Within a few weeks of COVID, despite many clinical trials having to pause, Ripple usage was up on average across the most active user sites. The usage trends across the system highlighted how researchers were adapting to remote work, with particular focus on rescheduling patients, keeping track of team activity, and staying in control of their data. As research was adapting, Ripple too pivoted to learn as much as possible from our users at how technology could best serve the evolving landscape. We talked with different segments of users including those who had paused studies entirely, those who were continuing limited in-person research, and those who were moving to remote studies. No matter the use case some common themes arose, and Ripple was