CASE 03

Principal Biostatistics Rescue: Estimands & ICE

Rapid principal-level onboarding to restore methodological ownership and enable implementation of a complex estimand framework.

UK-based CRO Sponsor escalation Estimands Intercurrent events
Case Overview

Why this case mattered

A statistical rescue driven by resource loss rather than poor underlying science. TUNECT entered when a CRO had lost key senior statistical capacity while the project still required advanced estimand and intercurrent-event implementation.

Principal-level

statistical ownership restored quickly

Sponsor retained

relationship stabilized through quality and communication

+2 Senior SAS

follow-on work expanded beyond biostatistics

The Challenge

What TUNECT walked into

Only a short window remained in the original plan. The programming team could not reliably implement the planned analyses without senior methodological guidance, while Sponsor dissatisfaction was increasing. The immediate need was to convert conceptual estimands into executable analysis logic and regain control of decision-making.

Our Approach

How the project was handled

01

Principal onboarding

Joined immediately at Principal level and aligned key methodological decisions with the CRO team.

02

ADaM specification ownership

Translated estimands and ICE strategies into explicit derivations, variables and edge-case rules that programmers could execute.

03

QC + Sponsor interface

Reviewed key datasets and TFLs, supported QC programming and participated in Sponsor discussions to stabilize confidence.

A rescue is not always about recovering the original timeline. Sometimes the correct objective is to establish a defensible path forward, communicate it clearly and protect the quality of the evidence.

Outcome

What changed

Methodological clarity

Complex estimand and ICE requirements were converted into operational analysis rules.

Quality preserved

Although the original schedule could not be fully recovered, output integrity and traceability were protected.

Partnership retained

Transparent communication reduced escalation pressure and the relationship continued into additional work.

Principal Biostatistics Estimands ICE Strategy ADaM Specifications TFL Review QC Sponsor Support

Client, Sponsor and study identifiers are anonymized where needed.

Facing a similar challenge?

TUNECT can join as a project team, embedded FSP resource or independent specialist group depending on the study need.

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