Purpose and Precision

Tine Vander Sype, Senior Manager of Cell, Gene & Advanced Therapies, EMEA, Thermo Fisher Scientific

CRO

Framing Futures: The Vital Role of Pediatric Imaging Innovation

Adam Christopher, Director of Cardiac MRI and CT, UPMC

Biomanufacturing

Elevating CDMO Performance with Strategic Alignment

Stephen Sheehan, Director of External Development and Manufacturing, Alkermes [NASDAQ: ALKS]

Drug Discovery and Development

Navigating Through Drug Discovery and Development

Stefano Biondi, VP of Pre-Clinical, Recordati S.p.A [BIT: REC]

IN MY OPINION

CDMO

Political Continuity Offers Little Clarity For Health Innovation

Rudiger Schulze, Vice President and General Manager, DACH, Ultragenyx

LAST WORD

Women's Health

Will AI affect my jobs and the CRO business?

Stefano Ferrara, Director, Clinical Science, BeiGene

IN FOCUS

Transforming European Clinical Research: Embracing Innovation and Patient Insight

Clinical research across Europe is evolving through advanced analytics, broader real-world insights, and stronger patient perspectives, shaping research priorities.

Learn more

Accelerating Pharmaceutical Progress: Role of Drug Development CROs in Europe

Drug development CROs accelerate research, trial efficiency, compliance, and help pharmaceutical companies advance therapies.

Learn more

EDITORIAL

Precision Driving Cardiac Safety in Europe

This edition of Life Sciences Review Europe focuses on how organisations across the life sciences landscape are refining precision, strengthening integration and improving control across increasingly complex clinical systems. Across Europe, the emphasis is shifting toward coordinated execution, stronger regulatory alignment and more reliable decision-making supported by connected data ecosystems.

At the center of this issue is ICON [NASDAQ:ICON], recognized as the Top Cardiac Safety Solutions in Europe 2026. Cardiac safety often involves multiple data sources, specialists and regulatory requirements. ICON brings those elements together through a single framework that combines ECG, imaging, Holter and blood pressure monitoring with centralized analysis and regulatory reporting. By involving cardiovascular specialists from the earliest stages of study design, the company helps identify cardiac risk sooner, improving consistency across studies and supporting more reliable safety outcomes.

Across Europe's life sciences sector, organisations are placing greater emphasis on connecting research, development and commercialisation. Richter BioLogics is recognised as the Biopharmaceutical CDMO Manufacturer of the Year in Europe 2026 for its integrated approach to biologics and plasmid DNA development and manufacturing. Evumed Limited is recognised as Top Generic and Biopharmaceutical Medicines Development Services in Europe 2026 for its integrated approach to regulatory, manufacturing and commercial planning, helping accelerate access to medicines. Lab4 Probiotics is recognised as Top UK Research-Backed Probiotic Consortia 2026, reflecting its research-led consortium model supported by clinical validation across multiple areas of health.

This edition also brings together perspectives from industry leaders addressing some of the most important issues facing life sciences today. Tine Vander Sype, Senior Manager of Cell, Gene & Advanced Therapies EMEA at Thermo Fisher Scientific, explains why advancing cell and gene therapy requires closer alignment between scientific and regulatory expertise. Meanwhile, Rüdiger Schulze, Vice President and General Manager, DACH at Ultragenyx, explores the growing pressures on European healthcare, noting that cost-focused reforms could make it more difficult for rare disease patients to access innovative treatments.

Together, these perspectives highlight an industry focused on stronger collaboration, greater accountability and improved coordination across the life sciences value chain. We invite readers to explore the stories and discover the ideas shaping its future.

Life Sciences Review Europe
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