For all the innovation reshaping clinical research, one part of the process has remained stubbornly analog: the documents. Protocols, Statistical Analysis Plans (SAPs), Clinical Study Reports (CSRs), manuscripts, investigator brochures, amendments, regulatory packages, thousands of pages that define the scientific, operational and safety backbone of every trial. We’ve modernised data capture, cleaned up EDC workflows and automated monitoring; yet the documents that dictate what data is collected and how a study is actually run have largely been authored the same way they were twenty years ago. That’s now changing. Quietly, but profoundly.