

Embedded nonclinical ownership and execution, from first tox decisions through IND
With a Fractional Head of Toxicology, you gain embedded, senior toxicology leadership across the full arc of development, from early discovery decisions through IND submission.
This role goes beyond advice. It means owning toxicology strategy, executing studies with precision, authoring IND's through defensible stories, and ensuring every nonclinical decision supports a strong regulatory narrative.
Whether your program needs end-to-end toxicology oversight, IND-enabling study design, hands-on CRO leadership, or regulatory ownership, fractional leadership provides the same ownership and accountability expected of an internal Head of Toxicology, without the commitment of a full-time hire.

WHO IS THIS FOR?
Fractional Tox Support might be a great fit if...
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You’re moving toward IND, but don’t yet have internal toxicology ownership
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Nonclinical decisions are shaping timelines and budgets, even without a Head of Tox
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CSOs and R&D leads are managing CROs directly, without toxicology leadership
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Regulatory interactions are approaching, and no one owns the nonclinical story
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You need someone to own your tox strategy but also execute the studies and the IND
HOW IS IT DIFFERENT?
Nonclinical work is often split across vendors and consultants.
Fractional support delivers one accountable toxicology lead responsible for strategy, study execution, interpretation, and IND-ready output from your first tox decisions through your IND.
What this means in practice:
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One POC throughout your nonclinical program
Instead of going through several consultants throughout the life of a program, you get one expert who handles nonclinical end-to-end.
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Ownership without breaking your bank or timelines
I own your tox program for a fraction of the cost of a full-time hire, while still achieving the same milestones and regulatory objectives.
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Strategy is at the helm, reducing risk downstream
Tox programs are designed and executed to support regulatory and clinical decisions, not just to satisfy requirements.
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Toxicology execution that connects the dots
CROs run the studies and internal teams contribute, but I actively execute and oversee the nonclinical work that connects it all.
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Regulatory ownership and authoring
Nonclinical decisions are made deliberately and delivered through defensible regulatory strategy and authoring.

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Key Metrics
When toxicology programs are led with clear ownership and strong execution, defensible outcomes follow.
YOUR FRACTIONAL HEAD OF TOX
Dessi McEntee, MS, DABT
Founder, Toxistrategy
Author of Data Is Not Strategy
Dessi McEntee is a board-certified toxicologist and fractional Head of Toxicology trusted by early-stage biotechs to provide the senior-level nonclinical leadership they don’t have in-house. With 15+ years of hands-on experience spanning exploratory research through IND-enabling development, she has guided toxicology strategy for small molecules, biologics, nanoparticles, radiopharmaceuticals, and more across oncology, immunology, pain, and rare disease. Her leadership has supported multiple programs advancing to first-in-human studies, and her regulatory track record remains flawless.
Toxistrategy isn’t a large consulting shop—it’s Dessi’s high-touch, embedded model of nonclinical leadership. As your fractional Head of Tox, you gain direct access to a seasoned expert who integrates seamlessly with your team, anticipates challenges before they surface, and delivers clear, actionable strategy. No layers, no handoffs—just focused, senior-level guidance that accelerates your path to the clinic and gives founders the confidence they need to move fast and move smart.

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