The frontier is findable. Reaching it is the hard part.

The problem

When a diagnosis is serious, the treatments that might change the trajectory are usually not at the local clinic — they are in phase 1–3 trials, expanded-access programs, and the practices of a handful of specialists. All of it is technically public. ClinicalTrials.gov lists the studies; the criteria are published; the sites are named.

What is not public is whether any of it is reachable: whether that site is actually still enrolling (registry status is routinely months stale), whether that investigator takes outside referrals, what the study team needs to see before they will screen a patient. Families burn weeks calling numbers that ring out, while a window that is measured in performance status quietly closes.

What we do

The eligibility map is free: profile in, every open option whose published criteria the patient plausibly meets, live from the registry, with every criterion marked matched, not matched, or honestly unknown.

The paid work is the reaching. When a family asks us to pursue an option, we contact the study team or program directly, prepare what they need, and follow up until there is an answer — and every outcome, either way, is recorded against that site with the date. That growing record of who is really recruiting and who reallyaccepts referrals is what makes the next family’s map better, and it is the layer advocacy firms buy through the Pro.

How the money keeps us honest

Pro is a monthly subscription that covers approval-first outreach support. Pro is a monthly subscription that you can cancel. Trial0 accepts no payment, commission or referral fee from any provider, site, sponsor or manufacturer, and never promises enrolment or any clinical outcome.

The structure is the point. Because no provider, site or sponsor can pay us anything, no option can ever be ranked because someone paid for placement. Because the fee is contingent, we have no incentive to talk a family into pursuing an option we do not believe is reachable. And because the map is free, nobody pays to find out their options are few.

What we will never do

We do not give medical advice — not softly, not implicitly, not in an email. We do not tell a family which option to pursue; we tell them which options exist, what the published criteria say, and what we know about reachability. We do not promise outcomes. We do not present a text-mention as an eligibility verdict. And when we do not know something, the product says unknown, because in this domain a confident guess is the most harmful thing software can produce.

Contact

hello@trial0.com — a person reads it.