APICES

The European CRO built for Execution

Rigor over noise. Results over promises.

APICES combines senior expertise, realistic planning, and disciplined execution to deliver clinical trials that stand up to real-world complexity – across Europe.

Article

7 Questions Every Biotech CEO Should Ask

Before Outsourcing an Oncology Trial in Europe 

Europe offers real opportunities for oncology trials, but start-up speed and delivery still vary by country and trial design. These seven CEO-level questions help you pressure-test feasibility, CTIS execution under the EU CTR, specialty approvals, and data and diagnostics readiness.

Article

Real-World Evidence and Health Economics and Outcomes Research:

From Nice to Have to Non-Negotiable

RWE and HEOR have moved from supporting inputs to decision-critical evidence across development and access. This article summarises what teams are using them for today, how evidence generation is changing, and where AI adds value when paired with the right governance.

Interview

Meet Oscar Salamanca, CEO of APICES CRO

In this interview, Oscar Salamanca, CEO of APICES, shares how the integration has been implemented, how teams are supported through change, and what this means for current and future clients.

Article

Western vs Eastern Europe for Clinical Trials:

How CTIS Is Reshaping Country Selection

This article explores how Western and Eastern Europe compare as clinical trial destinations, and how CTIS is reshaping country selection. It reviews differences in regulatory processes, recruitment dynamics, site infrastructure, and costs, while highlighting a shift toward operational performance, patient access, and therapeutic expertise.

Execution first

APICES supports sponsors when clinical plans are tested by execution. We focus on reducing risk early, before timelines slip, sites underperform, or assumptions require correction mid-study. Our work is grounded in how clinical trials in Europe are actually delivered.

Solutions

Services

Therapeutic areas

About us

Why APICES?

Why APICES

APICES helps sponsors make better clinical decisions earlier, combining strategic insight with hands-on European execution to protect timelines, budgets, and outcomes.

Clinical Trials

Patients Enrolled

Clinical Sites

Acknowledgements

We take responsibility

We view responsible clinical research as more than compliance alone. APICES operates in accordance with applicable GCP and European regulatory standards, with sustainability and ESG principles integrated into how we work and make decisions.

“Clinical trials succeed when experience leads decisions, assumptions are tested early, and execution stays accountable from protocol to last patient.”

How we support

Trials rarely lose momentum in one dramatic moment. It usually starts quietly. Start-up takes longer than expected. Sites underperform or slowly drift off plan. Updates feel filtered, not actionable. Decisions arrive too late to correct course. Risk accumulates in the background until timelines slip and confidence erodes.

Apices exists to stop that slide, before small issues turn into expensive delays.

Early Clinical Development

When moving from protocol to first European execution →

Late Clinical Development

When scale, consistency, and delivery discipline matter →

RWE & HEOR

When outcomes data is required beyond controlled trials →

Medical Devices

When clinical evidence must support European regulatory and market needs →

What makes it work

 

  1. Senior-led teams with direct sponsor access
  2. Clear ownership from day one
  3. European regulatory and site experience
  4. No layers. No hand-offs.
  5. Focus on delivery, not volume

Case Study

Phase I/IIa Oncology: Fast European Execution Under Tight Timelines

The successful delivery of this Phase I/IIa study positioned the sponsor to confidently progress to the next stages of clinical development.

Talk before things get complicated

If you are preparing an RFI or RFP for your clinical trials in Europe, or feel a study is about to hit its apex moment, talk to the people who would actually run it.