Introduction:-

All the giant successful business companies which we see nowadays like Google, Microsoft, Facebook, Apple, Airbnb, Oyo and likewise many more, all of them once have underwent through the phase where everything seems to be very uncertain and unclear. Yes you got it right, here I'm talking about the very initial phase of a startup where the journey of a startup begins, when the entrepreneur himself have certain kind of speculation going inside him about almost everything as he/she lacks clarity over the implementation part of his plan of action to achieve the purpose and successfully make the innovation. Now this is exactly where the startup clinics comes into play, so lets quickly understand that what is a startup clinic. “Startup Clinic” is an initiative in the field of entrepreneurship which acts as a support system as it helps the business visionaries by providing a variety of business-based strategies, consultations, assisting via different platforms, helping with technical support and likewise other business aids which ultimately solves the challenges of founders. Considering the new businesses is a persistent center since it's anything but an effect on clinical preliminaries which are not typically a positive one by any stretch of the imagination. Issues with the startup more than some other period of a clinical preliminary have the best potential to build courses of events and spending plans and as indicated by numerous researches and so it takes nearly and almost eight months on a normal to move from pre-visit through site inception and to be specific, the site practicality takes on normal six to about two months. For a drawn-out oncology study this may not appear to be ridiculous, however for a more normal Phase-3 preliminary trail which endures nearly between 2-3 years, startup has a critical segment of the timetable. They generally analyze the issue looked by the individual who starts the startup and afterward dependent on the depiction of the trouble, make a harsh appraisal of the startup during its advancement stage, then they they categorize them and with the assistance of certain information, review and research, the startup centers figure out how to help through other individual with applicable mastery and involvement with that field so the best piece of prompt and arrangements could be made. 

Prominent roles of Startup Clinics:-

Startup clinics plays a very pivotal role starting from the scratch to making a startup successful. Now when we talk about the very initial phase of a startup, it encounters many types of challenges starting from the requirement of using right tools to providing the final value to the consumers to make the revenue. The very first and utmost concern of any startup clinic is that how much the particular business model is viable for the market and does it have the potential to sustain in long haul. Once after the clinic is done with their research part over the idea on which the model is based and they feel and realize that the business model does have a quite good chance in the market after analyzing its demand and need, they take the further decision.  Afterwards they get connected to the concerned expert of that field who is qualified enough to give advice for the further growth of the startup. As without the implementation, no results could be assumed and so now comes the most important task for the startup clinic which requires to create the plan of action which is based on several factors. After the road-map is discussed and gets ready for the implementation, then the action is taken by the execution of the plan and it is launched at a smaller outreach so that it could be studied that whether the business model is actually working or not. Their initial work includes a various of process and all the steps have its own component to deal with such as the identifying the relevant sites, conducting the pre-study visits, then submitting all the required documents to the competent authorities for the trail, seeking the approval of concerned vendors and setting it up, creating and executing the contract, making a rigid budget, initiating the site and finally enrolling the very first patient and all these needs requires most extreme consideration and regard for limit the probability of study conveyance delays from very starting. Proactive arranging can be upheld by a constant prescient knowledge framework like Infosario to screen and break down patterns in fire up and study observation. Patient enrollment system ought to be truly thought about proactively, with the utilization of different enlistment and maintenance strategies to help abbreviate enrollment timetables and lower in general examination costs. They very well estimate the capabilities of the sites, take care of providing the study zones with tools and being concerned with the maintenance part of the equipment, focusing on the smart digital usage of the electronic structure at the center which helps them to automate the the documentation process, smart registration system, keeping the database ready and much more likewise. 

Innovation clinics function with the enterprising networks and the help searchers incorporate understudies, academicians and a few workforces drove pioneering adventures having a place from wide foundations, schools various focuses and projects and stretching out to non-profit based associations from all over the globe. Understudies of facility additionally outfit the legitimate direction to all sort of business visionaries including all the benefit and surprisingly non-benefit based for their dares to develop which takes every one of the sorts of conceivable arising issues beginning from the board part to the effective foundation of the endeavor. Moreover, the understudies of the clinics are presented to various conditional matters and related lawful issues for an assortment of new businesses and arising development organizations, including pre-advising and originator based required contracts, substance determination guiding, element development and authoritative drafting, legally securing the intellectual property and authorizing, forming the self-employed agreements and going with value remuneration plans and looking other aspects to form certain binding contracts of such as provider, seller, and client based contractual understanding and other business agreements, then other contracts for the formation of joint endeavor and cooperation arrangements, start-up funding like the technique of bootstrapping which includes to seek the help and support of family members and friends, relatives and other such guardians, loved ones. 

Current Scenario Analysis:-

In the current era, the mass of people is not at all aware about one of the most supportive available option ie. startup clinics but at the same time, this is also very true that such clinical research organizations based on startup are continuing to grow steadily and it is assumed that in the upcoming decades, this particular concept is going to capture the arena of new ventures. In present days, there are many active operating websites which are rigorously working to meet with the demands of the business visionaries to help and support them in every possible way to make their ventures successful. They are also expanding themselves and now have achieved a global presence where they are being visited by several of the entrepreneurs on daily basis and to make themselves more reliable, some of them are also providing certain cost-less services as well. Some to mention are like one is a UK based Startup Clinic, then Small Business Consulting and Coaching named Startup Clinic, then if we focus over India, The Design Clinic Scheme for expertise in design under MSME sector of Government of India, then Gujarat Government have initiated I-Hub based Startup Clinic to facilitate the needy ones in their state and likewise many more such schemes and platforms has been made to support new ventures initially. As large numbers of 45% of clinical trials are finished late. As per the report of TRACXN, nearly $9.3 billion of investment has been made in overall 2020 into Indian Startups during Covid-19 pandemic in which more than $1.5 billion were invested majorly in logistical department in December alone and almost 10 companies have joined the the Unicorn Startups Club in April 2021 itself as they have coveted the valuation of $1 billion. All these data shows how rapidly the startups are growing and in the coming times, how the startup clinics will have a very crucial part to play for such other starting ventures to make them succeed. 

Conclusion :-

Clinical Research Organizations based on startups are making their own place in the market as they are providing a very important value in vast paradigms to the new opening ventures and in this modern digital smart era, startup clinics have somehow become a necessity with their digital tools, proactive planning and all such initial required strategies. To lessen the time consumption with delays and increase the productivity, they use to conduct various detailed early study plannings which ultimately minimize the risks and the fear of losing invested time and resources which is ultimately beneficial for the enhancement of startup. Constructive and efficacious communication of works by startup clinics leads to a better cooperation and great alliance which permits the sites for future to get such more trails. There are also some drawbacks as well which comes itself with this clinic such as being getting hacked or malware attacks and such kind of digital threats are always there. With that, there are certain other threats as well like flighty danger of the examination and analysis of startup not being finished on schedule, the first convention is suspect and should be refreshed, inaccessibility of vital reports or an administrative office has ventured not to endorse the preliminary dependent on unforeseen outcomes. These clinical based trails for startups are a great way to ensure by testing the actuality of the unenforced plans and then to analyze the same that whether the desired results have achieved or not and if not even then what else is needed to be done to make it correct and so it basically helps us to understand the feasibility of the plan with minimalism as its all trail based and not the real-world threat of markets so that we could lose. In spite of extreme strain to speed advancement, mounting proof reports progressing shortcomings attached to confounded conventions, globalization and old-school paper-based cycles driving clinical partners to accept advances that are at long lasting the impact.  This entire structure of apparatuses and cycles considers more noteworthy normalization and consistency in setting the correct way, getting off to the right beginning, and tracking down the right patients.

References:-

1. Olena Barabash, Clinical Study Start-Up: Overview of the Process and Expected Challenges https://doi.org/10.37191/Mapsci-2582-4333-2(2)-031 (last accessed on 15th June 2021)

2. Nancy Richter, Thomas Schildhauer, Startup Clinics: Applied Research and ‘First Aid’ for Early Stage Startups https://www.researchgate.net/publication/323326862_Startup_Clinics_Applied_Research_and_'First_Aid'_for_Early_Stage_Startups (last accessed on 15th June 2021)

3. Turner N. The Key to Successful Study Start-up: Right Path, Right Start, Right Patients https://www.iqvia.com/-/media/library/media-coverage/key-to-successfull-start-up-2020pharma.pdf (last accessed on 16th June 2021)

4. Entrepreneurship and Innovation Clinics, https://law.yale.edu/studying-law-yale/clinical-and-experiential-learning/our-clinics/entrepreneurship-and-innovation-clinic (last accessed on 25th June 2021)