EDITORIAL/DISCUSSION
Ingrid Vasiliu-Feltes, MD, EMBA1,2
, Jennifer Hinkel, MSc, CHW, FRSA3
and Olga Kubassova, PhD4
1Institute for Science, Entrepreneurship and Investments, and Faculty, University of Miami, Miami, FL, USA; 2Softhread, Catonsville, MD, USA; 3The Data Economics Company, Los Angeles, CA, USA; 4Image Analysis Group, London, United Kingdom
Keywords: AI, artificial technology, drug development, health data monetization, healthcare, healthcare finance, quantum-proof encryption
We are witnessing an unprecedented convergence of scientific discoveries, technology innovations, exponential adoption of technology, and remarkable population demographic shifts towards a digitally native society. The Nobel Prizes in medicine, chemistry, and physics awarded this year further validate the profound impact of technology on healthcare and life sciences. For 2025, designated by the United Nations as The Year of Quantum Technology, we envision further technology-driven innovations in all domains, triggering the transition to a novel health ecosystem. The role of artificial technology in modern drug development, the demand for quantum-proof encryption, and the opportunities of blockchain in health data monetization are all trends that can be disruptive for pharma, healthcare, and healthcare finance.
Citation: Blockchain in Healthcare Today 2024, 7: 361.
DOI: https://doi.org/10.30953/bhty.v7.361
Copyright: © 2024 The Authors. This is an open-access article distributed in accordance with the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) license, which permits others to distribute, adapt, enhance this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, and the use is non-commercial. See http://creativecommons.org/licenses/by-nc/4.0.
Received: October 15, 2024; Accepted: November 13, 2024; Published: December 16, 2024
Competing interests and funding: None.
ivfeltes@miami.edu
In 2025, blockchain technology will be uniquely positioned to become a fundamental component of healthcare’s digital infrastructure, with the integration of quantum-proof encryption becoming imperative due to rapid advancements in quantum computing and quantum simulation. Blockchain’s decentralized and immutable ledger capabilities will play a crucial role in safeguarding sensitive health data, especially as the risk of quantum computing’s ability to break traditional cryptographic methods increases. Quantum-proof encryption, such as lattice-based cryptography or post-quantum algorithms, will be essential to secure healthcare data exchanges.
Integrating blockchain with data mesh and data fabric architectures could further augment the scalability and flexibility of healthcare data ecosystems.
Data mesh decentralizes data ownership by enabling different healthcare entities (e.g., payers, hospitals, or research institutions) to manage and maintain their data autonomously. This ensures that data are stored at the source, enhancing both security and accessibility.
Data fabric provides an overarching data integration layer that enables seamless, real-time access to this distributed data, bridging various healthcare systems and platforms. The combination of blockchain, data mesh, and data fabric could create a robust decentralized architecture that optimizes interoperability and ensures data consistency across the healthcare ecosystem.
Decentralized identity management powered by blockchain will grant patients greater control over their health data. This patient-centric approach can restore trust, increase transparency, and enforce accountability.
With the rapid development of quantum computing, the cryptographic protocols underpinning traditional blockchain solutions must be fortified. The ability of blockchain to adopt quantum-resistant cryptography, such as lattice-based cryptography or hash-based signatures, will be crucial in ensuring the security and longevity of healthcare data. These advanced cryptographic techniques are designed to withstand the immense computational power of quantum computers, ensuring optimal privacy and security.
In the next 1–2 years, patients will own their health data in the form of data assets that they will be able to monetize more directly with researchers and life sciences companies through decentralized markets. Patients will also have access to “digital twins” of themselves, allowing them to simulate the outcome or impact of various interventions and health behaviors. Across the healthcare system, payments and financing will increasingly align with the value of outcomes delivered.
More data will be discovered by translational teams, passed through clinical development and real-world evidence, and then returned to translational, powering new developments or optimizations of pharmaceutical assets.
The year 2024 was challenging for biotechnology companies, with many folding their operations due to a lack of funding and the market being dominated by opportunistic mergers and acquisitions that combine two or more companies into one entity.1 We finally see the performance and capabilities of the groundbreaking advancements (e.g., large-scale artificial intelligence (AI) models such as large language models, blockchain-powered security, quantum computing, and effective use of cloud platforms to support global data management of decentralized trial infrastructure) significantly impact the life sciences industry.
For years, AI promised to revolutionize drug discovery by automating laborious tasks. In 2024, the first data on the success of AI-discovered drug candidates were published to show that the success rate of AI-discovered drug candidates is doubled compared to the non-AI discovered molecules.2,3 The success here is defined as the probability of a molecule to succeed across all clinical phases end-to-end.
We are observing that the new drug categories, like metabolic modulation via GLP-1s/GIPs (glucagon-like peptide-1 agonists/gastric inhibitory polypeptides), have shown financial potential of innovation at scale.4 Assuming that AI can be used to either increase productivity of drug discovery or reduce the costs of development, it will make discovery precise and focus development efforts on retrieving early go-no-go decisions that will ultimately reduce the costs and risk of clinical research and development.
Generally, it is recommended to view AI through the lens of business capabilities rather than available technologies. This leads us to use industry-acceptable technologies to deliver expected results with added improvements in quality of automation. However, the use of modern data management infrastructure, as well as deploying technology powers from other industries, can deliver beyond expectations.
Data interoperability or the ability of different systems and applications to access, exchange, and utilize data seamlessly, will impact drug development at scale. Data interoperability has emerged as a critical component of modern clinical trial operations.
To unlock the full potential of pharmaceutical data assets and the ability to utilize modern technologies in clinical trials, organizations will adopt comprehensive strategies that address these obstacles. Looking into 2025, we predict that AI will power the change in mindset in clinical drug development and clinical operations, with greater reliance on technological platforms.
Modern data interoperability approaches and use of surrogate endpoints and companion biomarkers in clinical trials will finally be part of a circular data flow and the creation of company-wide knowledge base systems.
While AI remains a powerful tool for reshaping data value in real-world evidence studies, engagement with treating physicians, and most importantly, patients, we will witness more pharma companies using AI to engage with patients and physicians, offering them tools and systems to assess drug impact and predict if a patient is the right candidate for a particular treatment. This will dictate that the government set new standards for privacy, collection, and retention of data. Once adopted, these predictive tools will become the norm in personalized medicine and a key differentiator for companies that want to prove the value of their drugs to secure nation-wide or state-wide adoption of their therapies.
The rise of AI-driven biotech companies and powerful collaborations between pharma and tech players will change risk profiles and investment strategies into pharmaceutical research and development.
These trends illustrate the exceptional dual power of scientific and technological advancements, with the potential to redefine, recalibrate, and reconfigure the global healthcare and life sciences industry, as well as the economy and society. The year 2025 can mark the onset of a new era, where deep tech such as blockchain, AI, quantum, satellite internet, and 6G will lead the development of novel healthcare standards, as well as revised healthcare best practices, new healthcare delivery models, new healthcare financing instruments, and the evolution of a secure, trustworthy, precision healthcare ecosystem.
Jennifer Hinkel is co-Editor-in-Chief, BHTY Editorial Board. Ingrid Vasiliu-Feltes is a member of the BHTY Editorial Board.
The authors contributed their sections, development, and approval of the final content of this article.
None were used in the development of this article.
None were used in the development of this article.
Copyright Ownership: This is an open-access article distributed in accordance with the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) license, which permits others to distribute, adapt, enhance this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, and the use is non-commercial. See http://creativecommons.org/licenses/by-nc/4.0.