The Need for AI-Powered Patient-Trial Matching: Why Now?
Dan Turchin
Jun 2, 2025
Escalating Cancer Burden
Over 2 million new US cancer cases are projected for 2025, equating to approximately 1,700 deaths daily. This growing crisis strains healthcare systems and intensifies the need for efficient access to innovative trial therapies. (Source: American Cancer Society, 2025 ¹)
The Precision Medicine Paradox
The oncology clinical trials market is expanding rapidly, set to reach USD 22.76 billion by 2034 (5.28% CAGR).² However, the crucial shift towards biomarker-driven trials (e.g., biomarker testing for NSCLC rose from 55.3% in 2011 to 88.1% in 2021 ³) creates highly specific patient criteria, fragmenting patient pools and making manual matching increasingly complex and inefficient.
Persistent Enrollment Crisis
Only 2-4% of adult cancer patients participate in clinical trials.⁴ Consequently, an estimated 20% of trials fail due to insufficient enrollment ⁴, a problem exacerbated by manual inefficiencies that overlook up to 70% of eligible patients ⁵, critically delaying the availability of new treatments.
Staggering Economic Drain
Inefficient trial matching and subsequent failures contribute to an estimated USD 50-60 billion spent annually on unsuccessful oncology trials.⁶ Furthermore, operational delays in active trials can cost between USD 600,000 and USD 8 million per month ⁷, diverting vital resources from further innovation.
The AI Inflection Point is Now
Artificial Intelligence can slash trial matching time by 99.9% (e.g., 1 AI hour versus 19,500 manual hours) and more than double the identification of potential patient matches.⁸ AI's advanced capability to process complex biomarker data ⁹ offers an immediate, transformative solution to connect the right patient to the right trial, faster than ever before.
Surge in AI-Driven Therapies
AI is dramatically accelerating drug discovery, leading to a significant increase in novel therapies entering the clinical trial system. In 2023, 46 AI-discovered drugs reached phase II and III clinical trials.¹⁰ The overall scale of new therapies entering development is substantial; for example, the U.S. FDA receives an average of approximately 1,500 Investigational New Drug (IND) applications annually, each representing a potential new therapy beginning its journey through clinical trials.¹¹ This large influx of promising treatments, with AI contributing to this pipeline's growth, underscores the urgent need for efficient patient matching to ensure these therapies can reach the market and benefit patients.
Works cited
www.cancer.org, accessed May 31, 2025, https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2025/2025-cancer-facts-and-figures-acs.pdf
Oncology Clinical Trials Market Size to Hit USD 22.76 Billion by 2034, accessed May 31, 2025, https://www.precedenceresearch.com/oncology-clinical-trials-market
Real-World Data Shows Significant Increase of Biomarker Testing in ..., accessed May 31, 2025, https://www.targetedonc.com/view/real-world-data-shows-significant-increase-of-biomarker-testing-in-past-decade-for-nsclc
Cancer Clinical Trials Save Lives, and Diversity Matters, accessed May 31, 2025, https://news.cuanschutz.edu/cancer-center/cancer-clinical-trials-diversity
Enhancing Oncology Clinical Trial Prescreening at UPenn with ..., accessed May 31, 2025, https://www.mendel.ai/post/human-ai-teams-to-improve-accuracy-and-timeliness-of-oncology-trial-prescreening-preplanned-interim-analysis-of-a-randomized-trial
Costs and Causes of Oncology Drug Attrition With the Example of ..., accessed May 31, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC10383012/
The Cost of Delay: Quantifying the Financial Impact of Inefficient ..., accessed May 31, 2025, https://blog.td2inc.com/quantifying-the-financial-impact-of-inefficient-clinical-trial-start-up
Effect of a novel artificial intelligence (AI) –enabled multi-trial ..., accessed May 31, 2025, https://ascopubs.org/doi/10.1200/JCO.2024.42.16_suppl.e13501
The Role of AI in Predictive Biomarker Patient Matching | WCG, accessed May 31, 2025, https://www.wcgclinical.com/insights/the-role-of-ai-in-predictive-biomarker-patient-matching/
Drug Discovery In The Age of AI - The Medical Futurist, accessed May 31, 2025, https://medicalfuturist.com/drug-discovery-in-the-age-of-ai/
Key trends in IND applications - Cardinal Health, accessed May 31, 2025, https://www.cardinalhealth.com/en/services/manufacturer/biopharmaceutical/drug-development-and-regulatory/resources-for-regulatory-consulting/fda-insights/key-trends-in-ind-applications.html
Turning frustration into innovation
After being diagnosed with follicular lymphoma, AI tech entrepreneur Adam Blum assumed he could easily find cutting-edge treatment options. Instead, he faced resistance from doctors and an exhausting search process. Determined to fix this, he built CancerBot—an AI-powered tool that makes clinical trials more accessible, helping patients find potential life-saving treatments faster.