Real-world use cases of AI/ML in clinical operations
Following the study overview, Lamberti turned the discussion over to the panel to elaborate on its experiences in adopting AI/ML. One of the areas the participants touched on was use cases from their own companies.
Virmani began by describing how his team at Gilead is working with its clinical development stakeholders to optimize study protocols by using data components such as criteria and schedule of assessments.
“We analyze all of that data and give them an industry comparison of a similar kind of setup, or a study. […] We calculate the scopes, like patient burden, site burden, and overall budget, or the cost of this trial, and compare it with different industry sponsors,” he said.
Petcu also chimed in on addressing protocol complexity. She said: “I think specifically as we think about protocol complexity, we're able to surface those insights in real time and make adjustments to the protocol design and really showcase where some of that burden might lie for our patients or our sites. There's a real opportunity to continue to make sure that our protocols are optimizing.”
Carter then added by explaining an area that her team is excited about—using generative AI techniques to improve productivity. She explained that her team is seeing an increased demand for AI-driven insights, leading them to explore new ways to open capacity.
“We've introduced a lot of learning sessions and knowledge exchanges just within our teams on ways to implement these new technologies and new ways to look at and analyze data,” she said.
The future of AI/ML in clinical trial design and execution
As the discussion came to a close, Lamberti asked each of the panel members to share their future outlook for the use of AI/ML in clinical trials. Virmani highlighted the use of digital twins and how it brings multiple aspects to the table including real-world evidence, regulatory affairs, and biometrics. Carter discussed decision augmentation when risks are identified at the site, country, study, and portfolio levels. Finally, Petcu touched on adaptive clinical trials and using generative AI for synthetic data generation.
“Is there a potential to use real-time AI feedback to address our trials? I think we have some work to do around protocols and data infrastructure there, but a really exciting opportunity,” Petcu said.
Reference
Lamberti M, Carter E, Petcu L, Virmani M. The Adoption of Artificial Intelligence and Machine Learning in Clinical Research. June 17, 2025. 2025 DIA Global Annual Meeting.