Head-to-head · Signant Health and ClarioUpdated October 20, 2026

Signant Health vs Clario: choosing an eCOA and endpoint partner

Both are large specialist vendors for patient-reported and clinician-rated endpoints. This is a different market from general EDC: you are buying measurement science and services as much as software. Here is how to compare them, and where a self-serve ePRO tool is a different answer.

  • eCOA and endpoint services
  • No vendor pricing claims
  • Know what Capture does not do

Free sandbox · No credit card · 21 CFR Part 11 aligned

Endpoint vendor scope · decide before RFP

Vendors

2 + 1

Open items

5

  • Which outcome types: participant, clinician, observer, performance?Drives vendor type
  • Licensed instruments and translations neededCheck with rights holders
  • Provisioned devices, BYOD, or bothPer country
  • Centralised rating or reading services requiredNot software
  • Where participant data lands: EDC integration or one systemReconciliation load
Demo data only

What to know first

  • Signant Health (formerly CRF Health and Bracket) provides patient and site technology for trials, including eCOA, eConsent and randomisation and trial supply management. Clario (formed from ERT and Bioclinica) is known for endpoint technology across eCOA, cardiac safety and medical imaging. Both descriptions are consistent with the existing vendor pages on this site; confirm each vendor's current ownership and scope, which can change.
  • Clario's own material describes eCOA science and endpoint strategy services, such as endpoint model development, instrument selection and protocol input, alongside a platform for at-home, hybrid and virtual trials with bring-your-own-device options. That points to a services-plus-software relationship.
  • These two are usually compared for large or complex trials: many languages, licensed clinician-rated scales, provisioned devices, or central rating. If that is you, the key questions are about services, not screens.
  • Neither vendor's pricing is published in a form we can quote, so this page makes no pricing claims about either.
  • Capture's ePRO is not a clinician-rated endpoint services vendor. It is self-serve participant questionnaires and diaries in the same study as EDC. Read the section below on what to verify before you treat it as a substitute.

Market

A different market from general EDC

EDC comparisons are mostly about build model and data cleaning. eCOA and endpoint comparisons are about measurement: is the instrument validated for your population, is the electronic version equivalent to the paper one, is it licensed and translated, and will the device and the process produce data a regulator will accept as an endpoint. Vendors in this space therefore sell scientific consulting and operational support, not just a platform.

A third-party listing on eCOA platforms places both vendors among leading eCOA providers and describes a few platforms as unified suites combining EDC, eCOA, eConsent and randomisation. That listing is a secondary source; use it for a longlist, then ask each vendor for evidence, references and scope.

A useful framing is to separate the service question from the software question. Which specialist services does the protocol need, such as centralised rating, imaging or cardiac reading? And which software must the study team run day to day? For a primary or key secondary endpoint measured on a licensed clinician-rated scale, buy the service. For a diary or a patient questionnaire the team can set up, software may be enough.

Evaluation

Questions to put to Signant Health, Clario and any alternative

Send the same list to every vendor and keep the answers in writing.

TopicQuestionWhat Capture offers for comparison
Endpoint scienceDo you provide instrument selection, equivalence evidence and regulatory input for our endpoint? On what terms?Not provided. Capture is software; the study team and its advisers choose and justify instruments.
Outcome typesWhich are supported: participant-reported, clinician-reported, observer-reported, performance outcomes?Participant questionnaires and diaries on phones; site-completed measures are eCRFs. No centralised rating service.
Licensed instrumentsWho obtains licences and translations, and what happens at expiry?Licence number, holder and expiry can be recorded on patient questionnaires; new tasks stop after expiry. No licence verification and no instrument supplied.
LanguagesWhich languages and which linguistically validated versions are available per country?Not claimed. Ask us about current language support before planning around it.
DevicesProvisioned devices, BYOD or both, and who ships and supports them?Browser on participants' own phones, opened from a secure link. No provisioned devices.
Compliance monitoringHow are missed entries detected, reminded and escalated?Scheduled tasks and email reminders; compliance views for the study team.
EDC linkHow does eCOA data reach the EDC, and who reconciles?Same study and audit trail as EDC, so there is no transfer.
Total costAll charges over 24 months for our scenario, including device logistics, translations and change orders?See the pricing page; the sandbox is free.

Capture column is from Capture product pages. Vendor columns are deliberately blank: ask Signant Health and Clario directly.

Check the lean option before the RFP

If your endpoints are diaries and participant questionnaires, build one in the free sandbox and judge whether you need a full endpoint vendor.

See Capture ePRO free

Hands-on test

Try the participant experience on a real phone

Whatever you choose, test the participant side early: how long a questionnaire takes, what a reminder looks like, what happens when a day is missed. This is a demo-data diary schedule of the kind a self-serve ePRO tool can run next to EDC visits.

  • Questionnaires open from a secure link; no app to install.
  • Reminders by email for scheduled tasks.
  • Responses appear in the same casebook as site data.
ePRO software for clinical trials
Demo diary schedule · participant tasks
AssessmentBaselineWk 1Wk 2Wk 4Wk 8
Daily symptom diaryDDDDD
Quality-of-life questionnaire
Clinic visit forms (eCRF)

x = done at visit, D = daily diary

Decision aid

Which route fits which need

Key endpoint is a licensed clinician-rated scale needing central rating or many languages

Shortlist full-service endpoint vendors such as Signant Health and Clario and ask for scientific and operational references.

Protocol needs cardiac safety or imaging reads

That is a services decision; keep the reading vendor and record results in your study data.

Participant diaries and questionnaires the team can set up and run

Test a self-serve ePRO tool such as Capture alongside the vendors.

You want eCOA and EDC in one system with no reconciliation

Compare a unified suite with an eCOA specialist plus an EDC integration, on cost and effort.

Small study, tight budget, no data management department

Weight sandbox access and amendment cost heavily.

Related reading

Single-vendor views and guides

Single-vendor pages: Capture vs Signant Health, Capture vs Clario, Signant Health alternatives and Clario alternatives. For the wider category, read eCOA software for clinical trials, eCOA vs ePRO and best eCOA platforms.

Licensed instruments need the rights holder's permission for electronic use whichever system you pick. Capture records licence details on patient questionnaires but does not verify them or supply instruments.

FAQ

Questions teams ask before they switch

Something not covered here? Ask us directly.

Is Signant Health or Clario better?

Neither wins in general. Both are large specialist vendors; the better fit depends on your outcome types, countries, languages, devices and which services you need. Compare them with the same written scenario and references from similar studies.

What is the difference between Signant Health and Clario?

As the vendors describe themselves, Signant Health provides patient and site technology including eCOA, eConsent and randomisation, while Clario combines eCOA with cardiac safety and imaging services. Confirm current scope and ownership with each.

Which is cheaper, Signant Health or Clario?

We do not state either vendor's pricing because it is not published in a form we can verify. Ask both to price the same scenario, including device logistics and translations.

Can Capture replace Signant Health or Clario?

Only for part of the need. Capture runs participant questionnaires and diaries in the same study as EDC, but it does not provide endpoint consulting, central rating, imaging or cardiac reading, provisioned devices, or licence verification. Verify your endpoint requirements first.

Can Capture handle clinician-rated scales?

Site staff can complete them as eCRFs. Capture does not record or enforce licences on site-completed forms and does not supply licensed instruments; the licence stays with your study documents.

Can I try Capture before talking to either vendor?

Yes. The free sandbox has every feature, with no credit card and no time limit; you pay only at go-live.

See what a self-serve ePRO build looks like

Build a diary and a questionnaire in Capture, free. No credit card; you pay only at go-live.

See Capture ePRO free