AI simulates trials to predict outcomes and reduce costly methods: Mudit Agarwal

  • Interviews
  • Oct 24,24
In conversation with Sanskriti Ramachandran, Mudit Agarwal, Founder and CEO, Agrim Tech Services, explains the use of AI in pharma and gives his insights on the pharma industry.
AI simulates trials to predict outcomes and reduce costly methods: Mudit Agarwal

AI will continue to streamline the drug discovery process by identifying novel drug candidates faster and more efficiently. Generative AI models and deep learning algorithms will increasingly be used to design molecules with desired properties. AI will also help in optimising clinical trial design, patient recruitment and monitoring,says Mudit Agarwal, Founder and CEO, Agrim Tech Services.

How can AI contribute to accelerating drug discovery and development processes?
AI is playing a transformative role in drug discovery and development by significantly speeding up processes that traditionally took years or even decades. AI can analyse large biological datasets to identify and validate potential drug targets faster. Through the use of ML models, one can predict which targets are likely to respond to specific treatments thereby increasing accuracy early in the process. Lead compound identification process can be made faster through the use of AI-powered tools that can perform virtual screenings of billions of molecules compared to the manual process of elaborate lab testing etc. New drug molecules can be designed on the basis of desired characteristics using generative models of AI. This leads to rapid optimisation of compounds, hence reducing potential side effects and improving drug efficacy.

AI can be used to evaluate how different drugs might interact with one another and for predicting adverse effects before clinical trials. This proactive approach can minimise ‘late-stage failures’. Clinical trial design and patient recruitment can be optimised through the use of AI by analysing patient records and real-time data from trials.

The whole concept of drug repurposing takes a different meaning when AI is brought into the picture. It is extremely valuable in analysing the use of existing drugs for new therapeutic uses. This bypasses early-stage development and cuts down on time and cost as many safety assessments have already been completed.

Last but not the least, AI systems can process vast amounts of data from various sources like clinical trials, patient records, scientific literature etc. faster than any human team thereby helping researchers identify insights and patterns that lead to breakthrough discoveries.

Overall, AI has the potential to reduce the time for drug development by streamlining each phase from target identification to clinical trials, thus accelerating access to life-saving treatments.

What challenges do you encounter when integrating AI solutions into existing pharma systems?
Integrating AI solutions into existing pharmaceutical systems comes with several challenges, some which are generic like technical and organisational and some specific to the industry which could be regulatory. 

Similar to a lot of other industries data in pharma companies can be siloed, incomplete or unstructured which isn’t easily useful for an AI system. A lot of legacy or industry specific specialised systems could be in use but that  poses integration challenges. Companies often encounter resistance from employees to adopting new technologies. Existing staff may lack the skills to operate or interpret AI systems effectively. Change management is a significant challenge that is often underestimated.

Pharma industry is highly regulated with strict standards and compliance requirements. The nature of data being managed by pharma companies is highly sensitive and prone to privacy and security concerns.

However, the above challenges can be suitably addressed by making concerted efforts to standardising the data and implementing integration platforms. A phased approach to modernising the systems and applications can make it easier to create APIs and bridge the gaps in systems and data. Implementing end-to-end encryption, data anonymisation, traceability and strict access controls are necessary to secure data throughout its lifecycle and also address the challenges posed by regulatory environment.
Last but not the least, change management and effective workforce training and awareness are the key to making any such initiative a success. 

How do you ensure the ethical use of AI in pharmaceutical applications? (Privacy and security)
Ensuring the ethical use of AI in pharmaceutical applications, particularly in terms of privacy and security, requires a multi-layered approach that balances innovation with legal and ethical responsibility.

Pharma industry, more often than not, deals with sensitive data, which must be handled in compliance with regulations like the General Data Protection Regulation (GDPR) in Europe, the Health Insurance Portability and Accountability Act (HIPAA) in the U.S. or Digital Personal Data Protection (DPDP) Act in India.  Organisations should implement data anonymisation or pseudonymisation during AI processing. AI systems must adhere to the principle of data minimisation, collecting only the data necessary for a specific purpose and ensuring compliance with regional and global privacy laws. Robust data encryption protocols must be in place for data storage and transmission to prevent unauthorised access or data breaches.

The vast datasets required by AI for training may come from clinical trials or patient records. It is essential to ensure that participants provide informed consent for the use of their data, especially when AI models are being trained on this data. Pharma companies should clearly communicate how AI will use data, and participants must have the option to opt-in or opt-out. Additionally, transparent data usage policies must be established to ensure patients are aware of how their data is used, stored and shared.
Similar to other organisations and systems, AI in pharma is vulnerable to cyberattacks, including data theft, model tampering, or manipulation of AI algorithms. Given the sensitive nature of data, securing these systems is paramount. Implementing advanced cybersecurity measures, such as multi-factor authentication (MFA), intrusion detection systems and regular security audits is essential. Additionally, ensuring AI systems undergo robust testing to detect vulnerabilities before deployment helps reduce risks.

Peeking into the future, how do you believe AI will affect the pharma industry?
The future of AI in the pharmaceutical industry is poised for significant advancement with several key trends expected to shape how AI will impact drug discovery, development and healthcare delivery. AI will continue to streamline the drug discovery process by identifying novel drug candidates faster and more efficiently. Generative AI models and deep learning algorithms will increasingly be used to design molecules with desired properties. AI will also help in optimising clinical trial design, patient recruitment and monitoring. This will enable virtual clinical trials, where AI models simulate trials to predict outcomes and reduce the need for costly and time-consuming traditional methods. Use of AI will accelerate the identification of existing drugs that can be repurposed for new therapeutic areas. 

The combination of AI with genomic data will drive advancements in precision medicine, where treatments are tailored to individual patients based on their genetic makeup can be a reality in future. AI will analyse vast amounts of data from patients to help identify the most effective personalised treatments. AI tools will increasingly predict the risk of diseases and offer personalised prevention strategies thereby moving healthcare toward predictive and preventive models rather than reactive ones.

AI will increasingly be used to analyse real-world data collected from patients, including data from wearables, electronic health records (EHRs) and patient surveys. This will lead to better understanding of treatment outcomes and help generate real-world evidence that supports drug development and regulatory approvals. AI can help pharmaceutical companies track drug safety in post-market environments by analysing real-world usage data, detecting potential side effects and enabling real-time pharmacovigilance.
As telemedicine becomes more prevalent, AI powered virtual assistants will increasingly assist in patient care by helping clinicians with diagnostics, managing patient interactions and providing real-time recommendations based on patient data. AI driven chatbots and tools that monitor patient health remotely will support healthcare providers, enabling continuous care, early detection of health problems and remote management of chronic conditions.

AI will help optimise pharmaceutical supply chains by predicting demand, managing inventory and identifying potential disruptions. AI powered tools will also improve track-and-trace systems, ensuring that drugs are securely distributed and help to prevent counterfeiting.

AI systems will be increasingly used to generate and analyse data required for regulatory submissions to agencies like the FDA or EMA. As regulatory bodies become more familiar with AI, new frameworks will emerge to assess the safety and effectiveness of AI driven treatments. There will be a growing focus on explainable AI in regulatory settings to ensure that AI driven decisions are transparent and understandable which will help to build trust among regulators and healthcare professionals.

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