In this episode, Esther Sanchez, Associate Director of the Global Start-Up Unit at Indero, shares insights from her 24+ years in clinical research. She breaks down why a strong startup unit is critical to clinical trial success, how resilient “front‑line” teams protect timelines, and the essential checks every company should implement to avoid costly delays. Esther also highlights common challenges in regulatory submissions, site activation, and cross-functional alignment, offering practical strategies to strengthen collaboration, accountability, and risk management. Tune in for actionable guidance to improve startup efficiency and elevate trial outcomes.