We use an elephant family as symbolism as their families depend on the senior female, the matriarch, to share her experience for their success. Gaea is an agile, flexible, full-service CRO with only experienced staff. As example, unlike large CRO our national CRAs in each country have 10+ years of experience. I use my long experience to lead the Gaea teams to bring a Sponsor's clinical trial to a timely, cost-effective completion, with quality at the core. A sponsor's trial will always get my attention as CEO. We allocate a Trial Manager or a Project Manager according to project size and this is the go-to person for the qualified providers (vendors) and the Sponsor, so keeping all communication direct and fast. We have a good network of medical experts when we need advice . Larger CRO feasibility is superficial, but we care about enrolment as slow trials cost Sponsors more money and we base our assumptions for enrolment from experts in the disease. Gaea has a good network of relevant medical specialist we ask for advice. Our HQ is in Tallinn, in digital Estonia. We are highly digitalised, including with Veeva Vault. We run Phase I – III drug trials and in all of Europe, UK, USA, Ukraine, and Georgia, with a partner in Bangladesh with its huge population. We also work in devices where EU regulation is still evolving and have great statistical expertise to call on for novel cost saving approaches such as adaptative design investigations. Quality and data management are within Gaea, and we have our qualified service providers, for such as PV: this approach means we can supplement Sponsors' existing services with our own as they need. Our expertise is in hospital-originated interventions. We work with limited populations, oncology populations, neurology, respiratory, moving into intensive care populations: ARDS and sepsis trials that can enrol over 24/7 and require a committed, experienced CRO team.