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AI in Clinical Trials

AI for Protocol Design & Feasibility

Better protocols. Fewer amendments.

AI in protocol design and feasibility assessment — eligibility-criteria optimization, amendment prediction, comparator selection and site-fit scoring.

Decision angle

"Can we pre-test our protocol before locking it?"

TL;DR

AI feasibility platforms simulate protocol impact on eligible-patient pool and predict amendment risk before lock — reducing late-stage protocol amendments by 25%+.

AI in protocol design is rapidly becoming standard. Teams that pre-test eligibility, predict amendment risk and optimize comparators before lock save quarters of trial delay downstream.

Key insights

What we’re seeing in the data.

01

Eligibility-criteria optimization

Each criterion shrinks pool — quantify trade-offs.

02

Amendment risk is predictable

AI flags high-risk patterns ex ante.

03

Comparator selection benefits from AI

Active vs SOC choice clearer.

25%+
Amendment cut
Validated
Pool sim
Capability
Standard
Pre-lock
Window
Best ROI
4
Use cases
Mature
Decision framework

How to think about it.

  1. 01

    Sim eligibility on real-world

    EHR-based pool.

  2. 02

    Optimize criteria

    Trade-off curve.

  3. 03

    Predict amendment risk

    Pattern-based.

  4. 04

    Refine comparator

    Active vs SOC.

Considerations

What separates a good answer from a defensible one.

Data quality

EHR variability.

Regulatory disclosure

AI usage flagging.

Internal review

Sponsor governance.

Sources & tools

Where the signal comes from.

Trinetx / Komodo Protocol-design AI platforms EHR aggregators Internal data science
FAQ

Common questions.

Which AI use case has highest ROI?

Eligibility-criteria optimization, by a wide margin.

Is the regulator OK with this?

Yes — AI as design support is now standard practice.

Want this answered on your data?

We build decision systems on top of analyses like this — so the next question takes minutes, not weeks.

Talk to a strategist