As oncology trials grow increasingly complex and costly, Randomization and Trial Supply Management (RTSM) systems must evolve to meet the diverse needs of sponsors ranging from small biotechs to large pharmaceutical companies. This document presents three real-world use cases that illustrate how different forecasting algorithms within Prancer® RTSM can be matched to a trial's scale, complexity, and team experience level. From simple Min/Max buffer management for first-in-human studies to fully dynamic unpredictable and predictable demand forecasting for large phase 3 trials, the right algorithm balances supply security with cost efficiency. These advancements in RTSM technology are helping clinical teams streamline operations, reduce investigational medicinal product scrap, and optimize outcomes across the full spectrum of trial complexity.