The United States is facing the worst drug shortage crisis in decades. Essential medicines, from antibiotics to pediatric cancer therapies, are running short. At the same time, the FDA is moving away from mandatory animal testing, creating both urgency and opportunity in how we bring new drugs to market.
Into this gap steps hybrid AI, a new class of technology that blends mechanistic modeling with machine learning to find, test, and refine drugs in record time. Advocates say it can cut development from years to months, get life-saving treatments to patients faster, and even reduce the need for animal testing altogether.
But speed alone will not win public trust.
When Black Box Models Miss the Mark
AI has already been used to fast-track medicines — with mixed results.
In 2024, an AI-assisted synthetic insulin analog was rushed to market to ease shortages. Within months, vulnerable patients began experiencing dangerous side effects traced back to gaps in the model’s training data.1
In oncology, an AI model recommended dosing for certain genetic subgroups that was later deemed unsafe. Developers could not explain why the algorithm made those choices. 2
In both cases, the models worked until they did not, and the lack of transparency turned an innovation win into a cautionary tale.
A Platform Built for Trust
VeriSIM Life’s BIOiSIM™ is built on a simple idea: AI can only transform drug development if its decisions are understandable, defensible, and traceable.
By combining biologically grounded mechanistic models with advanced machine learning, BIOiSIM™ can simulate how a drug behaves in virtual patients, predict exposure, toxicity, and efficacy, and show exactly how those predictions were made.
The platform is already proven. In partnership with the FDA and NIH, BIOiSIM™ helped accelerate PT001, an inhaled therapy for pulmonary hypertension, from concept to FDA Orphan Drug Designation in three months, cutting typical development timelines in half.
Raising the Bar on Transparency
In April 2025, the FDA issued draft guidance urging AI developers to document how their models are trained, validated, and interpreted. BIOiSIM™ is ahead of the curve, providing full explainability reports, regulatory-grade validation, and independent audits.
“Transparency is not a box you check,” says Dr. Jo Varshney, CEO of VeriSIM Life. “It is the foundation for making AI in healthcare safe, sustainable, and trusted.”
The New Standard for Responsible AI in Drug Development
The next wave of drug development will be defined by three commitments:
- Interpretability by design—models that not only predict but also explain.
- Regulatory grade validation—evidence that accelerates approval without sacrificing rigor.
- Stakeholder collaboration—from clinicians to ethicists, diverse voices guiding development.
Hybrid AI is the engine driving the future of medicine. Transparency is the fuel that will keep it running. The companies that embrace both will set the standard for safety, speed, and trust in the next era of drug development.