Patient Narrative Writing Services

Clear, compliant safety narratives that tell each patient's story

Patient narratives provide the clinical context that safety data alone cannot convey. These documents help health authority reviewers understand individual patient experiences, assess causality, and evaluate the overall safety profile of your product. Well-written narratives present complex medical histories clearly while maintaining strict adherence to regulatory requirements.

Narrative Types We Develop

Serious Adverse Event (SAE) Narratives

Comprehensive narratives for serious adverse events including hospitalizations, life-threatening events, and events resulting in significant disability. We present the timeline clearly to support causality assessment.

Death Narratives

Detailed narratives for fatal events requiring thorough documentation of the clinical course leading to death. We compile information from case report forms, autopsy reports, and investigator assessments.

Discontinuation Narratives

Documentation of early study discontinuations due to adverse events. These narratives capture the reasons for discontinuation and subsequent patient outcomes.

Protocol Deviation Narratives

Documentation of significant protocol deviations that may impact data interpretation. We present the deviation, its potential impact, and any corrective actions taken.

Our Narrative Development Approach

Standardized Structure

Consistent format across narratives for efficient review by health authorities.

Source Verification

All data points traced to source documents for accuracy and traceability.

Medical Accuracy

Review by medically trained writers ensures clinical precision.

Regulatory Compliance

Adherence to ICH E3 and regional requirements.

Scalable Capacity

Ability to handle high volumes under tight timelines.

Narrative Content Elements

Our narratives include all required elements per ICH E3 guidance:

Frequently Asked Questions

What timeline do you need for narrative development?

Standard narratives can typically be completed within 3-5 business days of receiving complete source data. For high-volume programs, we work with your team to establish batch schedules.

How do you handle incomplete source data?

We flag missing data elements and work with your clinical team to obtain necessary information. When data gaps cannot be filled, we document them appropriately in the narrative.

Can you support narratives for ongoing studies?

Yes. We can develop narratives on a rolling basis as events occur, or compile all narratives at study completion.

Need Narrative Support for Your Clinical Program?

Contact ESW Communications to discuss your requirements.

Contact Us Today