Discover how Medable's 1:1:1 vision, 1 day startup, 1 day enrollment, 1 year conduct, uses agentic AI to accelerate clinical trials and drug development.
Blog posts

The 1:1:1 vision: Reimagining clinical development

1:1:1
6 min

"The scarcest resource in clinical trials is the time of the highly qualified people running the clinical trials. We need to free up their time to bring more meaningful innovation to patients."

- David Hyman, Chief Medical Officer, Eli Lilly

Since the year 2000, the pace of drug approvals has remained stubbornly slow, with the FDA approving roughly 50 new treatments per year. This pace is in spite of massive increases in R&D investment. It’s well known that clinical trials take 10-12 years on average to complete all four phases. But what if clinical trials didn’t take weeks to start, months to enroll, and years to complete?

Guides

eCOA, AI, and Agentic AI: A practical overview and guide

eCOA
6 min

Combining artificial intelligence (AI) and agentic AI with electronic Clinical Outcome Assessment (eCOA) systems fundamentally enhances how clinical trial data is collected, interpreted, and acted upon. At its core, eCOA captures structured data directly from patients, clinicians, or observers, such as symptom severity, quality of life, or functional outcomes. Modern platforms expand this further by supporting a full range of assessment types, including electronic patient-reported outcomes (ePRO), clinician-reported outcomes (eClinRO), observer-reported outcomes (eObsRO), and performance outcomes (ePerfO).

By Asad KhanThere's a particular kind of energy at the World Vaccine Congress that's hard to describe unless you've been in it. Hundreds of scientists, executives, policymakers, pharma leaders, CRO teams, and site networks, all in one convention centre, all sitting with the same fundamental tension. We know how to make vaccines that save lives. So why does getting them to patients still take so long?I spent three days in Washington this week as part of the Medable team. Washington in late March meant that the cherry blossoms were just past their peak but still stunning, and catching them along the Tidal Basin between sessions was one of those small, unexpected gifts that a busy conference week doesn't always make room for.For the conference, I came in with a clear intention. I wanted to reconnect with partners I respect, listen more than I talk, and have honest conversations about where this industry is and where it needs to go. What I didn't fully anticipate was how much the week would reinforce something I already believed but needed reminding of.The urgency is real. And it's shared.The mood in the roomThe congress opened with a keynote from senior US government leadership on federal strategy for public health and pandemic preparedness. The fact that the speaker lineup was still being confirmed close to the event said something in itself. The policy ground under the vaccine industry is shifting, and nobody in that opening session pretended otherwise.Nicole Lurie from CEPI was direct about it during the pandemic preparedness plenary. "We have a long way to go to rebuild trust, not just in the US but globally." That landed with weight in the room. Because the trust deficit isn't just about public perception of vaccines. It runs deeper, into data sharing, into international cooperation, into whether countries will report surveillance information when there are real social and economic consequences for doing so. No platform fixes that. It's a human problem before it's a technology problem.What I kept noticing alongside all of that was a stubborn determination to keep going. Scientists presenting new data, site networks sharing what's working, regulatory specialists wrestling with AI governance frameworks in real time. Nobody was waiting for the policy environment to sort itself out. That resilience is one of the things I find most compelling about this community.The AI conversation nobody's fully figured out yetThomas Waite, Deputy Chief Medical Officer at the UK Department of Health, said something that hasn't left me. "Maintaining public trust when deploying AI surveillance agents is challenging." He also raised the point that if you're training AI on datasets where certain populations are over or underrepresented, you risk making existing inequalities worse. It's not just about what AI can do. It's about how you do it and who it serves.In almost every conversation I had at the congress, excitement about AI's potential existed right alongside genuine uncertainty about whether it can be trusted and governed responsibly. I think both of those things are true at the same time. The potential is real. So is the responsibility. The companies that'll matter in five years are the ones holding both of those thoughts without letting one crowd out the other.The question the whole congress was really askingCristina Cassetti from CEPI and WHO framed something that stuck with me. "How do we weave all responsibilities into one unit? When there's an outbreak, it's always chaotic." The argument from the main stage was that you can't build rapid response infrastructure in the middle of a crisis. It has to already exist.That felt directly relevant to everything I think about in my day job. The systems, processes, and partnerships that let trials move at the speed the science demands have to be in place before the pressure arrives. You can't retrofit speed into something built that is slow.COVID proved that when urgency is real and barriers are genuinely removed, trials can move at a pace nobody thought possible. The question I came to Medable to work on is why that should require a global emergency to unlock. Every unnecessary delay in trial startup or enrollment or conduct is a delay in patient access to therapies that could genuinely change or save lives. That's not a commercial point. It's a human one.What we shared over dinnerOn Tuesday evening Medable hosted an intimate dinner at Ocean Prime for a group of vaccine development leaders. There were small tables, honest exchanges, no polished presentation competing with the actual conversation.Our guests came from right across the clinical trial ecosystem, pharma, biotech, site networks, and CROs. Chief executives, chief medical officers, regulatory leaders, portfolio directors, and clinical operations specialists. People who design trials and people who run them at scale and people who are responsible for the vaccines themselves. The whole ecosystem around one table.I shared Medable's 1:1:1 vision, one day to start a study, one day to open enrollment, one year to complete study conduct. Not as a pitch. As an honest articulation of what we're genuinely building toward and why it matters.What surprised me was how it landed. The response wasn't just polite interest. It was recognition. Immediate and consistent, regardless of where people sat in the ecosystem. Every person in that room had felt that friction from their own angle.My colleague Toai then gave a live demonstration of some of the technology behind that vision. Watching the room engage with it, the questions people asked, the connections they drew to their own programmes, reminded me why showing something real matters so much more than describing it. One result I shared made that concrete in a way no slide ever could. A recent vaccine megatrial we supported delivered 100% cohort enrollment within five days, at a scale where weeks or months would've been completely normal. That study became a blueprint, that blueprint became a programme, and three additional vaccine trials launched immediately after. Nobody needed me to explain what that meant. They'd all lived the alternative.The conversation that mattered mostHowever, the most memorable part of the evening came up naturally around the table and it's stayed with me more than anything else from the week.The people in that room care deeply about what they do. They're genuinely invested in vaccine development, they live the science,and they want to get safe and effective vaccines to the people who need them. That passion was unmistakable.Yet, almost every person there described being held back by the same things. Manual processes. Paper. Operational friction that really shouldn't exist in 2026. Systems designed around how trials used to run rather than how they need to run now.What came through just as strongly was a real fatigue with vendors. Not with technology. With a particular kind of vendor relationship where someone sells you a solution without ever truly understanding your problem, where the pitch is confident but the partnership is thin. Where you end up feeling like a number rather than a partner.That hit me hard, because I think it's the most honest thing the industry is trying to communicate to technology companies right now. Better tools aren't enough on their own. Real partnership combined with the right technology is what'll actually shift the status quo. You can't have one without the other. It's also the standard I try to hold myself to, and a conversation like that one is a reminder of why it matters.What I'm taking awayThe policy environment is genuinely uncertain and the congress didn't try to dress that up. The questions around AI governance and trust are real and unresolved. But what I felt most strongly across the whole week was something much simpler. The people in this industry are committed to getting it right. The challenge isn't will or capability. It's the infrastructure and the processes and the weight of how things have always been done.The work is urgent. The community doing it is serious. And what'll move it forward isn't technology on its own. It's technology in the hands of people who've taken the time to genuinely understand the problem they're there to solve.That's why I do this. A week in Washington reminded me not to take it for granted.‍‍
Blog posts

From the Congress floor to the dinner table: A Week in Washington that reminded me why this work matters

There's a particular kind of energy at the World Vaccine Congress that's hard to describe unless you've been in it. Hundreds of scientists, executives, policymakers, pharma leaders, CRO teams, and site networks, all in one convention centre, all sitting with the same fundamental tension. We know how to make vaccines that save lives. So why does getting them to patients still take so long?

I spent three days in Washington this week as part of the Medable team. Washington in late March meant that the cherry blossoms were just past their peak but still stunning, and catching them along the Tidal Basin between sessions was one of those small, unexpected gifts that a busy conference week doesn't always make room for.

For the conference, I came in with a clear intention. I wanted to reconnect with partners I respect, listen more than I talk, and have honest conversations about where this industry is and where it needs to go. What I didn't fully anticipate was how much the week would reinforce something I already believed but needed reminding of.

The urgency is real. And it's shared.

Blog posts

What happened at JPM 2026?

JPM
6 min

Each January, the J.P. Morgan Healthcare Conference sets the tone for the life sciences industry, serving as the year’s most influential gathering of biotech, pharma, investors, and dealmakers. 

This year was no different. 

Thus, we checked in with our conference attendees, booth visitors, and more to see what they thought were this year’s trend-setting takeaways.

Blog posts

How Agentic AI is transforming life sciences discovery and operations

The numbers are in, and they spell change for life sciences. 

That’s because nearly three-quarters (73%) of global pharmaceutical organizations are actively planning, piloting, or deploying agentic AI initiatives

This widespread means agentic AI is no longer a futuristic concept, but a present-day imperative for staying competitive and delivering life-changing medicines faster.

For those not yet in the know, agentic AI is a sophisticated form of AI designed not just to analyze data, but to act autonomously, plan, reason, and execute complex, multi-step tasks. This goes far beyond traditional automation. Instead, agentic AI is about creating intelligent systems that can drive innovation, accelerate drug development, and optimize operations like never before.

So, which companies are leading the charge, and how exactly are these intelligent agents reshaping the pharma landscape? Let's dive into the specifics.

White Papers, Case Studies, Reports

Medable oncology solutions

Discover how Medable’s AI-powered oncology platform simplifies complex cancer trials by integrating eCOA, ePRO, and eConsent solutions—reducing trial time, improving patient retention, and enhancing data quality for faster, more efficient research.

Blog posts

Sponsors talk AI: Sanofi's take on the evolving role of AI in clinical trials

AI
6 min

Artificial intelligence continues to move from experimentation to execution across the life sciences industry. On a recent episode of the AI in Business podcast, Matthew Peruhakal, Global Head of Data Architecture, Utilization, and AI Engineering at Sanofi, offered a deep look at how the pharmaceutical giant is integrating AI to transform clinical trials. From intelligent data workflows to proactive risk detection and regulatory alignment, Peruhakal described an organization reshaping its research and development operations around a new digital core. 

His message was clear: AI cannot remain a side project. To make a meaningful impact, it must be embedded as a strategic capability that connects people, systems, and data across the enterprise.

White Papers, Case Studies, Reports

Eliminate clinical trial white space with the right AI strategy

It has become clear that our industry has reachedthe limits of human-only clinical development. As clinical trials have become increasingly complex, the endeavors that people alone can perform are no longer sufficient to generate the momentum needed to address the growing burden of human disease. This has led to longer drug development timelines and significant delays for patients. One large are of lost time is “white space,” definied simply as unproductive time caused by manual, sequential processes and fragmented data systems. Thankfully, a solution lies in agentic AI and its abilities to perform series of tasks.

White Papers, Case Studies, Reports

Rewriting the Future of Clinical Trials: AI, Agility, and the Portfolio-First Mandate

AI
6 min

In a rapidly changing research landscape, leaders at Takeda, Novartis, Sanofi, Daiichi Sankyo, and Medable share firsthand insights into how artificial intelligence is reshaping clinical trial operations.

This exclusive whitepaper explores how forward-thinking organizations are reimagining trial design, execution, and scaling to meet the demands of speed, precision, and patient-centricity across their entire portfolio.

White Papers, Case Studies, Reports

Case study: Removing translation bottlenecks with AI

Traditionally, translations and language migration create significant bottlenecks on the path to trial study go-live. The process is traditionally manual, linear, and resource intensive. To address these challenges, Medable partnered with Lionbridge, a leading translation services company to compare the status quo translation process against an AI-enabled approach powered by both companies’ proprietary new AI tools.

Guides

Back to basics: Agentic AI and how it’s impacting clinical trial research

Since the release of OpenAI’s ChatGPT in 2022, the buzz around artificial intelligence has been impossible to ignore. From advertisements during the SuperBowl to webinars and working groups, the impact of artificial intelligence has been felt in almost every sector of our world.

But, what if we told you the most transformative shift is still on the horizon?

When ChatGPT first released it changed the way the world, including clinical research, worked. Now NVIDIA, one of the most premier companies leading the way in the development of AI, has stated that they expect the development of Agentic AI, a new type of artificial intelligence to “change the way we work in ways that parallel how different work became with the arrival of the internet.” 

This means agentic AI may have a much bigger impact than even generative AI did years back. 

So, if you’re curious about agentic AI, read on as we delve into its nature, differentiate it from generative AI, and reveal its transformative role in clinical research."

White Papers, Case Studies, Reports

AI in Clinical trials - Key insights from industry experts

When OpenAI unveiled ChatGPT in November 2022, it ignited unprecedented interest in artificial intelligence. Three years later, generative AI and machine learning have caused seismic shifts in industries worldwide. The pharmaceutical industry is not left out of this shift, with Roots Analysis reporting that they expect AI within clinical trials to grow at a compound annual growth rate of 16% through 2035. This growth is driven by belief in AI’s unique ability to process and analyze massive datasets at groundbreaking speeds, identifying patterns and generating insights that would be impossible to discover through traditional methods. By leveraging these capabilities, pharmaceutical companies hope to fundamentally reimagine core aspects of clinical trials, from initial design through final data analysis.

See how Agent Studio can transform your trials.