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Pilled · AI across the drug lifecycle

AI got the discovery headlines. The proof is starting to show up in development.

Most of the money and press so far has gone to AI that designs molecules. Most of the time and cost in getting a drug to patients sits after that, in trials, regulatory filings, safety and manufacturing. That is also where the first measurable results are showing up: shorter site selection, smaller control arms, regulator-side review tools, and an IND section drafted in hours.

This tracker is the record. It covers every deal, readout, launch and setback across Discover, Develop and Deliver, plus what OpenAI, Anthropic, Google, NVIDIA, Microsoft, AWS and Meta/Biohub are building, buying and partnering on. Every item is scored on the same evidence ladder, so a press release and a Phase 3 result are not weighted the same.

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The Pilled tape, one email every Monday.

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The tracker

Every signal, scored on the evidence ladder

Development map

Where development loses time and money, and what AI has reached

Each step of development, with one sourced measure of what it costs or how long it takes, next to what this tracker has logged there. Click a step to open its items.

AI-derived drugs in the clinic are tracked in their own lane and left out here, because they are outcomes rather than a step in the process.

Frontier labs

What the model makers are building, buying, backing and partnering on

Counted from tracked items since late 2025. Investments counts every item a lab funded, whatever stage the company is in. Click a cell to open those items in the tracker.

Deal sheet: what Anthropic and OpenAI have bought

Six health, science and data acquisitions in 2026, side by side. Terms come from press reports unless noted.

Investments: where the labs put money

Equity from the labs and their venture arms, plus OpenAI Foundation grants, marked as grants.

Weekly update log

The week in AI and medicines

The skeptic’s ledger

What has been proven, and what is still a claim

For the physicians and PhDs in the room. This section shows the evidence as it stands and does not draw conclusions for you.

Evidence scoreboard

What would count as proof

Clocks running

Setbacks on the record

Reading list