Can a software model replace a mouse in an FDA filing?

For most of the past decade the honest answer was no. Regulators wanted human-relevant evidence, and the tools could produce predictions without proving they tracked human biology closely enough to trust.

That answer is being rewritten. On September 14, GATC Health became the first AI-native member of the Critical Path Institute's New Approach Methodologies (NAMs) Developer Coalition. The coalition's job is certification.

The Bottleneck Moves to Standards

The Critical Path Institute (C-Path) launched the NAMs Developer Coalition in May 2026, ahead of the MPS World Summit in Amsterdam. Its members build organ chips, complex in-vitro systems, and in silico (computer-modelled) platforms. The goal is one shared qualification framework, so a buyer can tell which tool answers which question.

"The launch of NAMs-DC marks a turning point for the integration of human-relevant science into regulatory drug development," said Klaus Romero, chief executive officer of C-Path. The work that follows is unglamorous: agreed validation, agreed contexts of use, agreed documentation.

The framing matters for investors. A model that predicts toxicity is a software asset. A model that has cleared a qualification pathway becomes a regulated input, and regulated inputs carry different economics because they shorten the path to an investigational new drug application.

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The gate on in-silico drug development is qualification, not model accuracy.

The FDA and the EMA have committed to New Approach Methodologies as a priority; standardised evidence packages are the missing piece.

Platforms that can document validation will separate from platforms that can only demo predictions.

What the FDA Actually Accepted

The FDA made ISTAND (Innovative Science and Technology Approaches for New Drugs) a permanent qualification pathway in July 2025. In June 2026 its drug centre accepted the first Letter of Intent for an in-silico drug development tool: an AI-driven digital liver model that predicts drug-induced liver injury (DILI).

The model compares the chemical structures of new candidates against historical reference drugs with known DILI risk. Its output is designed to sit inside a weight-of-evidence review, alongside existing assays rather than in place of them.

1 in-silico DDT accepted

First computational tool in ISTAND

An AI digital liver model became the first purely in-silico tool to enter FDA qualification. ยท FDA, 2026

The distinction from earlier milestones is worth keeping straight. The FDA accepted an organ-on-a-chip liver model under the ISTAND pilot in 2024. A chip is a physical system. The 2026 submission is computational, and that raises a different set of questions about reproducibility and data provenance.

A draft FDA guidance published in 2026 now spells out validation expectations for non-animal methods, in-vitro and in silico alike. That document is the template every NAMs developer will be measured against.

The Economics of Failing Later

Drug development fails expensively, and it usually fails late. Preclinical work alone can consume $15 million to $100 million per program, according to GATC's own estimate. A model that flags a toxic compound before the first animal is dosed attacks that bill directly.

$15โ€“100M per program

Preclinical cost per drug program

Preclinical development alone can consume the budget of a small company. ยท GEN, 2026

GATC's platform is called Operon. The company says it simulates biology end to end and delivers three to five optimised compounds ready for preclinical testing in four to six months. Traditional high-throughput screening runs 36 to 48 months for the same stage.

4โ€“6 mo vs 36โ€“48 mo baseline

AI-assisted discovery cycle

Operon compresses years of hit-to-lead work into a single discovery sprint. ยท GATC Health, 2026

StageTraditional discoveryIn-silico-first
Discovery time36โ€“48 monthsโœ” 4โ€“6 months
OutputScreen hitsโœ” 3โ€“5 optimised compounds
Animal useRequired for most filingsโ— Reduced, not eliminated
Regulatory statusEstablishedโ— Qualification in progress

GATC Health platform data, 2026; FDA ISTAND program status

Validation claims are where the caution belongs. Its risk report, Derisq, was assessed at 91% specificity for off-target risks and 86% sensitivity by the University of California, Irvine. Those figures describe a prediction tool, not a cleared regulatory standard.

Whether AI can meaningfully predict how drug candidates may behave in humans is becoming increasingly established. The more important question now is which methods can withstand independent scrutiny, and demonstrate that their outputs can inform real development decisions.โ€” Jayson Uffens, chief technology officer and chairman, GATC Health

The funding record is thin but real. PitchBook lists a $26 million later-stage round in September 2025 and about $15.4 million raised before it. As we wrote in September, Faro AI's $37.3 million Series B attacked the same clinical-development bottleneck from the trial side.

Where the Model Still Fails

Biology resists compression. A digital liver that predicts DILI from chemical structure works on a defined question with a large historical dataset behind it. Move to a new organ, a new mechanism, or a rare disease with few reference compounds, and the same model loses its footing.

The C-Path coalition's own framing concedes the gap. Pharmaceutical companies have used NAMs in discovery for years, while regulatory applications have lagged and remain unstandardised. Qualification is slow because it demands reproducibility across laboratories, documented data provenance, and a context of use narrow enough to audit.

Why did the FDA keep animal testing as the default?

Animal studies are imperfect, but they are standardised, familiar to every reviewer, and legally embedded in decades of submissions. A model has to beat that baseline on evidence quality, not on elegance. The 3Rs framework โ€” replacement, reduction and refinement โ€” keeps animal data in the room while NAMs accumulate their own record.

Investors should read qualification timelines the way they read clinical timelines. A promising model with no qualified context of use is a preclinical bet. The ISTAND pathway and the NAMs coalition exist to convert one into the other, and both take years.

Will regulators default to in-silico evidence by 2030?

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By 2030, at least one in five new investigational new drug filings will cite a qualified in-silico tool for a safety decision. Horizon: five years.

Probability: 60% โ€” two major regulators are committed and the first qualification pathway is live, though each tool still needs years of evidence.

โœ… Arguments for

ISTAND is now a permanent program, not a pilot.

The EMA has signalled the same direction, creating a competitive standard across two markets.

The first in-silico tool is already inside qualification, which sets a template for the next ones.

Confirmation criteria: a second qualified in-silico tool and a public qualification framework from C-Path.

โŒ Arguments against

Qualification is context-specific, so each new use case restarts the evidence clock.

Sponsors keep animal arms in trials to protect their filings.

A single high-profile prediction failure would slow adoption across the field.

Disconfirmation criteria: no new ISTAND acceptances within two years, and no sponsor filing that leans on in-silico safety data.

Development scenarios

๐ŸŸข Optimistic scenario (25%)

C-Path publishes a shared framework, the EMA mirrors ISTAND, and in-silico safety data becomes routine in filings.

Implications: Qualified platforms re-rate as infrastructure; preclinical cost curves bend for the first time in decades.

๐ŸŸก Base-case scenario (55%)

Qualification advances one context of use at a time, with animal data still required for most submissions.

Implications: In-silico tools work as de-risking filters upstream while remaining optional in the formal dossier.

๐Ÿ”ด Pessimistic scenario (20%)

Reproducibility failures or a public prediction scandal push qualifications back into review.

Implications: Regulators tighten evidence rules; smaller platforms with thin validation budgets stall.
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Key signals to track

A second in-silico tool accepted into ISTAND qualification.

C-Path publishing the shared NAMs qualification framework.

The EMA opening a parallel pathway to ISTAND.

A large sponsor filing an IND that cites in-silico DILI data.
FDA accepts the first in-silico drug development tool under ISTAND
The agency's drug centre accepted an AI-driven digital liver model for predicting drug-induced liver injury, the first purely computational tool in its qualification program.
The primary regulatory record. Everything else in this story is downstream of this decision.
C-Path launches the NAMs Developer Coalition
The precompetitive coalition unites organ-chip, in-vitro and computational developers behind one qualification framework, with the FDA and EMA already committed.
Shows the governance layer forming around the technology โ€” the part that decides which tools ship.
GATC Health joins the NAMs Developer Coalition
The company became the coalition's first AI-native member, bringing its Operon simulation platform and Derisq risk-prediction report into the standards conversation.
The company announcement anchoring this analysis; treat its platform claims as vendor-reported until qualified.