Selected work led by our team inside top-5 pharmaceutical companies, global pharma and biotech. We cover the full path, from building the data foundation to governed AI in production. Client names and specific details are anonymized to respect confidentiality. The challenges, approaches and outcomes are real.
Case 01Global Pharma
Pharmacovigilance · Global Patient Safety
AI-powered signal detection in pharmacovigilance
40%faster signal detection in the PoC, with no loss in sensitivity
Challenge. Adverse event volume from trials and post-market sources was overwhelming the safety team. Manual ICSR review was slow and inconsistent, and signal detection relied on periodic reviews held weeks or months after the data arrived. The team also needed to know how to adopt AI under GxP without adding risk.
AI angleAI applied directly to patient safety, with explainability, human oversight and regulatory defensibility built in.
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Our approach
- Ran workshops with Safety Scientists, PV Operations and Quality, and used a value-versus-feasibility matrix to prioritize AI-assisted signal detection, with AI case triage as a secondary use case
- Assessed data readiness across the safety database, literature and real-world data, and built a data remediation plan into the PoC
- Defined requirements: NLP for unstructured sources, ML for anomaly detection, integration with the safety database, human-in-the-loop validation, explainability and a full audit trail
- Set up AI governance with QA: a model credibility framework, GAMP 5 risk-based validation, human review before any escalation, lifecycle monitoring and 21 CFR Part 11 audit trails
- Led the vendor RFI and ran the PoC against clear success criteria: sensitivity, specificity, time savings and user acceptance
Outcome
- Successful PoC: 40% faster signal detection with no loss in sensitivity
- High confidence among safety scientists, driven by explainable flags
- A GxP-compliant AI governance framework for future PV AI
- A recommended path to production with a phased rollout
- Model documentation and governance aligned to FDA and EMA expectations
PV AIModel credibilityGxP AI governanceVendor PoC
Case 02Mid-Size Biotech
Regulatory Affairs
AI-assisted regulatory submission assembly
30%projected reduction in submission assembly time
Challenge. Manual assembly of Clinical, Nonclinical, Manufacturing and Labeling documents took up more than half of every submission cycle. Health Authority Questions needed fast precedent research, and a small team was burning out under the risk of errors.
AI angleGenerative and NLP-based AI for regulatory operations, with humans approving every output.
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Our approach
- Mapped the submission workflow from document gathering through eCTD formatting, cross-referencing, QC and publishing, and quantified manual work at over 50% of cycle time
- Identified two AI opportunities: NLP-driven document assembly, and ML precedent search to speed up HAQ responses
- Defined requirements: integration with the document management and RIM systems, an audit trail for every AI action, human approval of all AI-generated content, and GxP, Part 11 and ALCOA+ compliance
- Led the vendor RFI on integration, explainability, compliance support and vendor stability, and built the ROI case
- Set up AI governance and an adoption plan that positions AI as augmentation rather than replacement
Outcome
- A recommended AI solution with a phased implementation roadmap
- Projected 30% reduction in submission assembly time
- More consistent and faster HAQ responses
- A governance framework for future regulatory AI
Regulatory AINLP · MLROI modelingChange management
Case 03Top-5 Global Pharma
R&D Technology Strategy · AI at Scale
Enterprise AI orchestration for R&D
6functions united under one enterprise AI governance council
Challenge. AI pilots across Clinical, Safety and Regulatory were built in silos, with no shared infrastructure and inconsistent governance. Some stalled over compliance concerns, leadership saw little ROI, and the organization was stuck in pilot purgatory.
AI angleMoving from scattered pilots to governed, enterprise-scale AI, including a path to agentic AI.
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Our approach
- Inventoried every R&D AI/ML initiative by status, value, barriers, dependencies and overlaps
- Defined the target architecture: a shared data foundation, common AI governance, a central model registry, an integration layer and an orchestration engine
- Prioritized a roadmap of quick wins (0–6 months), foundations (6–18 months) and transformational agentic AI (18–36 months)
- Set up an AI governance council with ClinOps, Patient Safety, Regulatory, Quality, IT and Data Science to set standards, approve use cases and monitor performance
- Built the enterprise business case on cost avoidance, speed to value, compliance confidence and scalability, and secured sponsorship and funding
Outcome
- Enterprise AI orchestration strategy approved and funded
- A clear governance model and prioritization framework
- A roadmap for scaling AI across R&D
- A foundation for agentic AI and advanced analytics
- A clear path from idea to production
Enterprise AIAI orchestrationGovernance councilAgentic AI roadmap
Case 04Top-5 Global Pharma
Clinical Development · AI-Ready Data
IoT wearable data platform and AI proofs of concept
60%less time spent pre-processing data by clinicians
Challenge. Hundreds of trial sites sent wearable data in inconsistent formats. Clinicians spent up to 70% of their time reconciling it, there was no real-time visibility, audit gaps put FDA submissions at risk, and no data foundation existed for AI.
AI angleAI starts with data. We built the foundation and then delivered AI proofs of concept on top of it.
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Our approach
- Led discovery with Clinical Operations, Data Management, Biostatistics, Quality and site partners
- Defined requirements for raw near-real-time data, a sponsor-controlled GxP platform and a self-improving harmonization model
- Championed a cloud data lake with ML-assisted data mapping, site APIs, role-based access and a raw data zone for AI/ML
- Embedded GAMP 5 and Part 11 from day one, and secured executive funding
- After launch, championed two AI/ML PoCs on the new foundation: predictive enrollment optimization and AI-assisted clinical data review
Outcome
- 60% reduction in clinician data pre-processing time
- An AI-ready data foundation: raw data lake, harmonized data and real-time pipelines
- Two AI/ML proofs of concept delivered
- A GxP-compliant, audit-ready platform
ClinOpsAI-ready dataML data mappingGAMP 5 · Part 11
Case 05Global Pharma
R&D Data Strategy · AI Foundation
Enterprise data harmonization for R&D
40%fewer redundant data pipelines in phase one
Challenge. Many groups sourced the same core data. Teams worked from different versions of the truth, duplicate pipelines drained budget, audit traceability was close to impossible, and the fragmented data ruled out AI.
AI angleHarmonized data is a prerequisite for AI. Without it, AI projects fail.
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Our approach
- Mapped the data flows across Clinical Development, Biostatistics, Patient Safety and IT, and found more than 15 redundant channels
- Defined a single authoritative source using a publish-and-subscribe architecture
- Built the ROI case on lower maintenance cost, faster analysis, lower regulatory risk and AI readiness
- Planned phased adoption with each business unit
Outcome
- Fully funded, multi-year data program
- 40% reduction in redundant data pipelines in phase one
- Clean, harmonized, governed data that is ready for AI
- A roadmap to rationalize the entire data portfolio
Data strategyAI foundationChange management
Case 06Global Pharma
Global Patient Safety · Pharmacovigilance
Safety aggregate report automation
~40 hrsof manual work per report identified and targeted
Challenge. PBRERs and DSURs were authored in Word, with version control over email and sign-off by up to 15 reviewers. Deadlines slipped, Quality raised repeated audit findings, and there was no foundation for AI-assisted safety work.
AI angleYou can't apply AI to signal detection when safety data and processes are chaotic. This project built that foundation.
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Our approach
- Mapped the end-to-end process and quantified about 40 wasted hours per report
- Defined requirements for one platform linking safety data, authoring and publishing, with structured workflows, audit history and AI readiness
- Led the RFI on safety data integration, authoring, publishing, GxP, E2B, Part 11, and API and data access for future ML
- Built the business case: fewer audit findings, about 30% shorter report cycle time, and experts freed up for signal detection
Outcome
- Funding secured for phased implementation
- A prioritized roadmap to a controlled workflow
- A data and process foundation for AI-assisted signal detection
PharmacovigilanceRFI leadershipGxP · E2B · Part 11
Case 07Mid-Size Biotech
Global Regulatory Affairs · Regulatory Intelligence
Global regulatory submission sequencing
4regulatory regions sequenced into one prioritized roadmap
Challenge. A global launch across FDA, EMA, PMDA and APAC, with limited resources, inconsistent requirements, no reliance strategy, and an overwhelming amount of manual regulatory intelligence work.
AI angleRecommended AI-powered regulatory intelligence to monitor changing requirements and assess their impact.
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Our approach
- Analyzed requirements, timelines and reliance pathways across FDA, EMA, PMDA and selected APAC markets
- Built a market scoring model on commercial value, complexity, reliance availability and resources
- Created a phased roadmap that uses the FDA approval as a reliance reference and aligns with expedited programs
- Recommended an AI-powered regulatory intelligence approach: NLP monitoring of agency updates, ML impact assessment and automated alerts
Outcome
- A clear, prioritized submission roadmap
- Reliance pathways identified to reduce duplicate effort
- Faster time to market in priority regions
- An AI regulatory intelligence approach recommended for future use
Regulatory strategyReliance pathwaysAI reg-intel design
Case 08Global Pharma
R&D Technology Strategy · AI-First Transformation
AI-first digital transformation roadmap for R&D
36-moAI-first roadmap approved by executives
Challenge. Legacy technical debt, a fragmented landscape and competing priorities across Clinical, Safety, Regulatory and Quality, with ad hoc, siloed AI and no enterprise strategy.
AI angleAI embedded in the transformation strategy from the start, not added later.
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Our approach
- Assessed the current state across all Global Development domains
- Defined a target state with AI and automation as foundational capabilities
- Prioritized the gaps by value, feasibility and dependencies
- Built an AI-first roadmap: AI PoC quick wins (0–6 months), data, governance and cloud foundations (6–18 months), and agentic AI and autonomous workflows (18–36 months)
- Positioned AI as the accelerator for R&D productivity and secured executive buy-in
Outcome
- An approved multi-year R&D technology roadmap
- Clear prioritization and sequencing
- Executive alignment on investment
- An AI-first foundation for transformation
Digital strategyAI-first roadmapExecutive alignment