Clinical trial software for studies in the Baltics
Estonia, Latvia and Lithuania offer experienced sites, motivated participants and EU regulation in one compact region. Capture runs all three countries in one study, hosted in the EU, with site-level separation and one audit trail.
- Three countries, one study
- EU hosting in Frankfurt
- No per-site fee
Free sandbox · No credit card · 21 CFR Part 11 aligned
Study region
Estonia, Latvia, Lithuania
- Regulation
- EU Clinical Trials Regulation via CTIS
- Estonia
- State Agency of Medicines
- Latvia
- State Agency of Medicines
- Lithuania
- State Medicines Control Agency
- Hosting
- EU (Frankfurt)
Key points for studies in the Baltics
- All three countries apply the EU Clinical Trials Regulation: applications go through the Clinical Trials Information System (CTIS), with one member state acting as reporting member state in multinational trials.
- Each country has its own national medicines agency and ethics committee system, which assess their part of the application.
- Personal data falls under the GDPR plus national implementing laws.
- Baltic sites are known for good recruitment in many therapeutic areas and experienced investigators, often at lower cost than Western Europe.
- Participants may speak Estonian, Latvian, Lithuanian or Russian, so consent and questionnaires often need several approved language versions.
Research landscape
Three countries, one regional plan
The Baltic states are small individually, but together they offer a population of around six million, university hospitals in Tallinn, Tartu, Riga, Vilnius and Kaunas, and investigators used to international trials. Sponsors often plan them as one region: a single CTIS application covering all three, a regional monitoring team, and sites activated in parallel.
The data system should reflect that. One study with site-level separation lets each hospital see only its own participants, while the regional team sees all three countries on one dashboard. Capture hosts the study in the EU (Frankfurt), so study data stays in the EU. See clinical trial software Latvia for the Latvian perspective in more detail.
Languages
Plan translations early. Consent forms and participant materials need approved versions in each language participants use, and validated questionnaires need official translations. Record which language version each participant received.
Randomised
96 / 120
Sites active
7
Open queries
12
Regional oversight
One dashboard for the whole region
The study dashboard pulls enrolment, compliance, safety and site risk into one view, filtered globally, by country or by site. The site risk monitor rates each site red, amber or green and says why, so a regional monitor can see where to focus.
- Filters by country and site.
- Site risk monitor with reasons.
- Coordinators see only their own site.
Model a three-country study
Add sites in each country in the free sandbox and compare them side by side.
Country by country
Baltic regulators at a glance
| Country | Medicines agency | Main research cities |
|---|---|---|
| Estonia | State Agency of Medicines (Ravimiamet) | Tallinn, Tartu |
| Latvia | State Agency of Medicines (Zāļu valsts aģentūra) | Riga |
| Lithuania | State Medicines Control Agency (VVKT) | Vilnius, Kaunas |
Ethics review arrangements differ by country. Check current national requirements for your study.
Recruitment
Planning realistic targets
Specialist care in the Baltic states is concentrated in a few large hospitals, which often makes eligible patients easier to identify and helps recruitment in common conditions. For rare diseases, however, national patient pools are small, and targets should be set per country with that in mind.
Investigators and study teams commonly work in English with sponsors, while participant materials must be in the languages participants use. Plan monitoring visits across three countries as one regional route, and use the dashboard's country filter to compare enrolment and data quality between them. See multi-site clinical trial management.
Before you start
Baltic study set-up checklist
CTIS application
Covering each Baltic member state in the trial.
National requirements
Ethics and national parts checked for each country.
Language versions
Consent and participant materials in each language used.
GDPR documentation
Controller and processor roles, and data protection impact assessment.
Regional monitoring
Monitoring plan across three countries.
Site activation
Ethics approval, contract, initiation visit and delegation log.
Do Baltic investigators work in English?
Investigators and study teams commonly work with sponsors in English, while participant materials must be in local languages.
Are Baltic sites good for rare disease trials?
They can be, but national patient pools are small, so set realistic targets per country.
How are clinical trials approved in the Baltics?
Under the EU Clinical Trials Regulation, through CTIS, with national agencies and ethics committees in each country assessing their part.
Can one study include Estonia, Latvia and Lithuania?
Yes. A multinational application can cover all three, and Capture runs all sites in one study with site-level separation.
Which languages do Baltic studies need?
Often Estonian, Latvian, Lithuanian and sometimes Russian, depending on the participants.
Can study data stay in the EU?
Yes. Choose EU (Frankfurt) hosting at study setup.
Where is data hosted for studies in the Baltics?
Capture hosts study data in the EU (Frankfurt) or the US (N. Virginia), chosen at study setup, with AES-256 encryption at rest and TLS in transit. Choosing Frankfurt keeps study data in the EU.
Can I try it before committing?
Yes. The free sandbox has every feature with no credit card and no time limit.
Keep exploring
Related pages
Clinical trial software Latvia
Latvia in detail.
EU CTR clinical trial software
The EU regulation.
GDPR compliant trial software
Data protection.
Clinical trial software for European universities
Academic sponsors.
Multi-site clinical trial management
Sites across countries.
Clinical trial software Germany
Another EU guide.
The Baltics in one study
EU hosting, site separation, one audit trail. Free sandbox.