Distribution and Depot Management

Courier Selection for Clinical Trials

Courier selection is one of the highest-impact decisions in the clinical trial supply chain. A courier determines how reliably, and compliantly investigational product moves through the world — particularly when cold chain, customs clearance or remote sites are involved.

Why Courier Selection Matters

In clinical trials, a courier is not just a transporter. It is a partner responsible for maintaining temperature integrity, providing real-time visibility, navigating customs and ensuring timely delivery to depots, sites and sometimes directly to patients.

A strong courier minimizes delays, controls the risk of temperature excursions and protects study timelines. A weak courier introduces avoidable operational risk.

As studies move through phases, the risk profile of the product shipped may change. For example, in early phase trials inventory may be limited, so any product loss during transportation can have a significant impact on a clinical trial. Additionally, temperature excursion data may not yet be available during early development, increasing the criticality temperature excursions.
 
In clinical trials, the first mile is generally less important than the last mile when differentiating between couriers. For example, some clinical sites may have limited opening hours and require narrow delivery windows. Not all couriers offer the possibility of delivering at a specified time. Sites may also request to be informed in advance of any deliveries – again, this is not a service offered by all couriers. 

Couriers also differ in how they handle the return of multiuse packaging, temperature loggers and printouts? Some couriers will take multiuse packaging away with them upon delivery or will have a mechanism in place for cost effective collection, return and reconditioning as soon as possible after delivery. Others’ responsibility ends once product has been delivered. Reverse logistics and reconditioning may be left for the Sponsor, CRO or CTS vendor to figure out. Likewise, for shipments involving the use of temperature monitors, are these left to the clinical site/Sponsor to stop and download data, or is this performed by the courier at the time of delivery?

Courier selection requires consideration of a wide range of factors and may require trade-offs or compromises to reach the best decision for a clinical trial. Working with an experienced partner, who understands the pros and cons of different approaches can help drug developers optimize their courier selection.

What Good Courier Selection Looks Like

Effective selection begins with mapping the exact requirements of the study: product sensitivity, temperature needs, stability data, route complexity and country-specific import considerations. Couriers vary widely in their ability to handle controlled substances, frozen materials or shipments requiring 24/7 monitoring.

Also, considerations should be made for complex routes or short-shelf-life products, where a global network for replenishment and charging of packaging components essential for the maintenance of product temperature can be further reduce risk in the supply chain.

image-15

Deciding Between Courier Models

Three broad types of couriers are used in clinical trials:

  • Global Express Integrators
  • Specialised Logistics Providers
  • Hybrid models

It’s rarely “one size fits all”. One courier that works well for a specific study may not be the best solution for all studies. The right choice depends on the risk profile of the study, temperature requirements, lanes and countries.

image-2

Cost vs Value

A significant number of courier decisions are based on cost rather than value. If we return to our list of recommended criteria that can be used when selecting a criteria, it is true that the more of these criteria a courier meets, the more expensive their service will be. It is also fair to say that not all criteria apply to every shipment for every clinical trial. For example, having a strong customs brokerage and replenishment/charging network is not required if all shipments for a project are domestic (e.g. intra-US, intra-EU shipments, in-country shipments). Conversely, for a bulk shipment to an overseas depot, which contains a high volume of valuable, temperature sensitive product these features can be critical. Decisions over courier selection must be based on the appropriate balance of cost and requirements.  

Klifo, Glostrup. 15/10-2025

When to Re-Evaluate Courier Selection

Like any other vendor, Courier performance should be monitored continuously through robust KPIs. In our experience, declining on-time delivery, repeated temperature excursions or customs delays are early indicators that a change may be needed. Mid-study country additions or shifts in recruitment patterns can also justify revisiting the courier mix.

Distribution and Depot Management

The Outcome

Strong courier selection delivers measurable benefits: fewer delays, higher product integrity, better oversight and lower operational stress. As clinical trial designs become more global and more dependent on temperature-sensitive products, courier capability is increasingly a strategic imperative rather than a commodity.

How can KLIFO support?

We help sponsors and clinical teams by making confident, data-driven courier decisions that protect timelines, temperature integrity and patient supply. We continuously evaluate courier capabilities, route risks, and the performance of temperature-controlled packaging to ensure we are selecting the right couriers for our clients’ clinical trials. KLFIO brings deep operational insight and global experience to our courier selection and will always recommend couriers based on the specific requirements of each customer and clinical trial. Contact KLIFO today to discover how we can strengthen your clinical supply chain.

Get in touch with KLIFO

Get in touch with us

Through collaboration, we can harness our combined expertise and ensure proper project implementation to ensure that your organisation benefits in both the short and long term.