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Trial Matching

Embedding clinical trial screening into routine clinical care — clinical workflow and AI-driven automation from trial curation to patient matching.

The Vizlitics clinical trial suite automates the entire trial-matching workflow — from protocol ingestion to patient enrollment. The system reads each protocol, breaks it into individual eligibility rules, and evaluates them against the full longitudinal chart — automatically narrowing thousands of chart-trial combinations down to the handful of patients who actually qualify. Every patient is screened against every open trial at your site, with matches and evidence surfaced at the point of care.

NIH NCI SBIR Phase II Grant
Powered by Record Retrieval — it screens against the same curated record, so a new result anywhere in the chart can re-open eligibility.
Vizlitics OnTrial Trial Matching Clinical trial screening
Trial curation

Protocol ingestion · eligibility structuring · patient selection

GI15Head & Neck15Breast4GYN3Cardiovascular2
Result found: 45 · Published 29 · Unpublished 16
GPK-KF-101OpenGI

EXPAND: safety & efficacy of the 10 GE Xenokidney in end-stage renal disease.

ESRD · Kidney transplantation · Xenotransplantation  ·  NCT06878560
202301CPCOpenCardiovascular

Finerenone on morbidity & mortality in heart failure with LVEF ≥ 40%.

Acute heart failure · Heart failure  ·  NCT06008197
RPL554-COOpenThoracic

Ensifentrine–glycopyrrolate fixed-dose combination in COPD (Phase IIb).

Chronic obstructive pulmonary disease  ·  NCT07016412
CCTG-HN11OpenHead & Neck

SPECT-CT guided elective contralateral neck treatment for lateralized oropharyngeal cancer (Phase III).

Oropharyngeal cancer  ·  NCT05451004
NCI-2023OpenHead & Neck

Nivolumab vs nivolumab + BMS-986016 (relatlimab) as maintenance after 1L platinum-gemcitabine.

Metastatic / recurrent nasopharyngeal carcinoma  ·  NCT06029270
EXPAND · GPK-KF-101

Inclusion criteria · auto-classified

1ConsentProvide voluntarily informed consent for the study and lifetime follow-up.
2ComorbidityDiagnosis of ESRD at the time of informed consent.
3ComorbidityHemodialysis-dependent ≥6 months with functioning AV fistula/graft or permanent catheter.
4Demographics50–70 yrs, or 40–<50 yrs with cPRA ≥99.9%.
7Lab findingNegative xeno-crossmatch at screening and pre-transplant.
8Lab findingEstimated Post-Transplant Survival (EPTS) score >20%.
9DemographicsBody mass index ≤35 kg/m².
11Lab findingSeropositive (IgG) for cytomegalovirus and Epstein-Barr virus.
Criteria categorization & classification run automatically on ingest — ICD-10 mapping and screening-builder concepts generated per criterion.
Patient selection metrics

Study ID NCT06029270

Demographics

Age — min 18, max — · Gender — All

ICD-10 code · primary diagnosis

Metastatic nasopharyngeal carcinoma · C11.0, C11.1, C11.2, C11.3, C11.8, C11.9

Recurrent nasopharyngeal carcinoma · C11.0–C11.9

Oncology metrics
Condition: Nasopharyngeal carcinoma
Intervention type: Immunotherapy
Disease status: Recurrent / metastatic
Biomarkers: EBV / EBER
Line of therapy: Subsequent line
Trial graph

Disease → subtype → setting → matched trials

Breast cancer
Triple negative
Adjuvant 3
HER2 negative 1
Metastatic 2
NU DF21B07

Official title: Evaluation of talazoparib, a PARP inhibitor, in patients with somatic BRCA-mutant metastatic breast cancer — genotyping-based clinical trial.

DRUG BC-IMT-04

Official title: Randomized, open-label study of the Bria-IMT regimen and checkpoint inhibitor vs physician’s choice in advanced metastatic breast cancer (BRIA-ABC).

Neoadjuvant 3
ER / PR positive
Adjuvant 7
Eligibility screening · CCTG-HN11

Prescreening · NCT05451004

InclusionExclusion Met 4 · Not met 1 · Other 2
1Pathologically proven lateralized OPC not involving or crossing midline.Met
2HPV positive or negative (by p16 immunohistochemistry).Met
Evidence

Evidence summary. The tumor is consistently reported as HPV-positive across the record:

  • p16 IHC positive and high-risk HPV E6/E7 mRNA detected at baseline, with repeated confirmation through +20 mo, plus a positive HPV DNA assay.
  • Addendum to the +16 mo surgical pathology report: p16 IHC positive in tumor cells.
  • No documentation of an HPV-negative result in any note.

Conclusion. The criterion is satisfied — evidence unequivocally shows HPV positivity.

CRITERIA_MET · Status: Yes
3Clinical stage T1–3 M0 (UICC/AJCC TNM 8th Ed.); ipsilateral nodes largest ≤6 cm.Met
Evidence

Ipsilateral lymph nodes ≤6 cm.

  • CT chest (+31 mo): enlarged right hilar node 12 mm.
  • CT neck (+15 mo): right level 2A nodes, largest 10 mm.
  • Surgical pathology (+16 mo): metastatic SCC in a 1.8 cm right level 2A node.
  • PET/CT (+3 wks): right cervical nodal conglomerate 5.5 × 3.9 cm.

Clinical stage T1–3 M0. 3.5 cm exophytic right-oropharynx mass (baseline) meets T1–3; HPV-positive non-keratinizing SCC, T3 N1 M0. Post-CRT and right-neck dissection (+16 mo): complete resolution; subsequent PET/CT (+22 mo) no suspicious uptake; no distant metastasis.

CRITERIA_MET · Status: Yes
5Planned definitive RT or CRT with bilateral neck RT (unilateral excluded).Not met
11Commencement of definitive RT within 28 days (+14) of randomization.Unknown
OnTrial — performance metrics

Clinical trial matching dashboard · last week

Total cases
29
pre-screened 29
Matched trials
62
evaluated 141
CRC validated
76%
coordinator-reviewed
New cases
13
+8 new in CI
Pre-screening by day
06/2406/2706/30
Distribution by age
40–64 — 60% 65–150 — 36% 25–39 — 3.3%
Screening volume
Visit type06/2306/2406/29Total
Established7029
New39113
New in CI4038
Patient totals149630
Distribution by race
White19Black / African American5Asian3Other2Asian Indian1
Trial details · count 26
NCT05683418
DRUG TOS-358-001 · Breast
Phase I
NCT06492616
DRUG STML-ELA-0422 · Breast
Phase III
NCT06029270
NRG HN011 · Head & Neck
Phase II
NCT05904080
Alliance A092105 · Head & Neck
Phase II
From curation to matching — every criterion evaluated against the record, with cited evidence for coordinator review.
>95%Patients screened before consult
2–3×Reduction in screening cost
20% ↑Increase in trial accruals
13Disease-specialized AI models

The AI inside Trial Matching

AI that reasons over eligibility — one criterion at a time.

Trial Matching extracts inclusion and exclusion criteria from each protocol and translates them into clinical concepts the system can screen against the structured record — criterion by criterion. Matching is explainable and continuous: every pass or fail carries its evidence, and screening re-runs automatically as the data changes.

Protocol decompositionEach trial is broken into machine-checkable inclusion and exclusion criteria.
Per-criterion evidenceExplainable matching — no black-box score, just the record behind each call.
Semantic matchingModels bridge protocol language and the structured patient record.
Continuous re-screeningNew labs, path, and notes auto-evaluate against pending criteria — no manual cycle.

Evidence-first: patient selection is only as good as the evidence surfaced from the medical record. The innovation is the depth and breadth of reasoning across the complete record — with conclusive determinations at both the trial and criterion level.

What it costs

Screening shouldn't depend on who a coordinator already knows.

Eligible patients are missed

Screening only reaches the patients a coordinator already knew to check; everyone else falls through.

Skilled staff burned on busywork

Trial nurses and coordinators spend hours on ad-hoc requests and manual review instead of patient-facing work.

Enrollment stays low

Fewer trials surfaced at the point of care means fewer patients ever enrolled.

The problem today

Trials are offered too late, if at all.

No visibility

Providers can't see which trials are open while the patient is still in the room.

Too slow to scale

Manual chart-by-chart, trial-by-trial review runs ~45 min per patient and is easy to get wrong.

Too late

Matching happens after the visit ends, once the window to offer a trial has already closed.

OnTrial · 5 integrated modules

EHR-integrated workflow for end-to trial automation.

01

Trial Curation

Automated extraction

Protocols are structured and AI-ready before screening begins — ClinicalTrials.gov & CTMS ingestion, hierarchical I/E criteria parsing, and ICD-code mapping.

02

Pre-Screening

High-volume matching

Every patient is matched to eligible trials before they walk in — appointment-triggered 3–5 days ahead, ICD-based trial matching, with Match / No Match / Unknown outcomes.

03

Trial-Centric

Batch screening with RWD

Rapidly identify eligible patients from your existing population when a new trial launches — screen 6–12 months of patients, RWD-powered cohort queries, 50+ screened on day one of activation.

04

Full Screening

Enrollment evaluation

AI evaluates every criterion with cited evidence for coordinator review — each I/E criterion evaluated, source documents linked, AI reasoning with clinical conclusions.

05

Performance

Analytics & reporting

Measure and optimize enrollment across trials and disease areas — enrollment-lifecycle tracking, accept/reject rates, and cross-trial benchmarking.

Deployment workflows

Three ways to run it — patient-first, trial-first, and on-demand.

OnTrial automated Automated (human verify) Clinical activity
Patient-centricScreens before consult
AppointmentTrigger
Pre-ScreenAutomated
ConsentClinical
Full ScreenAutomated
Enroll 
Trial-centricNew trial launch
New TrialTrigger
RWD Cohort BuilderAuto · human verify
Batch Pre-ScreenAutomated
ConsentClinical
Full ScreenAutomated
Enroll 
On-demandClinician-initiated
ClinicianTrigger
Pre-ScreenInstantaneous
ConsentIn-clinic
Full ScreenAutomated
Enroll 

Eligibility, checked at the criterion — and re-checked every day.

Trial Matching breaks each protocol into individual eligibility criteria and screens every patient against them from the curated record. As new pathology, imaging, or molecular results arrive, patients are automatically re-screened — surfacing eligible candidates the moment they qualify. The same criterion-level engine also matches trials for nephrology, hepatology, pulmonology, and cardiology.

Criteria-level eligibility

Every inclusion and exclusion checked individually, with the evidence behind each call.

  • Diagnosis, stage, prior lines, and ECOG
  • Per-criterion pass/fail with source links
  • No black-box match scores

Continuous re-screening

The record changes; eligibility recomputes — no waiting for a manual review cycle.

  • Re-screen triggered by new results
  • Newly eligible patients flagged automatically
  • Screening history retained for audit

Biomarker-aware matching

Molecular eligibility handled with the same structured biomarker layer used across the platform.

  • Gene · variant · result matching
  • PD-L1, MSI/MMR and companion criteria
  • mCODE-aligned representation

CRC worklist & audit trail

A ranked worklist that changes the research coordinator's day from searching to reviewing.

  • Prioritized candidate queue
  • Full per-patient audit trail
  • SMART on FHIR launch in the EHR

Standards & frameworks

NCCN referencemCODEClinicalTrials.govSMART on FHIROMOPSNOMED CT

Bring Trial Matching to your service line.

We start from complete records — retrieval and curation first, then Trial Matching on top.

Request a demo

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AICPA SOC compliant for service organizations, and powered by the National Institutes of Health (NIH)