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Biostatistics & Reporting

Clinical Study Report (CSR) Agent

H1ST-AI-MWR-005

Your CSR shouldn't be weeks of transcribing figures

You should be shaping the story of the study, not retyping its numbers for the hundredth time. This agent builds a complete ICH E3 CSR using FDA, EMA, and PMDA submission templates, populating results sections from the actual TLFs and analysis datasets through retrieval-augmented grounding. The multi-week effort of drafting and reconciling a CSR shrinks, while you stay the medical writer of record.

The grind you know

Your CSR shouldn't be weeks of transcribing figures

The CSR is one of the longest, most repetitive documents you will ever author, and copying hundreds of figures from TLFs into prose by hand is both slow and easy to get wrong. Then come the review cycles, reconciling versions and keeping every in-text number synchronized with the outputs, that quietly consume weeks you don't have.

Part of the Medical Writing family

ICH E3 CSRs & patient narratives.

You should be shaping the story of the study, not retyping its numbers for the hundredth time. This agent builds a complete ICH E3 CSR using FDA, EMA, and PMDA submission templates, populating results sections from the actual TLFs and analysis datasets through retrieval-augmented grounding. The multi-week effort of drafting and reconciling a CSR shrinks, while you stay the medical writer of record.

  • ICH E3
Explore the Medical Writing family

How it works

  1. 1

    Load study inputs

    Provide the protocol, SAP, TLFs, and datasets, and select the target regulatory template.

  2. 2

    Assemble the CSR

    The agent drafts the ICH E3 sections and populates results from the outputs through retrieval-augmented grounding.

  3. 3

    Review and own

    The medical writer reviews via track-changes, resolves comments, and remains the author of record for the final report.

Capabilities

What it takes off your plate

ICH E3 structure

Builds the report to the full ICH E3 section framework so nothing required for submission is missed.

Multi-region templates

Applies FDA, EMA, and PMDA submission templates so the CSR fits the target authority's expectations.

Grounded results

Pulls in-text figures from TLFs and datasets via retrieval so reported numbers stay tied to their source outputs.

Review management

Supports track-changes and comment handling across review cycles to streamline reconciliation.

What you get

  • ICH E3-structured draft CSR
  • Region-specific formatted version (FDA/EMA/PMDA)
  • Source-linked in-text results with traceability
  • Track-changes review package for author sign-off

In practice

What this looks like on a real study

Where the agent shows up in the day-to-day of a live trial — the moments the grind usually lives in.

Weeks of transcribing figures, removed

The CSR needs hundreds of in-text numbers pulled from TLFs into prose. The agent populates the ICH E3 results sections via retrieval-augmented grounding, so you shape the study's story instead of retyping figures for weeks.

A late data cut ripples into the CSR

A refreshed output changes several results after drafting. Because in-text figures are pulled from the TLFs and linked to their source outputs, the numbers stay tied to the outputs rather than drifting out of sync.

Same study, two regions

You need an FDA version and a PMDA version of the report. The agent applies the region-specific submission template on top of the ICH E3 structure, so the CSR fits each authority without a manual reformat.

Proof

The impact on your study

< 20%
Human editing on generated sections
ICH E3
Report structure applied by default
FDA/EMA/PMDA
Submission templates supported

Figures shown are pre-launch targets based on internal benchmarks, not guaranteed outcomes.

Works with your stack

  • Gemini / Anthropic LLM

    LLM

  • Veeva Vault

    EDC

Who it's for

Built for the teams who run trials

More from Biostatistics & Reporting

Peace of mind

Built to the standards inspectors expect

Every output is generated inside a validated, audit-ready platform, kept under human-in-the-loop control, and mapped to the regulatory and CDISC standards this agent supports.

  • ICH E3

Frequently asked questions

See the Clinical Study Report (CSR) Agent on your study

Walk through it on your own workflow with a clinical-trials expert — no pressure, no obligation, and honest answers, including on the limits.