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The truth about AI in drug development

February 8, 2024
Health Tech Correspondent

Good morning health tech readers!

Just over a week ago, Apple invited me to a minimally appointed rental space in lower Manhattan to try Vision Pro, its crack at head-mounted computer screen. The experience is otherworldly, though, as with devices that came before, I'm not sure I'm ready to be immersed for a lot longer than the duration of a movie. In considering what kind of VR future regular people will embrace, I quite liked the recipe for success in computer scientist Jaron Lanier's entertaining New Yorker essay: "There are water companies and soda companies, and then there is fine wine... I suspect that V.R. entrepreneurs will find their sweet spot by emulating Napa Valley." 

I welcome your takes on "spatial computing" or anything else that might be of interest: mario.aguilar@statnews.com

Artificial intelligence

How AI is — and isn't — changing drug development

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MIKE REDDY FOR STAT

Long hyped, the ability of artificial intelligence to help scientists — and drug companies — discover medical breakthroughs is now at a turning point. Or maybe that's just what another wave of hype would have you believe. If you've been overwhelmed by all the press announcement and multi-million dollar partnerships, you're in luck: STAT's Casey Ross spoke to academics and tech and pharma executives to put together a clear read on the topic, guaranteed to make you less confused.

My takeaway is that the use of AI for things like clinical trial design and identifying disease targets is much more advanced than I expected. And even in drug design, the progress feels real. But as Casey succinctly puts it: "there is simply not enough data to precisely map biological processes to make the development of therapies anything but a treacherous process with an uncertain outcome."

Read more here


Virtual reality

What's Vision Pro's health care potential? 

AP23156720057379-768x432JEFF CHIU/AP

Over the last few weeks, I spoke to a number of companies who for years have been developing virtual and augmented reality applications for health care about Apple Vision Pro, the company's hyped new headset. In a new story, I write that developers are very impressed by the technology that Apple developed. Still, while they were interested in exploring the possibilities with Vision Pro, they weren't likely to dive into using the product in their businesses, which often rely on the much cheaper Quest headsets from Meta

Among the things I'm interested in following is whether Apple will open up what appears to be cutting edge eye-tracking technology to developers. Sophisticated eye-tracking in a headset could enable assessment of neurological, ophthalmological, or behavioral health conditions and could allow developers to make medical treatments that change based on a users' physiological response. Right now, Apple has locked down the eye-tracking tech for privacy reasons.

Read more here


Digital therapeutics

Wounded by critical Health Affairs paper, DTx industry strikes back

In November, a team of researchers published an analysis of the studies supporting a number of digital therapeutics in Health Affairs. They found that a large percentage of those studies did not report race and ethnicity of participants and overall that the evidence lacked rigor. (STAT's Deborah Balthazar wrote about it here.) They argued that stronger evidence would help decisions about use and insurance coverage easier.

Such an analysis in a top journal is a nightmare for the DTx industry which has been struggling for a foothold with payers, who are skeptical of anything new, and in Washington, where advocates hope to pass legislation that would enable Medicare coverage for the software-based medical treatments.

So the Digital Therapeutics Alliance, the industry's leading advocacy group, this week issued multi-point rebuttal on its website. DTA says that it's wrong for the researchers to claim that DTx  companies should simply run larger more rigorous trials when many are small companies with limited resources. DTA notes that problems with inclusivity in clinical studies are not unique to digital therapeutics companies. DTA also highlights other issues like considerations around study blinding and whether developers are conducting long-term follow up on their trials. 



regulation

Government warns insurers not to deny care based on AI

The Centers for Medicare and Medicaid Services this week sent a stern message to Medicare Advantage insurers: Consider the circumstances of the individual patient first, and your algorithm second. At issue is the practice of using the determinations of algorithms as the basis for denying care to individuals who need it. This growing practice was exposed in investigations from STAT's Casey Ross and Bob Herman. The guidance stops short of saying companies can't use algorithms to aid in decision making, so it's unclear how much impact the rules will have. At the very least, it sends the message that regulators are paying attention to the problem.

Read more here


Personnel file

Verily's hires former Carbon and Apple leader

Fresh off the departure of president Amy Abernethy, Verily announced it had hired Myoung Cha as chief product officer. Cha joins from Carbon Health where he lead the company's primary care, virtual care, and mental health businesses. Previously, he was the head of health strategic initiatives at Apple — Cha is the second former Apple employee Verily has hired to a high-profile post in less than a year.


legal

Apple wins one battle with AliveCor

Apple notched a victory in its multi-front war with medical device company AliveCor when a judge decided to toss an antitrust case before trial. AliveCor alleges that Apple's infringed on its patents by copying its heart rhythm monitoring technology in the Apple Watch. In this particular suit, filed in federal court in California, AliveCor alleged that Apple had violated antitrust law when it introduced changes to how the Apple Watch calculated heart rate data that made AliveCor's technology break. Cases related to the actual patent disputes between Apple and AliveCor are still snaking their way through the courts. 


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What we're reading

  • Amazon is chopping hundreds of jobs at its One Medical and Pharmacy units as part of a new cost-cutting mandate, Business Insider
  • ONC, SAMHSA launch initiative for behavioral health IT interoperability, EHRIntelligence
  • Is Apple's new Vision Pro a health care machine? Sharp Healthcare thinks so, San Diego Union-Tribune
  • Ambience Healthcare raises $70M for its AI assistant led by OpenAI and Kleiner Perkins, TechCrunch

Thanks for reading! More on Tuesday - Mario

Mario Aguilar covers how technology is transforming health care. He is based in New York.


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