Adam Walker’s Pharma Prescribed Podcast
Steven Thompson — founder of Next Trial AI — joins Adam Walker to explain why 85% of clinical trials are delayed before a single patient is enrolled, and what he's building to fix it. Steven spent two decades in high-stakes regulatory environments: first with American Airlines on FAA compliance, then with Embraer in Brazil, then building data engineering pipelines for oncology and vaccines at Biogen and Takeda. When his father died of cancer — after going through an informed consent process based on static eligibility data that couldn't predict whether he'd even tolerate the trial — it became personal. Now, from his base in Brazil, Steven is building the infrastructure that makes clinical trials predictable. Trial ready in 30 days. Zero rejection packets. AI that is provably right — not probably right. 🎧 LISTEN ON YOUR PREFERRED APP Spotify → https://open.spotify.com/episode/0w2wWweDIb8K95Q5Yymjef Apple Podcasts → https://podcasts.apple.com/us/podcast/pharma-prescribed-with-steven-thompson-ceo-of-nextrial/id1829715970?i=1000763824689 Amazon Music → https://music.amazon.com/podcasts/1a43eb87-b83e-441d-9a87-321263e3f821/adam-walker%E2%80%99s-pharma-prescribed-podcast Podbean → https://pharmaprescribed.podbean.com/ 📖 WHAT WE COVER - Why 85% of clinical trials are delayed — and it's not the science, it's the paperwork - IRB rejection rates of 25–30% and sponsors burning $55,000 a day on delays - Why 97% of capable physicians are locked out of clinical research — and how AI unlocks them - From American Airlines FAA compliance to pharma: why regulations are architecture, not constraint - The story of Steven's father: static eligibility data, an unknowable trial trajectory, and a choice he could have made differently - Trial activation intelligence: from 60–120 days to 30 days using deterministic, auditable AI - "Provably right, not probably right" — why probabilistic AI is a regulatory liability - Physics-informed trajectory modelling: patients aren't data points, they're differential equations - Stanford/Harvard formal verification frameworks and what they mean for FDA and MHRA submissions - Brazil's 200 million patient records, willingness to collaborate, and why it's becoming a clinical research powerhouse - Meet Selena — Next Trial AI's coordinator-facing AI persona - The human in the loop: what it actually means in practice - The jobs question: will AI replace clinical trial coordinators? - The roadmap: pay-for-outcomes models and what's next ⏱️ CHAPTERS 0:00 Introduction & podcast mission 2:56 Steven's mission — building infrastructure that makes trials predictable 5:52 From aviation compliance to pharma purpose 8:48 His father's cancer trial — the moment it became personal 11:44 Next Trial AI explained — trial activation intelligence 14:40 Physics-informed verified AI — provably right, not probably right 17:36 The team: physicists, rocket scientists and brilliant people in Brazil 20:32 Brazil's healthcare data opportunity — 200 million patient records 23:28 The role of AI in clinical trials — what changed when ChatGPT arrived 26:24 Human in the loop — what it really means in practice 29:20 Results: faster activation, better screening, fewer rejections 32:16 Meet Selena — Next Trial AI's coordinator-facing AI persona 35:12 Jobs, the future and personal balance 38:08 Roadmap: pay-for-outcomes models 41:04 Quick-fire round 44:00 Conclusion and final thoughts 👤 ABOUT STEVEN THOMPSON Steven Thompson is the founder of Next Trial AI and an expert in high-stakes regulatory environments, having spent over two decades building infrastructure for American Airlines, Biogen and Takeda. Based in Brazil for the last eight years, he specialises in trial activation intelligence, physics-informed prediction engines and human-centred design for clinical research. 🌐 https://www.nexttrial.ai 💼 LinkedIn: Search "Steven Thompson Next Trial AI" 🎙️ ABOUT PHARMA PRESCRIBED Pharma Prescribed is the podcast for people who want the conversations the life sciences industry rarely makes time for — hosted by biometrics consultant Adam Walker. New episodes every week covering clinical research, digital health, mental wellbeing and leadership. 🌐 https://pharmaprescribed.com 💼 https://www.linkedin.com/in/adam-walker-2327951/ #StevenThompson #NextTrialAI #ClinicalTrials #AIinPharma #TrialActivation #ClinicalResearch #PharmaPrescribed #AdamWalker #ArtificialIntelligence #DrugDevelopment #RBQM #FDA #MHRA #BrazilHealthcare #LifeSciences
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