Clinical Research

May 28, 2025

The FDA Just Went All-In on AI. What That Means for Clinical Trials

A green traffic light symbolising the FDA’s approval and acceleration of AI adoption in clinical trials and regulatory workflows.
A green traffic light symbolising the FDA’s approval and acceleration of AI adoption in clinical trials and regulatory workflows.

From days to minutes.


On May 8, 2025, the U.S. Food and Drug Administration made a quiet announcement with far-reaching consequences: following a successful pilot, it will now roll out generative AI across the entire agency by the end of June.
In simple terms, the FDA, the global pace-setter for regulatory science, is formalizing AI (Artificial Intelligence) as part of its internal review processes. And with that, the bar has been raised for the entire life sciences industry.

“There have been years of talk about AI capabilities in frameworks, conferences and panels but we cannot afford to keep talking. It is time to take action. The opportunity to reduce tasks that once took days to just minutes is too important to delay,”

This isn’t just an internal update. It’s a shift in gear that every sponsor, site, CRO, and technology partner should take seriously.

At Clinials, we’ve been championing this transition for some time and, at the same time, reinforcing that clarity, efficiency, and trust need not be sacrificed when AI is brought into the clinical trial process.
With the FDA’s endorsement, that position isn’t just forward-thinking, it’s fast becoming table stakes.

Let’s unpack what this moment really means.

AI Is No Longer a “Nice to Have.” It’s the New Baseline.

When the FDA begins using generative AI to automate document review and data summarization, it legitimizes AI not as an experiment anymore, but as a standard tool in regulatory operations. This puts direct pressure on sponsors (who have already made progress), CROs, and sites (and the whole industry) to modernize their own processes accordingly.

Manual workflows, document backlogs, endless review cycles?
They’re no longer defensible. Regulatory bodies are moving faster - or aiming to - shouldn’t the rest of the ecosystem do the same?

Clinials offers the tools to get there: transforming clinical trial documentation from static, 200-page, Word documents into structured, human-readable, and submission-ready content. Faster than ever before. As the FDA quote says: “from days to minutes”

Speed Is Now a Strategic Advantage

The FDA’s internal AI pilot demonstrated that repetitive review tasks could be completed in minutes, not days. That kind of acceleration, if mirrored externally, could compress review timelines and market readiness windows. 

This has two effects:

  • Teams will be expected to move faster and provide cleaner, clearer documentation upfront.

  • The bottleneck will shift from regulators to sponsors (and cascading). And in a world where delays cost millions, the slowest mover loses.

Clinials empowers teams to match that speed, cutting plain language drafting from hours to minutes and streamlining compliance-friendly documentation creation at scale.

Clarity and Consistency Just Became Non-Negotiable

As regulators adopt AI to process high volumes of submissions, they’ll rely more heavily on structured, machine-readable, and unambiguous content. If your protocol summary is vague, your metadata inconsistent, or your trial docs poorly structured, the system will see it, and flag it. We increasingly see it with documents that read like multiple protocols in one, featuring endless tables and back-and-forth references. 

Regulators won’t be reviewing submissions the same way anymore. And if documents aren’t clear, you will not just be confusing reviewers, you will be confusing the algorithms too.

Clinials was built with this future in mind. We don’t just simplify documents. We structure them to make sense to both people and systems.

The Skills Gap Will Become a Strategic Risk

AI fluency is no longer just for the tech team. From regulatory affairs to trial ops, clinical teams will be expected to understand and collaborate with AI-driven tools.

But not everyone needs to become an AI engineer. What’s needed is the right interface, a bridge between traditional expertise and emerging technology. And to bear in mind that, while the tools are evolving, they remain tools that are here to empower the (human) users and help them do their job faster and more efficiently. The key words here: “Do their job”. 

That’s what Clinials offers: a human-centered experience for AI-powered work. We bring powerful tools to teams without requiring deep tech knowledge, making adoption easy, intuitive, and fast.

Trust, Transparency, and Traceability Matter More Than Ever

Alongside the rollout, the FDA also issued draft guidance emphasizing risk-based validation for any AI used in regulatory decision-making. That means:

  • AI tools must be auditable.

  • Outputs must be explainable.

  • Trust must be earned, not just assumed.

This aligns directly with our approach at Clinials. From day one, we focused on security (and enclosed environments), privacy, “human-in-the-loop” safeguards, and tools that augment human judgment, not replace it.

Clinials: Built for What’s Next

The FDA’s AI mandate isn’t just a new chapter, it’s a new genre in how clinical research will be planned, executed, and reviewed.

At Clinials, we’ve anticipated this shift. We've spent the last few years building a platform that doesn't just make documentation faster; it makes it clearer, more compliant, and ready for the demands of a changing industry.

As the rules change and the pace accelerates, it’s no longer enough to ask, "Should we use AI?"

The better question is: "Are we ready for a world where AI - like technology, the internet, and many before - is the rule, not the exception?"

Let’s build that world, together.

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