CATO-SMS Research (CATO) is a global provider of solutions that support life science organizations with advancing drug development. Headquartered in Research Triangle Park, North Carolina, CATO offers a range of services including regulatory strategy and submissions, project management, medical writing, biostatistics, data management, pharmacokinetics, pharmacovigilance, quality assurance and trial management. In 2019, CATO merged with SMS-oncology to expand its presence across Europe, deepen its oncology expertise, and broaden its suite of solutions. In the same year, Water Street acquired THREAD, an innovative provider of technology that enables virtual research approaches to modernize clinical studies and registries. Its platform and services are designed to make clinical research more accessible and less costly by replacing patient visits at investigator sites with technology-enabled interactions at more convenient locations, including patients’ homes. CATO is engaging THREAD on opportunities where its unique platform will benefit clients. Water Street is working closely with CATO’s leadership team to continue to expand its portfolio of solutions to small and mid-sized biotech and pharmaceutical companies.