TrialScape AI is an Agentic AI-driven tool that helps clinical teams see who is competing for their patients, and where. It is powered by the Clinical Trial Intelligence ontology, the foundation of OSC, our Ontology Semantic Context layer, which makes the LLM behind CI domain-literate. With this visibility, study teams can take proactive decisions to prioritize quality & experienced but less contested sites, plan enrollment against competitor footprints, and address recruitment risk before it affects timelines.