Hexaware Acquires SMC Squared, a Leader in Building Global Capability Centers-Rolls Out GCC 2.0 Service Line. Learn More

Rethinking Clinical Development and Patient Engagement — Where the Real Transformation Is Happening

Life Sciences & Healthcare

Last Updated: August 28, 2025

The life sciences industry has always worked at the edge of science, regulation, and innovation. But over the past few years, what used to be future-state goals—decentralized trials, remote monitoring, patient-first design—are quickly becoming the standard.

It’s not just about adopting technology. It’s about rebuilding how clinical development and patient engagement happen—so trials run faster, data becomes more useful, and patients are no longer just participants but partners.

The ISG Global 2024 Life Sciences Digital Services Report, led by Rohan Sinha and co-authored by Sneha Jayanth—both analysts at ISG—highlights this shift. It also confirms that Hexaware is helping lead it—named a Leader in both Clinical Development and Patient Engagement quadrants for our deep domain experience, automation-first approach, and ability to scale personalized, digital programs across the life sciences value chain.

Here’s a clear look at where the industry is going—and how we’re helping clients get there faster.

Trials Are Moving Closer to Patients—and Further from Legacy Models

Decentralized trials are no longer a niche concept. They’re now a mainstream strategy.

According to ISG, pharmaceutical companies, CROs, tech providers, and even regulators are aligning around a decentralized-first mindset. That means:

  • Fewer site visits
  • Remote monitoring through wearables and apps
  • Digital consent and enrollment
  • Real-time data capture and analysis

The benefits are obvious—greater access to diverse populations, improved patient convenience, better adherence, and more efficient data flow. But the implementation challenges are real too. Integrating decentralized data into traditional trial infrastructure takes planning. And getting digital tools to work across geographies, devices, and patient populations requires more than just good code—it demands empathy in design and rigor in execution.

ISG’s report puts it bluntly: success in decentralized clinical development will hinge on how well tech partners understand the operational, regulatory, and human sides of trials.

Patient Engagement Isn’t an Add-On—It’s the Center of the Model

The ISG Global 2024 Life Sciences Digital Services Report highlights a shift in how life sciences companies are approaching patient engagement strategies. It’s no longer about pushing information to patients—it’s about bringing them into the process from the start.

That means:

  • Designing platforms that patients can navigate on their own terms
  • Using wearables and connected devices to collect data passively
  • Offering omnichannel support (text, video, mobile apps) to meet people where they are
  • Giving patients a say in trial design, delivery, and ongoing communication

In the report, ISG lead analyst Rohan Sinha calls out the move from physician-centered models to patient-first ecosystems. Companies are realizing that engagement can’t happen if the tools are clunky or the workflows are built for providers instead of people.

Where the Leaders Stand—and Why Hexaware Is One of Them

Only a select few providers were named Leaders by ISG in both Clinical Development and Patient Engagement. Here’s a short, alphabetically listed lineup of the top global SIs that made the cut:

Leaders – Clinical Development (Global)

Provider

Description

Accenture

Combines life sciences consulting depth with large-scale delivery, AI, and clinical platform integration.

Cognizant

Strong in CRO-aligned services and automation for protocol design, trial execution, and regulatory workflows.

HCLTech

Offers robust digital clinical trial capabilities with a focus on remote monitoring and hybrid delivery models.

Hexaware

Automation-first, platform-integrated clinical services with accelerators for patient recruitment, feasibility, and GenAI-based trial insights.

Infosys

Delivers enterprise-scale modernization with strengths in platform management and clinical data analytics.

LTIMindtree

Combines digital engineering with domain-led services for faster trial execution and improved site operations.

TCS

Large-scale global delivery, backed by strong partnerships and IP around trial design and analytics.

Tech Mahindra

Focuses on decentralized trial infrastructure and patient data platforms with AR/VR and AI integration.

Wipro

Brings strong life sciences IT backbone with AI/ML, wearables integration, and regulatory-ready clinical trial innovations.

 Leaders – Patient Engagement (Global)

Provider

Description

Accenture

Offers strategy-to-execution support with personalized digital engagement and strong omnichannel platforms.

Cognizant

End-to-end patient journey design with integrated CRM, mobile, and patient experience platforms.

HCLTech

Strong patient app frameworks and device connectivity combined with multilingual and multichannel outreach.

Hexaware

Delivers modular, digital-first engagement programs with IoT integration, eConsent, and prebuilt Salesforce-based service hubs.

LTIMindtree

Merges patient-facing design with secure integration and analytics to improve adherence and retention.

TCS

Offers scalable digital platforms for outreach, education, and remote patient monitoring.

Tech Mahindra

Excels in AR/VR, chatbot-based engagement, and personalized outreach across clinical and commercial channels.

What ISG Says About Hexaware

In Patient Engagement, ISG highlights our:

  • Tailored suite of accelerators for preconfigured service hubs, eConsent, and personalized outreach
  • Integration of IoT devices (Apple Watch, Alexa, Fitbit, and medical-grade monitors) for seamless, real-time data collection
  • Advanced data management systems built on Salesforce Cloud
  • Strategic partnerships with MuleSoft, Apigee, Boomi, and Microsoft FHIR APIs for secure and HIPAA-compliant data exchange
  • Ability to plug into EDC and CRM systems using tools like SnapLogic for smoother implementation

In Clinical Development, the report emphasizes:

  • Our automation-first framework for clinical development transformation
  • Accelerators for protocol design, feasibility analysis, site selection, and patient recruitment
  • Ability to digitize lab and diagnostic data from wearables, apps, and home devices
  • GenAI-driven analysis for adverse events, medical review, and site monitoring
  • Clinical data lakes for multi-format ingestion and real-time analytics
  • Robust partnerships across CROs, cloud vendors, and regulatory platforms

In short, ISG sees Hexaware not just as a delivery partner, but as a domain-aware enabler of modern clinical operations.

5 Key Trends Shaping Clinical and Patient Programs (And What to Do About Them)

Let’s break down the core trends from both reports and how we help life sciences companies respond—practically.

1. Decentralized Trials Are the New Baseline

  • What’s happening: Trials are being redesigned around remote interaction—from recruitment to monitoring. Wearables, ePROs, and home visits are part of the core protocol now.
  • Hexaware’s approach: We help sponsors integrate decentralized trial platforms into their existing ecosystem—without disrupting compliance, data models, or trial timelines. Our clinical-grade IoT connectors and prebuilt APIs make it easier to ingest and act on patient-generated data in real time.

2. Patient-Centric Design Must Go Beyond the Buzzword

  • What’s happening: Engagement is becoming a business and clinical metric—not just a marketing one. But many tools are still built for HCPs, not people.
  • Hexaware’s approach: We design with accessibility and personalization in mind. Our accelerators support multi-language interfaces, context-aware nudges, eConsent, and patient education—all pre-integrated with Salesforce or Veeva platforms.

3. AR and VR Are Entering Clinical Operations

  • What’s happening: Sponsors are using virtual tools to educate patients, simulate visits, and even conduct training for trial staff.
  • Hexaware’s approach: We develop AR/VR modules for trial onboarding, protocol walkthroughs, and virtual site visits—helping both patients and investigators engage more clearly and confidently.

4. AI and GenAI Are Rewriting the Rules of Trial Analysis

  • What’s happening: AI is moving from backend data mining to active front-end decision-making—in feasibility studies, risk detection, adverse event analysis, and beyond.
  • Hexaware’s approach: Our GenAI models are trained on clinical taxonomies and patient data sets to automate document processing, surface trends, and accelerate site monitoring and medical review.

5. Security and Compliance Can’t Be an Afterthought

  • What’s happening: As more patient data flows through non-traditional channels, the risk exposure grows. Regulators are watching.
  • Hexaware’s approach: All our integrations meet HIPAA and GDPR requirements. Our API ecosystem ensures secure, traceable data movement, and we run compliance scans across every patient engagement module we deploy.

What to Look for in a Strategic Partner—Not Just a Vendor

Organizations reimagining their clinical trials or digital patient engagement platforms need more than just a service provider. They need a strategic partner who:

  • Navigates complex regulatory landscapes across global markets
  • Delivers at speed without adding operational overhead
  • Offers prebuilt accelerators without being limited by them
  • Enables seamless integration—without forcing a replatform
  • Connects patient experience with trial performance
  • Treats decentralization and engagement as integrated, not isolated, initiatives

That’s where Hexaware distinguishes itself. With deep domain knowledge and an AI-first approach, Hexaware helps life sciences firms redesign how they conduct trials, engage patients, and harness data, without waiting on a massive transformation program to get started.

The Future of Life Sciences Is Patient-First and Digitally Connected

The ISG reports make it clear; leaders in clinical development and patient engagement aren’t just adopting digital tools. They’re embedding them into the core of how they operate.

That shift requires new thinking, new workflows, and the right partners to make it real. Hexaware is already helping global life sciences firms run faster trials, deliver better patient experiences, and modernize without disruption.

If you’re ready to connect the dots between digital, data, and patient outcomes—let’s talk.

About the Author

Nidhi Alexander

Nidhi Alexander

Chief Marketing Officer

Nidhi Alexander is the Chief Marketing Officer at Hexaware, responsible for developing and building the brand and driving growth across its suite of technology services and platforms. She is responsible for brand, content, digital marketing, social media, corporate initiatives, industry analyst relations, media relations, market research, field marketing, and demand generation across channels.

Nidhi has been anchoring market influencer relationships globally for Hexaware before taking over the marketing function. Within two years, she completely transformed Hexaware’s position across rankings from the industry analyst community. She has also helped build a strong sales channel via advisor-led deals for Hexaware.

A recognized and accomplished marketing professional known for breakthrough results, Nidhi brings in diverse experience across brand building, analyst and advisor relations, field marketing, academic relations, employer branding, journalism, and television production over the last two and half decades.

Before Hexaware, she was in leadership positions in firms like Infosys and Mindtree. She is a recipient of the Chairman’s award at Infosys, Mindtree, and Polaris. She started her career in journalism with Star Television (News Corp) and was associated with several award-winning news and current affairs programs like Focus Asia, National Geographic Today, Star Talk, and Prime Minister’s Speak.

Nidhi holds a degree in English Literature from Jesus and Mary College, Delhi University, and a Masters in English Journalism from the Indian Institute of Mass Communication, Delhi. She currently resides in Bridgewater, New Jersey, with her husband and two children.

Read more Read more image

FAQs

Hexaware is recognized as a Leader in clinical development and patient engagement by the ISG Provider Lens™ 2024 Global Reports. Hexaware’s leadership is based on its automation-first strategy, strong domain expertise, and ability to scale digital health solutions across the clinical lifecycle.

In clinical development, Hexaware stands out for:

  • Accelerators for protocol design, feasibility, site selection, and patient recruitment
  • Automation-led adverse event analysis and site monitoring
  • Real-time ingestion of wearables and home diagnostic data
  • GenAI-powered clinical insights
  • Clinical data lakes for real-time analytics

In patient engagement, Hexaware is recognized for:

  • Modular, digital-first programs using eConsent and Salesforce-based hubs
  • Seamless integration of IoT devices like Apple Watch and medical monitors
  • Personalized, multilingual outreach with omnichannel support
  • Secure data exchange via MuleSoft, Boomi, Microsoft FHIR, and SnapLogic

Hexaware combines deep regulatory knowledge, robust integration, and human-centered design to lead in next-generation clinical and engagement services.

The future of clinical development and patient engagement is decentralized, patient-first, and digitally integrated. Clinical trials are moving away from traditional site-based models toward remote, technology-enabled experiences that empower patients and accelerate outcomes.

Key aspects of this future include:

  • Decentralized trials using ePROs, wearables, and home visits
  • AI and GenAI for real-time clinical decision support and risk analysis
  • Omnichannel patient engagement across mobile, voice, and connected devices
  • AR/VR tools for training, onboarding, and virtual site visits
  • Passive data collection from IoT devices for more continuous insights

This shift requires life sciences companies to redesign workflows, reimagine patient relationships, and embed digital tools at the core of trial operations.

When selecting a strategic partner for clinical development and patient engagement, life sciences companies should look for a partner that offers more than technology—a transformation enabler with regulatory fluency and integration flexibility.

The right partner should:

  • Understand global regulatory and clinical operations requirements
  • Deliver fast without disrupting existing data models or timelines
  • Offer prebuilt accelerators but customize for specific trial needs
  • Ensure secure, compliant integrations (HIPAA, GDPR, FHIR)
  • Bridge patient experience with trial efficiency
  • Treat decentralization and engagement as interconnected—not siloed—strategies

Hexaware is distinguished by its ability to deliver this combination of agility, security, and patient-first design thinking across clinical programs.

Key trends shaping the future of clinical trials and patient engagement programs include:

Decentralized Clinical Trials (DCTs)

  • Shift toward remote-first protocols using wearables and home visits
  • Hexaware enables compliant DCT integration with real-time IoT data ingestion

Patient-Centric Engagement Platforms

  • Movement away from HCP-focused tools to accessible, personalized patient interfaces
  • Hexaware designs multi-language, omni-device platforms with eConsent and contextual nudges

AR/VR in Clinical Operations

  • Growing use for patient education, staff training, and virtual site interactions
  • Hexaware builds immersive AR/VR modules for clinical trial onboarding

GenAI and AI in Clinical Trials Analytics

  • AI-driven risk detection, adverse event prediction, and medical review
  • Hexaware’s GenAI models are trained on clinical taxonomies for faster insights

Data Security and Regulatory Compliance

  • Increasing scrutiny of digital patient data and APIs
  • Hexaware meets global compliance standards through secure integration ecosystems

These trends are reshaping clinical operations and demanding new levels of tech-human integration, speed, and regulatory awareness.

Related Blogs

Every outcome starts with a conversation

Ready to Pursue Opportunity?

Connect Now

right arrow

ready_to_pursue

Ready to Pursue Opportunity?

Every outcome starts with a conversation

Enter your name
Enter your business email
Country*
Enter your phone number
Please complete this required field.
Enter source
Enter other source
Accepted file formats: .xlsx, .xls, .doc, .docx, .pdf, .rtf, .zip, .rar
upload
3BE83W
RefreshCAPTCHA RefreshCAPTCHA
PlayCAPTCHA PlayCAPTCHA PlayCAPTCHA
Invalid captcha
RefreshCAPTCHA RefreshCAPTCHA
PlayCAPTCHA PlayCAPTCHA PlayCAPTCHA
Please accept the terms to proceed
thank you

Thank you for providing us with your information

A representative should be in touch with you shortly