Clinical and molecular data live in separate worlds

Category: Data & AI Infrastructure

Genomic results sit in one system, clinical outcomes in another — so the questions precision medicine depends on, linking molecular profiles to real outcomes, go unanswered at scale.

Precision medicine runs on a join: which patients, with which molecular profiles, had which outcomes on which therapies. In most organizations that join barely exists — sequencing results live in laboratory systems or PDF reports, clinical outcomes live in EHRs and claims, and connecting them per patient at scale is beyond what internal infrastructure was built for. Multimodal data platforms assemble clinical and molecular data that is already linked at the patient level, making molecularly defined cohorts something an analyst can query rather than a data-engineering program.

How multimodal platforms connect the two worlds

The platforms in this space typically sit close to the data's origin — operating sequencing laboratories, partnering with health systems, or aggregating from both — so molecular results and clinical histories arrive already attached to the same de-identified patient. Structuring does the rest of the work: variant calls, biomarker statuses, and report findings are normalized into queryable fields, and clinical context (diagnoses, treatments, outcomes) is curated alongside them, often with AI-assisted extraction from unstructured records. The scale caveat is real: multimodal depth exists mainly where testing is routine — oncology far ahead of other therapeutic areas — and cohort sizes shrink fast as molecular criteria narrow. The evaluation question is whether the linked cohort matching your specific profile is large and deep enough for the analysis you intend, not the platform's total volume.

What to evaluate before licensing multimodal data

Define the exact cohort your science needs — molecular criteria, treatment exposure, outcome measures, follow-up duration — and ask the vendor to size it before any commitment. Probe how outcomes are derived, because outcome quality is where multimodal datasets differ most: dates and codes come cheap, while response and progression typically require curation from notes and imaging reports, and the method behind them determines whether survival-style analyses are credible. Ask equally hard questions about consent and provenance: under what terms the molecular data was collected, whether the consent covers your intended research use, and how the vendor handles the elevated re-identification sensitivity that genomic data carries.

How teams typically get started

Translational teams usually start with a question they cannot currently answer — how a biomarker-defined subgroup responds to standard of care, or how a resistance profile evolves across lines of therapy — and commission a feasibility count before licensing anything. Running one such analysis end to end reveals what matters: whether the cohort held up under real inclusion criteria, whether the curated outcomes survived scrutiny, and whether the data integrated into the team's analysis environment or stayed trapped in the vendor's portal.

AI Use Cases That Address This Problem

  • Patient Recruitment & Enrollment
  • Target Identification & Validation

Frequently asked questions

Why is oncology so far ahead in multimodal data?

Because molecular testing is routine clinical practice there — most patients generate sequencing data as part of care, so linked clinical-molecular records accumulate at scale. In therapeutic areas where testing is rarer, linked cohorts are smaller and multimodal platforms have proportionally less to offer; feasibility counts matter even more.

What makes curated outcomes trustworthy?

A documented method: which source documents were used, how response or progression was defined, whether abstraction was human, machine-assisted, or both, and what accuracy was measured against expert review. Outcomes without a described derivation method should be treated as unverified.

Does genomic data raise special privacy concerns?

Yes — a genome is inherently identifying in a way most data is not, so de-identification standards, access controls, and consent scope deserve sharper scrutiny than for claims or EHR data alone. Ask vendors specifically how consent was obtained for research use and how they mitigate re-identification risk in small molecular subgroups.

Platform data or our own biobank — which serves discovery better?

They answer different needs: internal biobanks offer depth and control over exactly the samples you chose to collect; platforms offer breadth, real-world treatment diversity, and immediate availability. Discovery programs commonly use platform data to generate and size hypotheses, then validate on internal or prospective cohorts.

AI Vendors for This Problem

Evidence & Outcomes

Roche and Genentech collaboration with $150M upfront payment

Recursion entered a multi-year collaboration with Roche and Genentech to discover novel targets in neuroscience and an oncology indication, receiving a $150 million upfront payment with potential for substantial milestone payments.

Vendor: Recursion Pharmaceuticals · press release (Recursion (Investor Relations)) · 2021-12-07 — Partner: Roche / Genentech

Sanofi collaboration worth up to $1.2 billion in milestones

Sanofi entered a research collaboration using Insilico's Pharma.AI platform to advance drug candidates across multiple targets, with Insilico eligible for up to $1.2 billion in potential milestone payments plus royalties.

Vendor: Insilico Medicine · press release (Insilico Medicine (GlobeNewswire)) · 2022-11-08 — Partner: Sanofi

Launched the Verana Research Network on the AAO IRIS Registry to accelerate clinical research

Verana Health and the American Academy of Ophthalmology launched the Verana Research Network, an IRIS Registry initiative in which academic medical centers and ophthalmology practices use IRIS Registry data and Verana's platform to increase clinical trial access, accelerate recruitment, and advance ophthalmic research.

Vendor: Verana Health · press release (Verana Health) · 2022-12-07 — Partner: American Academy of Ophthalmology

U.S. FDA Orphan Drug Designation for its generative-AI-discovered IPF drug (INS018_055)

The U.S. FDA granted Orphan Drug Designation to INS018_055 (rentosertib), Insilico's candidate for idiopathic pulmonary fibrosis whose biological target was AI-identified and whose molecule was AI-generated, recognizing its development for a rare disease.

Vendor: Insilico Medicine · press release (Insilico Medicine (GlobeNewswire)) · 2023-02-08

Sanofi collaboration expanded to apply AI for drug positioning in immunology

Owkin expanded its collaboration with Sanofi into immunology, using its AI target-discovery engine to identify candidate gene targets and associated patient subpopulations to support tailored treatment design.

Vendor: Owkin · press release (Owkin) · 2024-03-21 — Partner: Sanofi

AstraZeneca collaboration delivers novel targets in CKD and IPF

Under its long-running collaboration with AstraZeneca, BenevolentAI's platform contributed AI-generated novel drug targets that AstraZeneca selected to advance in chronic kidney disease and idiopathic pulmonary fibrosis.

Vendor: BenevolentAI · press release (BenevolentAI (Business Wire)) · 2024-06-24 — Partner: AstraZeneca

Merck KGaA collaboration for Parkinson's disease drug discovery

Valo Health announced a collaboration with Merck KGaA, Darmstadt, Germany, to discover and develop novel treatments for Parkinson's disease and related disorders, applying Valo's human-data-driven Opal computational platform to target discovery.

Vendor: Valo Health · press release (Valo Health) · 2024-10-09 — Partner: Merck KGaA, Darmstadt, Germany

First patient dosed in Phase 2 trial of AI-identified HLX-1502 for neurofibromatosis type 1

Healx dosed the first patient in INSPIRE-NF1, a Phase 2 trial evaluating HLX-1502 — an oral investigational therapy advanced through its AI-driven rare-disease drug discovery and repurposing platform — for the treatment of neurofibromatosis type 1 (NF1).

Vendor: Healx · press release (Healx) · 2025-02-24

Generative-AI–discovered IPF drug (rentosertib) reports topline Phase IIa results

Insilico advanced rentosertib (INS018_055), a drug with both an AI-discovered target and an AI-generated molecule, through a Phase IIa trial in idiopathic pulmonary fibrosis. Results were published in Nature Medicine — among the first peer-reviewed clinical readouts for a fully generative-AI–originated drug.

Vendor: Insilico Medicine · press release (Insilico Medicine (PR Newswire)) · 2025-06-03