Industries

AI for pharma that survives inspection.

In pharmacovigilance a missed case or a downgraded seriousness is not a bad answer, it is a reportable failure. We build AI that works inside that constraint: adverse-event intake and coding, medical-information requests answered from approved sources, trial and submission documents read with every finding traceable to its source, and a qualified person on every submission. An AI agency building for regulated teams worldwide since 2019.

Who builds production AI for pharmacovigilance and pharma operations?

extendfuture, an AI agency working worldwide since 2019. For pharma we build adverse-event intake and coding, medical-information response, clinical-trial document workflows and regulatory submission support. Digital workers do the intake, triage and MedDRA coding; a qualified person reviews and submits, and the system never auto-submits a case and never downgrades a seriousness assessment on its own. We have not shipped under a named pharma logo yet; what we run in production is every primitive drug-safety and regulatory work is built from: document intelligence with each finding traceable to its source, transcription at scale, conversational personas with human escalation, and human-in-the-loop review queues. Every build ships with audit logs, patient-data masking and approval gates, designed to support GxP, GVP, ICH E2B, 21 CFR Part 11 and DPDP expectations. Engagements start with a founder-led call.

The pattern is consistent across safety, medical information and regulatory operations. Adverse-event volume rises every year, and intake and coding are done by hand against clocks that fine you for missing them. Medical-information requests get answered inconsistently, with no record of which approved source was used. Trial and submission documents are read and reconciled by hand. And every step must survive a GxP inspection, which most AI pilots treat as a finishing touch instead of a foundation. That is usually when we get the call.

  • Adverse-event and ICSR intake and coding done by hand, against expedited-reporting clocks
  • Medical-information requests answered inconsistently, with no trace of the approved source used
  • Protocols, clinical study reports and source documents read and reconciled by hand
  • Regulatory submissions assembled from scattered documents against a deadline
  • Patient data in source documents that cannot leak into a model prompt or a log
  • A pilot that demoed well and stalled before it could pass an inspection

The recurring shape is high-volume, high-stakes work under strict rules, where a wrong or late call is a reportable failure. That is a digital-worker and agentic-AI problem with a hard human layer, and it is what we build. Digital workers do the intake, triage and coding; a qualified person reviews and submits. The system never auto-submits and never downgrades a seriousness assessment on its own. Each service has a scoped entry engagement, so the first commitment is small.

  • Adverse-event and ICSR intake: digital workers read source reports, extract the case, propose MedDRA coding and a seriousness assessment, and draft the ICSR for a qualified person to confirm and submit, via AI process automation (/services/ai-process-automation/)
  • Medical-information response drafted from approved reference only, refusing off-label questions and escalating to a specialist, via agentic AI development (/services/agentic-ai-development/)
  • Clinical-trial document intelligence: protocols, study reports and source documents read with every finding traceable to its page, via document intelligence (/use-cases/document-intelligence/)
  • Regulatory submission support: assembling and cross-checking submission documents, with a person owning the filing
  • Human review queues where a wrong or downgraded call is a reportable failure: human-in-the-loop operations (/services/human-in-the-loop/)
  • A use-case portfolio scored by value and compliance exposure: AI consulting (/services/ai-consulting/)

We are honest that pharma is a priority vertical we are building into, not a logo we already hold. What lets us start fast is that every part a safety and regulatory program needs, we already run in production elsewhere. The engineering carries over; only the domain and the rules change.

  • Document intelligence: contract and report systems that read long documents and surface risk with every finding traceable to its source, the backbone of case processing and trial-document review
  • Transcription at scale: high-throughput pipelines that turn call-center and interview audio into structured text, the backbone of adverse-event capture from calls
  • Conversational personas: advisory-first responders that answer within boundaries and escalate to a human, the shape a compliant medical-information responder takes
  • Human-in-the-loop review: accuracy dashboards and escalation run by trained reviewers, the same review discipline a qualified-person layer needs

It starts with a founder-led 30-minute call, booked from the contact page. Bring the workflow that hurts: the case backlog you cannot staff, the medical-information queue, the submission crunch. We give an honest read on whether AI fits, what it has to beat, and which entry engagement proves it fastest. No discovery phase billed by the month.

  • A 30-minute call with a founder, not a sales rep: bring the workflow, the volumes and the rules
  • A fixed entry engagement: an Agent Readiness Audit, One Workflow Automated, or an AI Opportunity Map
  • A working system on your real cases and documents, with accuracy reported as a number, before any commitment to scale
  • An honest no-go if the data, the volumes or the economics do not support a build yet

Less than most teams expect, but the list is non-negotiable. Safety, medical-information and submission projects move fast when these exist on day one.

  • Your SOPs, coding conventions and seriousness rules written down: the system encodes them
  • Real past cases and documents to test against, with patient data masked before models see it
  • A qualified person or medical and regulatory owner in the room from day one, not at sign-off
  • A clear line: what the AI proposes, and what a qualified person decides, signs and submits
  • Expedited-reporting clocks and escalation triggers named up front
  • A security posture agreed up front: least-privilege access, audit logs, PHI masking, data residency, designed to support GxP, GVP, 21 CFR Part 11 and DPDP expectations

Pharma runs on validated software: safety databases, electronic data capture and trial systems, submission tooling. A change to that code is a validation event, not a cosmetic bug, and when AI writes it a clean-looking diff can still miscode a case or break an audit trail. everylayer, our evidence gate, scores what your tests actually prove across seven layers plus security gates, writes the missing tests as draft pull requests, and blocks unproven AI-written changes before they merge. Its strongest deployment is air-gapped inside your own network, so validated source and patient data never leave your control.

  • Evidence that safety, coding and submission logic was proven before release, at the cheapest layer that catches the bug
  • An audit trail on the code itself, the discipline computer-system validation and 21 CFR Part 11 already demand of your systems
  • Air-gapped self-hosted deployment for GxP and patient-data boundaries
  • The same discipline as our review queues, applied to your code: prove it before you trust it (/everylayer/)
Do you have a pharma deployment in production?

Not under a named pharma logo, and we will not pretend otherwise. What we do run in production is every building block a pharmacovigilance and regulatory program needs: document intelligence that reads long documents and surfaces findings traceable to their source, high-throughput transcription that turns call-center audio into structured text, conversational personas that answer within boundaries and escalate, and human review queues run by trained reviewers. Pharma is a priority vertical for us because those primitives map onto adverse-event intake, medical information and submission work almost one to one. You get proven engineering and an honest read on what the first pharma build has to prove.

Will the AI submit adverse-event cases on its own?

No, and that is a hard design rule, not a setting. Digital workers do the intake, triage and MedDRA coding and draft the case, but a qualified person reviews and submits every ICSR. The system never auto-submits, and it never downgrades a seriousness assessment on its own: if anything points to a serious case, it routes up, never down. Every step is logged with who saw what and when, so the case holds up when an inspector replays it.

How do you handle GxP, GVP and 21 CFR Part 11?

As a design constraint, not a disclaimer. Every action is logged with an attributable, time-stamped trail, approvals sit behind electronic sign-off, case data follows ICH E2B structure, and patient data is masked before models see it. The posture is built to support GxP and GVP expectations, 21 CFR Part 11 on electronic records and signatures, and India's DPDP Act. We do not claim your system is validated; we build so your validation and your inspectors have the evidence they expect.

Can AI code adverse events to MedDRA?

It can propose the coding, which is where the volume is. Digital workers read the source report, extract the case, and propose MedDRA terms and a seriousness assessment, calibrated against your conventions. A coder or qualified person confirms every code, disputed terms route to review, and the system never downgrades seriousness on its own. The goal is to take the manual keying off skilled people, not to replace the judgment a regulator expects from a human.

Can AI answer medical-information requests?

Within boundaries, yes. We build conversational responders that answer from approved reference documents only, cite the source, refuse off-label and unapproved questions, and hand off to a medical-information specialist when a request crosses defined lines. Every interaction is logged, and anything that looks like an adverse event or product complaint is captured and routed into the safety workflow, not just answered.

Our pharma AI pilot stalled. Can you take it over?

Yes, that is a common starting point. Most pilots die between demo and production because the boring half was never built: evals, guardrails, the audit trail, escalation paths and a data-handling story that survives an inspection. We audit what exists, add that layer, and either productionize the pilot or tell you plainly why it will not pass.

Talk to the people who build.

One call. An honest read on what AI can do for this, and the number it has to beat.