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Chronicles

The story behind the story

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Ransomware attacks on ERT, IQVIA, and others involved in hundreds of clinical trials and work on a COVID-19 vaccine, has slowed some trials according to clients

Nicole Perlroth / New York Times :

New York Times Nicole Perlroth

Context & Ripple Effects

This attack moves ransomware upstream from individual hospitals to the vendor layer that clinical research depends on: ERT and IQVIA run trial data and endpoints for hundreds of sponsors simultaneously, so one compromise touches more studies than a hospital hit ever could. It lands weeks after criminals extracted a $1.14M bitcoin payment from UCSF while the university was racing on COVID-19 vaccine research — proof that research operations pay.

The pattern was already visible on the provider side, where a TrickBot attack at the University of Vermont Medical Center delayed treatment and tests for weeks. Hitting shared service providers like ERT, IQVIA, or workforce-software firm Kronos — whose attack disrupted payroll for millions of US workers — scales the same playbook across every client at once.

First-order effects

  • Sponsors running trials through ERT and IQVIA face direct delays — clients confirm some studies have slowed, including COVID-19 vaccine work, right as pandemic timelines carry political and commercial weight.

Second-order effects

  • Pharma sponsors and CROs must now price vendor cybersecurity into trial outsourcing decisions, favoring vendors who can demonstrate resilience; the demonstrated willingness to pay, set by cases like UCSF, makes research-linked vendors a higher-value target class.

Third-order effects

  • If attackers keep pivoting from single hospitals to multi-client service firms, clinical trial infrastructure gets treated as critical infrastructure — forcing regulatory hardening and security requirements flowing down from sponsors to their entire vendor stack.

The trend: Ransomware is climbing the health-research stack from individual hospitals to shared clinical-trial vendors, where each attack disrupts hundreds of dependent organizations at once.

Discussion

  • @carlquintanilla Carl Quintanilla on x
    “Among those hit were IQVIA, the contract research organization helping manage $AZN's Covid vaccine trial, and $BMY, the drugmaker leading a consortium of companies to develop a quick test for the virus.” ⁦@nicoleperlroth⁩ (h/t ⁦@maggieNYT⁩) https://www.nytimes.com/...
  • @darlin @darlin on x
    Among those hit were IQVIA, the contract research organization helping manage AstraZeneca's Covid vaccine trial, and Bristol Myers Squibb, the drugmaker leading a consortium of companies to develop a quick test for the virus. https://www.nytimes.com/...
  • @sub8u Subrahmanyam Kvj on x
    Ransomware cyberattacks. On health tech firms. In the middle of a pandemic. When they are testing a vaccine. Our insecure future is already here! https://www.nytimes.com/... https://twitter.com/...
  • @billy_penn Billy Penn on x
    A ransomware attack on Philly's eResearchTechnology, which makes software used in clinical trials, held up vaccine efforts slightly. The company says no patient data was at risk. https://www.nytimes.com/...
  • @nicoleperlroth Nicole Perlroth on x
    NEW: A two week long ransomware attack hit and slowed clinical trials as drug makers race to find quick tests, treatments and vaccines for Covid. https://www.nytimes.com/...