Total Trial Management Consulting Co. Ltd.

What Total Trial Management Consulting Co. Ltd. does

Total Trial Management Consulting Co. Ltd. (TTMC) is a Taiwan-based Site Management Organization (SMO) and the first SMO established in the country, founded in 1999 (a 1980 date appearing in one corporate header is contradicted by the company's own milestone timeline). The company provides end-to-end clinical trial site management services for industry-sponsored studies, serving international and domestic pharmaceutical companies, CROs, medical device firms, and biotechnology companies. TTMC operates a network of 6 regional support offices that, per the company, cover approximately 90% of qualified clinical trial sites in Taiwan, anchored by embedded partnerships with leading academic and regional hospitals including Taipei Medical University Hospital, National Cheng Kung University Hospital, Chi Mei Foundation Hospital, Kuang Tien General Hospital, Sho Ho Hospital, and Cheng Ching Hospital.

The company's service platform is organized around four core offerings — Regional Site Hub (centralized site and Principal Investigator identification), On-Site Clinical Trial Services (contract/budget negotiation, central recruitment, site administrative setup, and on-site CRC provision), Satellite Site CRC Provider (distributed CRC staffing under TTMC management), and Patient Recruitment Services — supported by Feasibility, Site Coordination, and Trial Conducting service modules. Underlying operations run on globally aligned Standard Operating Procedures (SOPs), enabling participation in international multi-center studies. To date, TTMC has supported more than 400 clinical trials over the past ten years, of which approximately 90% are global trials, 95% are multi-center, and roughly half are early-phase (Phase II and IIIa) studies intended to support NDA submissions. The company has passed 30+ National Health Authority inspections (including one Japanese PMDA inspection) and 70+ sponsor audits without major findings, and ranks as the #1 recruiter locally for >80% of active Taiwan projects, with top-6 global rankings across diabetes, pediatric, breast cancer, rheumatoid arthritis, and IGT trials.

TTMC is privately held and has been a subsidiary of Japan's EPS Group since December 2010 (initially under EPS International Co., Ltd., and since August 2022 under EP-Link, Co., Ltd., the largest SMO in Japan). The company generates revenue through B2B professional services contracts with pharmaceutical and biotech sponsors and CROs, though contract values, pricing, and financial figures are not publicly disclosed. The named customer base spans all 12 of the largest global pharmaceutical companies and 5 of the largest global CROs, with the company maintaining dedicated Taiwan-based executive management and a regionally embedded CRC workforce as its core operating model.

Name

Total Trial Management Consulting Co. Ltd.

Legal name

Total Trial Management Consulting Co. Ltd.

Website

https://ttmcsmo.com

Company type

Private

Founded year

1999

Operating status

Operating

Short description

TTMC is Taiwan's first Site Management Organization (SMO), providing on-site clinical trial coordination, site/PI identification, and CRC staffing to global pharmaceutical companies, CROs, medical device, and biotechnology sponsors. It operates 6 regional offices covering ~90% of Taiwan's qualified trial sites.

Ownership category

akta.pro rank

Product category

Clinical Trial Site Management Services

NAICS

Scientific Research and Development Services (5417), Other Scientific and Technical Consulting Services (541690)

SIC

Services-Health Services (8000)

akta.pro primary industry

Site Network Operators & SMOs (HLAGACAA)

akta.pro secondary industries

Site Identification & Feasibility (HLAGACAB), Clinical Trial Monitoring Support (On-site/Remote) (HLAGACAG)

Keywords

• Clinical trial services
• Site management organization
• Patient recruitment
• Clinical research coordination
• Pharmaceutical trial support

Headquarters

HQ city

Taipei City

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales

Revenue model

1. Clinical Trial Site Management Services: Providing SMO services to pharmaceutical companies, CROs, medical device companies, and biotechnology companies for conducting clinical trials at hospital sites across Taiwan

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

TTMC is a Site Management Organization (SMO) that provides clinical trial site management and support services for industry-sponsored trials in Taiwan. The company delivers on-site Clinical Research Coordinator staffing, central patient recruitment campaigns, site selection and Principal Investigator identification, contract and budget negotiation, administrative site setup, feasibility studies, IRB process support, and monitoring/audit/inspection readiness. These services are sold to pharmaceutical companies, CROs, medical device firms, and biotechnology companies on a B2B contract basis.

Product overview

Total Trial Management Consulting Co. Ltd. (TTMC) is a Taiwan-based Site Management Organization (SMO) providing a comprehensive suite of clinical trial services. The company operates as a unified service platform comprising four core offerings: Regional Site Hub (centralized site and PI identification), On-Site Clinical Trial Services (full trial support from setup to conduct), Satellite Site CRC Provider (distributed CRC staffing), and Patient Recruitment Services. Supporting these are three service modules: Feasibility Services, Site Coordination Services, and Trial Conducting Services. TTMC supports over 400 clinical trials conducted at its network sites, with operations covering 90% of qualified clinical trial sites in Taiwan through 6 regional support offices.

Differentiator

Problem solved

Functional benefit

Products and services

• Regional Site Hub Centralized hub service for site selection and Principal Investigator identification, providing clinical trial sponsors and CROs with a single regional point of coordination across TTMC's Taiwan hospital network.
• On-Site Clinical Trial Services Comprehensive on-site clinical trial support including contract and budget negotiation, central recruitment campaigns, site administrative setup, and dedicated on-site Clinical Research Coordinator (CRC) services for pharmaceutical, biotech, and medical device sponsors.
• Satellite Site CRC Provider Provision of experienced Clinical Research Coordinators operating under TTMC site management at satellite hospital sites, delivering CRC staffing with quality and efficiency guarantees at locations beyond TTMC's primary site hubs.
• Feasibility Services Professional feasibility study service for sponsors and CROs, providing delegated staff for multi-site feasibility work, site and Principal Investigator recommendations, consultation on site/investigator selection, database surveys, Principal Investigator interviews, and trustworthy feasibility reports.
• Site Coordination Services Site coordination and setup service that provides training and education programs for site staff, builds investigator teams, establishes trial infrastructure, and delivers one-stop coordination among internal and external parties at clinical trial sites.
• Patient Recruitment Services Centralized and site-level patient recruitment service for clinical trials, with documented achievement of top-ranked global and local patient recruitment across diabetes, pediatric, breast cancer, rheumatoid arthritis, and IGT studies.

Quantifiable outcome

• >80% of active projects in Taiwan are #1 recruited by TTMC
• +6 more outcomes

Named customers17 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Six partnerships are on record, tiered core.

• Taipei Medical University HospitalcoreStrategic or Co-development PartnerTTMC partnered with Taipei Medical University Hospital, Center for Clinical Trials (TMUH CCT) which joined the TTMC network in October 2007.
• National Cheng Kung University HospitalcoreStrategic or Co-development PartnerTTMC partnered with National Cheng Kung University Hospital, Center for Clinical Trials (NCKUH CCT) which joined the network in August 2006.
• Kuang Tien General HospitalcoreStrategic or Co-development PartnerTTMC partnered with Kuang Tien General Hospital, Center for Clinical Trials (KTGH CCT) which joined the network in 2006.
• Chi Mei Foundation HospitalcoreStrategic or Co-development PartnerTTMC partnered with Chi Mei Foundation Hospital, Center for Clinical Trials (CMFH CCT and CMFHLY CCT) which joined the network in March 2004 and March 2006 respectively.
• Sho Ho HospitalcoreStrategic or Co-development PartnerTTMC partnered with Sho Ho Hospital, Center for Clinical Trials (SHH CCT) which joined the network in August 2010.
• Cheng Ching HospitalcoreStrategic or Co-development PartnerTTMC partnered with Cheng Ching Hospital, Center for Clinical Trials (CCGH CCT) which joined the network in December 2005.

Scale indicators12 records

Recent moves8 records

Expansion highlights5 records

Broad incumbents

• IQVIA: Global CRO with significant SMO/site network operations across Asia, including Taiwan. Comparable as a clinical trial services provider that competes for the same pharma and biotech sponsor relationships, though at much larger scale and with broader service offerings.
• ICON plc: Global CRO (including former PRA Health Sciences) with significant Asia-Pacific operations and SMO partnerships. Listed as a TTMC customer and comparable as a clinical trial services provider operating across the region.
• Syneos Health: Global biopharmaceutical services organization with clinical trial site management in Asia. Comparable as a competitor and customer relationship for site management work in the Taiwan/Asia clinical trials market.
• Parexel / PPD (Thermo Fisher): Global CRO with Asia-Pacific site management capabilities. Listed as a TTMC customer and comparable as a clinical trial services provider with hospital site network operations in the region.
• EP-Link: Japan's largest SMO and TTMC's parent company. Directly comparable as a Japan-based Site Management Organization providing clinical trial site coordination, with significantly larger scale and broader geographic coverage in Japan.
• EPS International (EPS Group): Japan's largest clinical trial service provider and former parent of TTMC. Comparable as a full-service clinical trial services organization with SMO capabilities, providing site management, CRO, and related services across Asia.
• PAREXEL International: Global CRO with site management services and Asia-Pacific presence. Listed as a TTMC customer and competes for similar clinical trial site management work in the region.

Direct peers

• Worldwide Clinical Trials: Mid-sized global CRO with Asia-Pacific operations including clinical trial site management services. Comparable as a clinical trial services provider competing for similar pharma and biotech sponsors.
• A2 Healthcare Corporation: Japan-based SMO providing clinical trial site management and patient recruitment services. Directly comparable as an Asia-based Site Management Organization with hospital network operations and CRC staffing similar to TTMC.
• CMIC Group: Japan-based CRO and SMO providing clinical trial site management and broader development services. Directly comparable as an Asia-based clinical trial services provider with hospital site network operations similar to TTMC.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Total Trial Management Consulting Co. Ltd.