Largest
Our Site Network is embedded in community care
We bring GI & Hepatology research directly into the communities where care happens, connecting sponsors’ scientific ambition with empowered, high-performing research sites. Together, we accelerate time to market for life-changing therapies while expanding access for the patients who need them most.

Solving today’s clinical research barriers with a unified, performance-driven site network.
Challenges across clinical research continue to intensify, slowing the development of new, life‑changing therapies. For healthcare providers, research operations can be complex, resource-intensive, and deliver uncertain return on investment. For life science sponsors, clinical trials frequently face delays, variability, and escalating costs.
Iterative Health has built a high-performing, global site network specializing in GI and Hepatology—empowering the long‑term success of research sites while connecting sponsors with expert research teams, engaged patient populations, and accelerated pathways to trial success.
We’re proud to partner with leading gastroenterology networks such as GI Alliance and One GI to accelerate the future of clinical research. Together, we help streamline trial operations, expand access to innovative studies, and deliver new treatments to patients faster.


Empowering research sites with the infrastructure, intelligence, and sponsor connections they need to deliver trial excellence and build lasting success


“By combining GIA’s clinical depth with Iterative Health’s innovative infrastructure, we are enabling more physicians and their patients to participate in cutting-edge clinical trials without leaving their communities.”
Casey Chapman
Chief Medical Officer, GI Alliance


Dr. DuVall outlines how specialized, community-based research sites reduce study activation time, expand patient access, and improve trial execution by embedding research directly into everyday care settings, demonstrating why integrated clinics are critical to delivering faster, higher-quality clinical research in today’s increasingly complex trial landscape.

Dana discusses why sustainable clinical research sites are essential to the future of trials, highlighting staffing challenges, operational strain, and how strategic investment in people, processes, and partnerships can strengthen sites and accelerate patient access to life-changing therapies

This case study shows how Gastro One, with Iterative Health’s support, accelerated a complex Phase 1b-A GI trial by streamlining operations, improving patient retention, and increasing randomizations. Targeted, high-touch support, from proactive chart reviews to regulatory guidance, reduced team burden and delivered faster enrollment and measurable trial efficiency.

Iterative Health helps Ambulatory Surgery Centers accelerate clinical trials by streamlining operations, improving recruitment, and ensuring compliance. With AI tools and hands-on support, ASCs activate sites faster, retain patients, and meet milestones efficiently, enabling quicker delivery of novel therapies without overburdening teams.

Iterative U provides on-demand, role-specific training for clinical research teams, empowering site staff to sharpen skills, optimize operations, and accelerate professional growth. With specialized GI content, practical workflows, and CE-eligible courses, it equips PIs, CRCs, and site leaders to deliver higher-quality trials while building knowledge and confidence across the research network.

AI is transforming clinical trials by standardizing complex procedures, improving patient recruitment, and accelerating drug development. In gastroenterology, Iterative Health is applying AI to IBD trials, generating consistent disease scores, speeding eligibility assessments, and enabling more efficient, patient-centered research.

Whether you’re a research site, sponsor, healthcare partner, or exploring career opportunities, we’re here to answer your questions, share resources, and explore how we can work together to accelerate clinical trials and improve patient outcomes. Reach out to learn more about our solutions, partnerships, and career opportunities.
Get in touch
“By improving research with more reliable and standardized assessments, we can accelerate the development of new therapies and generate better data on their efficacy, ultimately enabling providers to make more informed treatment decisions and improve patient care.”
David Rubin, MD
Director of the IBD Center
University of Chicago Medicine
We bring GI & Hepatology research directly into the communities where care happens, connecting sponsors’ scientific ambition with empowered, high-performing research sites. Together, we accelerate time to market for life-changing therapies while expanding access for the patients who need them most.

At Iterative Health, we believe the future of clinical research depends on thriving, performance-driven sites. Unlike traditional CROs or SMOs, we focus on the success of our sites, empowering their prosperity and trial performance to bridge sponsors’ scientific ambitions. With a growing global site network, Iterative Health brings research directly into the communities where care happens, expanding access and advancing discovery.
We’re proud to partner with two leading provider networks, GI Alliance and One GI, to expand access to clinical trials across community-based practices and accelerate the advancement of new therapies for patients.


Clinical trials are more than research—they’re treatment options embedded into community care. In this spotlight, hear from Bruce, a patient with IBD, and our strategic partner, GI Alliance, to see how access to trials offer hope, exceptional patient care, and real-world impact.
Partner with Iterative Health to streamline clinical trials, expand
patient access, and leverage AI-powered tools that help sites and
sponsors move research forward efficiently and effectively.

Grow your research ancillary with access to top-tier studies, support for operational excellence, and innovative AI technology to supercharge patient enrollments
Explore Site Network
Accelerate trials with the high-performing site network delivering confident site selection, unparalleled activation timelines, and industry-leading patient enrollments
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Interested in joining our mission to accelerate life-changing therapies to market?
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Dr. DuVall outlines how specialized, community-based research sites reduce study activation time, expand patient access, and improve trial execution by embedding research directly into everyday care settings, demonstrating why integrated clinics are critical to delivering faster, higher-quality clinical research in today’s increasingly complex trial landscape.

Dana discusses why sustainable clinical research sites are essential to the future of trials, highlighting staffing challenges, operational strain, and how strategic investment in people, processes, and partnerships can strengthen sites and accelerate patient access to life-changing therapies

This case study shows how Gastro One, with Iterative Health’s support, accelerated a complex Phase 1b-A GI trial by streamlining operations, improving patient retention, and increasing randomizations. Targeted, high-touch support, from proactive chart reviews to regulatory guidance, reduced team burden and delivered faster enrollment and measurable trial efficiency.

Reach out to learn more about our solutions, partnerships, and career opportunities.
Get in touchAt Iterative Health, we believe the future of clinical research depends on thriving, performance-driven sites. Unlike traditional CROs or SMOs, we focus on the success of our sites, empowering their prosperity and trial performance to bridge sponsors’ scientific ambitions. With a growing global site network, Iterative Health brings research directly into the communities where care happens, expanding access and advancing discovery.


Discover how a leading pharmaceutical company partnered with Iterative Health for three Phase III studies. Sites were activated in under 60 days, achieving first-in-world randomizations and setting a new standard for trial execution.

From trial design to patient recruitment and site support, our network delivers specialized capabilities, therapeutic expertise, and high-performing sites all in one integrated approach.
Iterative Health is purpose-built for gastrointestinal and hepatology clinical research, combining deep therapeutic expertise with operational excellence to support complex trials across the full study lifecycle. Our integrated site network and enablement model help sponsors move faster without sacrificing quality or control.
Phase 1b through Phase 4
We support both early- and late-stage development, enabling sponsors to move efficiently from proof-of-concept through post-marketing studies.
Gastrointestinal
IBD, IBS-C/D/M/U, Eosinophilic Esophagitis (EoE), Celiac Disease, GERD, C. diff, Barrett’s Esophagus, Gastroparesis, Colorectal Cancer (CRC), and more.
Hepatology
MASLD/MASH, PBC, PSC, ALD, MAFLD, Autoimmune Hepatitis (AIH).
Oncology
Colorectal Cancer (CRC) and Hepatocellular Carcinoma (HCC) screening studies.
Obesity & Metabolic Disease
Weight loss studies, GLP-1 and GIP therapies in comorbid conditions, and management of associated gastrointestinal adverse events.
Interventional studies
Randomized Controlled Trials (RCTs)
Observational studies and registries
Diagnostics and medical device studies
Biospecimen collection studies
Iterative Health doesn’t monitor or manage sites — we empower high-performing, sustainable research sites. Our partnership model aligns site capabilities with sponsor and CRO needs to accelerate timelines and improve execution.
Centralized teams and technology support trial execution from activation through closeout, ensuring compliance, quality, and momentum.
Includes:
Regulatory and quality expertise for audit readiness and data integrity
AI-powered patient identification and pre-screening
Specialized training and development for site staff
Integrated study maintenance and closeout support
Dedicated PI and CRC communication and engagement
At Iterative Health, we believe the future of clinical research depends on thriving, performance-driven sites. Unlike traditional CROs or SMOs, we focus on the success of our sites, empowering their prosperity and trial performance to bridge sponsors’ scientific ambitions. With a growing global site network, Iterative Health brings research directly into the communities where care happens, expanding access and advancing discovery.
Our in-house team of AI specialists and direct access to training data fuel rapid and meaningful innovation based on your feedback.5
Solving today’s clinical research barriers with a unified, performance-driven site network.
Trusted partner to scale a profitable ancillary service supporting research embedded directly into care and offered as an innovative treatment option
Empowering elite GI & Hepatology clinical research operations with industry-leading trial performance and data integrity, backed by a team of 50+ clinical research professionals
Expanded access to novel therapies through a robust study pipeline across GI & Hepatology
Impact Research LLC, a subsidiary of Iterative Health, empowers community-based research with centralized operational support, deep sponsor partnerships, embedded staff, and proprietary technology. Our model combines local patient access with world-class infrastructure to deliver exceptional trial performance, enabling providers to focus on exceptional patient care.

Iterative Health and our portfolio companies work together around a shared purpose: accelerating research to improve patient outcomes. The hub enables this mission by providing centralized operations, services, innovation, and corporate functions. Operating as the heart of the model is our patient-facing research organization, Impact Research, which partners closely with providers at research sites.

Dr. Jonathan Ng, founded our company in 2017 with a clear vision: to tackle the gaps in healthcare and ensure patients get the treatments they need, when they need them. From early experiences as a physician witnessing disparities in care, he imagined a future where clinical research could move faster, smarter, and more effectively to accelerate the delivery of innovative therapies that advance care.
Today, we bring that vision to life by partnering with providers and study sponsors/CROs to strengthen the infrastructure of clinical research and bring novel therapies to market faster.
By combining deep industry knowledge, operational excellence, and cutting-edge technology, we’re increasing access to research within the community care setting, and accelerating the advancement of new therapies for patients.
We are proud to partner with world-renowned
leaders in clinical research






We bring together clinicians, research teams, and corporate partners who share one mission: making clinical trials run smoothly and efficiently from start to finish. From helping sites get up and running to keeping sponsors informed every step of the way, our teams work side by side to remove friction, support people, and get therapies into patients’ hands faster. Hear from some of our leaders in the video to learn more about our approach.
At Iterative Health, we believe the future of clinical research depends on thriving, performance-driven sites. Unlike traditional CROs or SMOs, we focus on the success of our sites, empowering their prosperity and trial performance to bridge sponsors’ scientific ambitions. With a growing global site network, Iterative Health brings research directly into the communities where care happens, expanding access and advancing discovery.