Outsourced but Indispensable: The Rise of Contract Research Organizations as the Backbone of American Drug Development
Contract research organizations have quietly evolved from peripheral service providers into essential partners driving the pace and scope of American biotech innovation. As development timelines compress and capital constraints tighten, the CRO relationship has become one of the most strategically consequential decisions a drug developer can make. Yet the model carries risks that are only now receiving the scrutiny they deserve.