What We Do
We build the operational backbone behind your trial.
Forsynexus Consulting partners with biotech companies to bring structure, speed, and discipline to clinical outsourcing.
We focus on what most organizations struggle to scale—contracts, budgets, and vendor alignment. From CRO MSAs and site agreements to complex vendor negotiations, we build and manage the frameworks that keep studies moving and stakeholders aligned.
Contracting Strategy & Negotiation
MSAs, CTAs, CDAs, consulting and licensing agreements—structured to protect you and move fast.
Legal Ops & Infrastructure
Contract workflows, audit readiness, repository management, and scalable systems that hold up under FDA and investor scrutiny.
Clinical Trial Budget Development
End-to-end site and vendor budget builds for Phase 2/3 trials, including FMV alignment and negotiation support.
Outsourcing
Outsourcing support for clinical operations—helping teams scale with speed and precision.
About the Founder
Averill Francisco, JD, MD, MBA
Founder, Forsynexus Consulting, LLC
Meet The Founder, Averill Francisco
Averill “AV” is the founder of Forsynexus Consulting, LLC, where he advises biotech and pharmaceutical companies on clinical contracting strategy, trial budget development, vendor negotiations, and the execution of global clinical trials.
He holds dual law degrees, including a U.S. Juris Doctor (JD) and a Master’s in International Law from Leiden University, along with a Doctor of Medicine (MD) and a Master of Business Administration (MBA). He has also pursued graduate studies in biotechnology at Harvard University. His multidisciplinary background enables him to operate at the intersection of legal strategy, clinical execution, and financial oversight.
Strategy is easy.
Execution is rare.
Most firms advise.
We execute.
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Align Legal, ClinOps, and Finance
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Prevent delays before they happen
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Negotiate CRO/vendor pressure points
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Build scalable systems for trial expansion
Faster startup timelines, fewer surprises, and contracts that don’t come back to bite you later.
Clients who partnered with us at the inception of the firm, now approaching seven years, remain with us today. Our relationships are built on long-term performance, not short-term engagements.
Who We Work With
Built for biotech teams under pressure
Clinical-stage biotech companies (Phase 1–3)
Teams preparing for IND or pivotal trials
Lean organizations that need senior-level execution without building internal infrastructure
How We Engage
Flexible, high-impact support
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Fractional / embedded support
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Project-based engagements
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Ongoing advisory + execution
We integrate quickly and operate like part of your team—not an external bottleneck.
