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AI's Transformative Role in Clinical Development within Life Sciences

September 22, 2024

Note: We reveal investment insights through the quotes of top business leaders.

Key Takeaways

  • AI is revolutionizing clinical development by optimizing trial design, enhancing patient recruitment, and improving R&D decision-making, leading to faster and more efficient drug discovery.
  • Companies like Pfizer and Merck are leveraging AI to drive innovation and productivity, demonstrating significant improvements in trial management and resource allocation.
  • Despite its potential, AI adoption faces challenges such as regulatory compliance, data integration, and balancing innovation with risk management.
  • Successful case studies, such as those from AstraZeneca and Novartis, highlight AI's effectiveness in accelerating clinical trials and validating compounds for human testing.
  • Future trends indicate a growing reliance on advanced AI models and generative AI technologies to further transform the life sciences landscape.

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Current applications of AI in clinical trials

AI is currently enhancing clinical trials by optimizing trial design, identifying high-performing sites, and improving R&D decision-making. Companies like Merck and Pfizer emphasize AI's role in accelerating innovation and efficiency, while Johnson & Johnson showcases AI tools for better trial management and resource allocation.

"We also delivered results from the pivotal phase of the admIRE trial, where the VARIPULSE platform demonstrated 85% peak primary effectiveness with minimal adverse events, short PFA application times and low fluoroscopy exposure. In orthopedics, we received 510(k) FDA clearance for the clinical application of the VELYS Robotic-Assisted Solution in unicompartmental knee arthroplasty." --- (JNJ, earning call, 2024/Q2)

"Strong emphasis on discipline and execution, being fast in the basics and thoughtful when you need to be thoughtful and carefully design a trial using AI throughout the value chain and making sure that we are properly sized, taking organizational structure savings and reinvesting these into medicines, into pipeline, thus keeping the overall R and D spend at the low 20s as a percentage of sales to support the profitable growth." --- (MRK, investor update, 2024/06/03)

"especially artificial intelligence. Digital capabilities and AI are transforming healthcare, accelerating our ability to bring new breakthroughs to patients everywhere. For years, Pfizer has been harnessing digital and AI across the entire company to drive innovation and productivity on a global scale." --- (PFE, event transcript, 2024/04/25)

"And so with these kind of tools, we're able to prognosticate which sites are going to be the high performing sites where we can get multiple patients delivered that's much more efficient in terms of your trial setup there as well as how you manage your clinical supply and your delivery of investigational product to the sites so that you have less wastage of investigational products sitting at sites that never enroll a patient or that under enroll relative to what you supply them with." --- (JNJ, conference, 2024/06/12)

"Therapeutic area leaders, research teams, and scientists of all levels rely on CytoReason's technology to increase the speed and accuracy of R&D decisions (Photo: Business Wire) CytoReason will use this investment to expand the application of its models into additional indications, grow its proprietary molecular and clinical data, and establish an office in Cambridge, Massachusetts later this year." --- (PFE, press release, 2024/07/17)

Benefits of AI in drug discovery

AI is revolutionizing drug discovery by enhancing timelines, improving success rates, and enabling rapid evaluation of compounds. Companies like AstraZeneca and Sanofi are integrating AI technologies to accelerate development and optimize treatment regimens, demonstrating significant benefits in the drug discovery process.

"We can also use this kind of technology to monitor patients and use adaptive treatment regimens to improve outcomes. We've embedded data science and AI throughout our discovery and development programs to improve our timelines and to improve our technical success rates." --- (AZN, event transcript, 2024/05/21)

"Proceeds from the Series B financing will be used to further develop Envisagenics' pipeline of novel preclinical oncology assets with the company's cloud-based AI drug discovery platform, SpliceCore®, and to scale its commercial offerings." --- (BMY, press release, 2024/06/05)

"In support of our drive to become a tech-powered biopharma company, we formed a recent collaboration with Formation Bio and OpenAI to accelerate drug development, also supported by the collaboration with Belhara to advance the discovery and drugging of immunology targets, fitting perfectly with our Nurix Research Program STAT6, a key target in immunology." --- (SNY, earning call, 2024/Q2)

"is transforming drug discovery by enabling the rapid evaluation of vast numbers of compounds." --- (AZN, press release, 2024/09/10)

"This launch reflects our ongoing menu expansion in oncology and our commitment to providing oncology researchers with technologies that enable everything from biomarker discovery to clinical trials that support improvements in patient monitoring." --- (AZN, press release, 2024/05/03)

Challenges in AI adoption for clinical development

AI adoption in clinical development faces challenges such as balancing innovation with risk management, integrating AI into existing frameworks, and ensuring effective data collection for regulatory compliance. Companies must navigate these complexities to fully leverage AI's potential in enhancing research and drug discovery.

"And now the power NGS will unlock deeper insights from Mutiomics. This will again change our understanding of biology and disease, and it will enable research to unlock new treatment strategies. And finally, AI powered cohorts of whole genome sequence population data combined with longitudinal patient data will provide insight that have not been achieved in any clinical study." --- (ILMN, event transcript, 2024/08/13)

"Our investments in product candidates are subject to considerable risks. We closely monitor the results of our discovery, research, clinical trials and nonclinical studies and frequently evaluate our product development programs in light of new data and scientific, business and commercial insights, with the objective of balancing risk and potential." --- (VRTX, sec filing, 2024/Q1)

"Looking forward, we see an opportunity to add a 3rd customer group, pharma, which has historically been underserved. A combination of NGS, large cohorts and multiomics will allow for AI driven data models to predict drug targets with high accuracy and significantly accelerate drug discovery." --- (ILMN, event transcript, 2024/08/13)

"1 is the actual development of the test themselves. So the example you took from the company, if they're developing, say, a new MRD test, start using the power of X to say, I'm not going to now be able to build a test that can still make me money and I can still run it in a certain timeframe and can still improve the resolution that we need for this test to be really effective." --- (ILMN, conference, 2024/05/29)

"We'll then move to our commercial strategy for GALRY.Harpal and Josh will discuss the scientific evidence that GRAIL has generated plus ongoing clinical and real world data collection to support adoption and upcoming regulatory submissions." --- (ILMN, event transcript, 2024/05/13)

Regulatory considerations for AI in clinical trials

Regulatory considerations for AI in clinical trials emphasize the necessity of meaningful clinical outcomes and compliance with regulatory standards. Companies like BMY and GSK highlight the critical role of clinical trials in regulatory submissions, while Pfizer and Merck stress the complexities and uncertainties involved in navigating the regulatory landscape.

"Yes, we haven't disclosed the exact numbers around that. But as you might imagine, we have both a regulatory meaningful as well as a clinically meaningful outcome on that or how would the study for the right level of benefit on that front." --- (BMY, conference, 2024/05/13)

"These trials will serve as the basis for regulatory submissions, and we are pleased that EMA recently accepted our first filing for this indication. Additional filings are planned before the end of the" --- (GSK, earning call, 2024/Q2)

"This release contains forward-looking information about an investigational Lyme disease vaccine candidate, VLA15, and a collaboration between Pfizer and Valneva for VLA15, including their potential benefits, results from the VLA15-221 Phase 2 study, Phase 3 clinical trials and the timing of potential regulatory submissions, that involves substantial risks and uncertainties that could cause actual results to differ materially from those expressed or implied by such statements." --- (PFE, press release, 2024/09/03)

"This includes implementing our clinical studies and the regulatory authorization approval of our products, including products of clinical nutrition and pharmaceutical products and as well as products for veterinary purposes." --- (MRK, event transcript, 2024/04/26)

"Forward-looking statements in this press release include, but are not limited to, statements regarding our business plans, business strategy, product candidates, planned and ongoing preclinical studies and clinical trials, anticipated timing and detail or release of data for INFRONT-3, expected milestones, expectations of our collaborations, and expectations of our interactions with regulatory authorities." --- (GSK, press release, 2024/09/19)

Successful case studies of AI in clinical development

AI has proven effective in clinical development, as seen with Novartis leveraging AI to validate compounds for human trials, and AstraZeneca enhancing trial speed and cost efficiency, indicating a broader trend of AI integration in biopharma.

"in-house laboratory infrastructure, developed in partnership with UBC. This infrastructure is essential for validating AI-identified compounds and advancing them to human clinical trials through pharmaceutical partnerships." --- (NVS, press release, 2024/09/10)

"In the last couple of years, the teams have done a lot of work to increase the speed and also look at the cost of the way we conduct clinical trials and that the result of it is that both in oncology and outside of oncology in biopharma, we are also moving very fast with many of our clinical trials that are quite ahead." --- (AZN, earning call, 2024/Q2)

Future trends in AI within life sciences are focused on enhancing drug discovery through advanced AI models, as highlighted by Vevo Therapeutics' commitment to high-resolution data generation. Companies like IBM and Microsoft emphasize the importance of Generative AI and workflow integration, indicating a transformative shift in clinical development processes.

"The accelerator was also an incredible experience for us. The business and technical mentorship we received and the connections we made played a crucial role in shaping our product and strategy. 'AWS has the right combination of technology, network of partners, and potential customers in the life sciences space that made it the best fit to support our vision of building the next generation of AI models for drug discovery,' said Nima Alidoust, Ph.D., CEO and co-founder of Vevo Therapeutics, an AI-driven biotechnology startup building the world's first platform to generate high-resolution, single-cell in vivo data in living organisms at scale." --- (AMZN, press release, 2024/06/13)

"We've always wanted to build a universal agent and it's an early look at how they can be helpful in daily life. Our AI product advances come from our long-standing foundation of research leadership, as well as our global network of infrastructure." --- (GOOG, earning call, 2024/Q2)

"Our key priorities, including our investments in Business AI, demonstrate our commitment to leading the charge in this new era of business transformation and exemplify our relentless drive for growth and operational excellence." --- (SAP, earning call, 2024/Q1)

"I mean, first of all, we're very pleased with the early momentum that we've gotten with our book of business around GenAI, both on the technology side with our watsonx platform and now with our open innovation strategy around RHEL AI, OpenShift Granite model's InstructLab, etc. But let's just deep -- dive a little deeper into your question about Consulting, because I think when you look at Consulting, first of all, why is it so important right now in a early part of a cycle?" --- (IBM, earning call, 2024/Q2)

"And kind of if I go layer on top of that, to think about like where we go in the future, the workflows are going to be where you start for AI transformation." --- (MSFT, conference, 2024/08/28)

Impact of AI on patient recruitment strategies

AI is enhancing patient recruitment strategies by improving access to clinical trials, particularly in underrepresented communities. Companies like Pfizer emphasize partnerships to increase trial opportunities, while Johnson & Johnson and Merck focus on global recruitment and patient flow, indirectly benefiting from AI's capabilities in streamlining these processes.

"I think we have close to 900 headcounts that are delivering our studies and we strive for global simultaneous development and submissions that include China for almost all of our projects Across the portfolio, China is accounting for about 20% of our overall patient recruitment and clinical research clinical research." --- (JNJ, conference, 2024/06/12)

"The VORIA study limited recruitment to patients with the baseline of BEC greater than 300, which represents about 20% to 40% of the overall COPD population." --- (AMGN, event transcript, 2024/05/20)

"One of the things we discussed was our 'Change the Odds' partnership, which aims to improve health outcomes in medically underrepresented communities across the United States, by enhancing access to cancer screenings, clinical trial opportunities and patient support." --- (PFE, Twitter, 2024/06/03)

"And then from a cost to the healthcare system, the ability to not have a patient sitting in the chair for as long allowing for more patients to move through, we think actually drives access and improves the providing of care as well." --- (MRK, earning call, 2024/Q1)

"That being said, we do focus on patient access and are trying to make sure that our products are available to the patients who need them." --- (JNJ, earning call, 2024/Q1)

Ethical implications of AI in clinical research

AI's integration into clinical research raises ethical concerns, particularly regarding data usage and patient privacy. Companies like Merck emphasize leveraging AI for insights, which necessitates careful consideration of how patient data is handled and the balance between clinical risk and patient safety.

"And believe me, we're going to make hay of this data. We're going to find insights from that data combined with AI and machine learning to really understand disease better." --- (MRK, conference, 2024/04/11)

"The second is, when I look at your approach versus maybe some of your peers at other companies, it seems like you guys have leaned in maybe somewhat more aggressively on kind of pre Phase III or Phase III ready assets, more willing to take on some clinical risk as opposed to some other companies who have maybe adopted an approach where they're looking for more derisked revenue generating assets." --- (MRK, conference, 2024/09/05)

See also