What do R&D strategy focused solutions entail? Is the focus more on the efficacy of clinical trials?

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Efficacy is used describe if a drug has desired therapeutic effect, not a trial. Anyways, I work in R&D space but not sure what constitutes R&D strategy. Maybe trial portfolio optimization based on PTRS, current budget, all that stuff?

Could be clinical trial operations optimization, acceleration, etc.
Could be allocation of resources among research Programs
Deciding what capabilities and/or technology to invest in
Revamping decision making processes to increase likelihood of development success

Etc

Interesting, some of these overlap with my current space, do you know which consulting company(ies) are the leader in the R&D space?

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