San Francisco shop Giant Creative Strategy has enjoyed double-digit growth every year since it was founded in 2002. Last year was no exception as revenue increased more than 25% to nearly $8 million from $6.3 million in 2007. Giant serves clients across a broad range of therapeutic areas -- from oncology to rare diseases to dermatology. It offers full-service capabilities and also works with multiple strategic partners to deliver other services, such as medical education, PR and digital. Core clients include CV Therapeutics, Neutrogena Corp, Cordis Corp, Otsuka America and ArthroCare Corp. A strategic and creative planning process called "Giant Idea Generator" was formalized last year and is applied quarterly to all existing business. Its also being used this year to generate ideas or prospective clients.