Mirakhori Fahimeh, Niazi Sarfaraz K
College of Natural and Mathematics Sciences, University of Maryland, Baltimore County (UMBC), USG, Rockville, MD 20850, USA.
College of Pharmacy, University of Illinois, Chicago, IL 60612, USA.
Pharmaceuticals (Basel). 2025 Jan 3;18(1):47. doi: 10.3390/ph18010047.
Artificial Intelligence (AI) has the disruptive potential to transform patients' lives via innovations in pharmaceutical sciences, drug development, clinical trials, and manufacturing. However, it presents significant challenges, ethical concerns, and risks across sectors and societies. AI's rapid advancement has revealed regulatory gaps as existing public policies struggle to keep pace with the challenges posed by these emerging technologies. The term AI itself has become commonplace to argue that greater "human oversight" for "machine intelligence" is needed to harness the power of this revolutionary technology for both potential and risk management, and hence to call for more practical regulatory guidelines, harmonized frameworks, and effective policies to ensure safety, scalability, data privacy, and governance, transparency, and equitable treatment. In this review paper, we employ a holistic multidisciplinary lens to survey the current regulatory landscape with a synopsis of the FDA workshop perspectives on the use of AI in drug and biological product development. We discuss the promises of responsible data-driven AI, challenges and related practices adopted to overcome limitations, and our practical reflections on regulatory oversight. Finally, the paper outlines a path forward and future opportunities for lawful ethical AI. This review highlights the importance of risk-based regulatory oversight, including diverging regulatory views in the field, in reaching a consensus.
人工智能(AI)具有通过药学、药物研发、临床试验和制造等领域的创新来改变患者生活的颠覆性潜力。然而,它在各个部门和社会中带来了重大挑战、伦理问题和风险。人工智能的快速发展揭示了监管差距,因为现有的公共政策难以跟上这些新兴技术带来的挑战。“人工智能”这个术语本身已经变得很常见,人们认为需要对“机器智能”进行更多的“人类监督”,以便在利用这项革命性技术的潜力和管理风险方面发挥其力量,因此呼吁制定更切实可行的监管指南、统一框架和有效政策,以确保安全性、可扩展性、数据隐私以及治理、透明度和公平待遇。在这篇综述论文中,我们采用全面的多学科视角来审视当前的监管格局,并简要介绍美国食品药品监督管理局(FDA)关于人工智能在药物和生物制品研发中应用的研讨会观点。我们讨论了负责任的数据驱动型人工智能的前景、为克服局限性而采取的挑战和相关做法,以及我们对监管监督的实际思考。最后,本文概述了合法道德人工智能的前进道路和未来机遇。本综述强调了基于风险的监管监督的重要性,包括该领域不同的监管观点,以达成共识。