§ Product · AI-COPE

Predict the placebo response. De-risk Phase III.

In CNS and psychiatric trials, placebo response rates are among the highest of any therapeutic area — frequently eroding treatment effect to the point where genuinely efficacious drugs fail to separate. AI-COPE measures the placebo response as a true psychobiological phenomenon, live, from the patient–clinician interaction itself.

§ 01 — The problem

Placebo response is a billion-dollar measurement problem.

The financial consequences span two failure modes: inflated trial budgets driven by larger sample sizes, and outright Phase III failure — the most catastrophic outcome in drug development.

Per-patient cost (late-stage CNS)
$42K
Direct cost of a failed Phase III
$20M – $100M+
Capitalized sunk cost per failed programme
$800M – $1.4B
Industry-wide annual waste
>$11B
§ 02 — How AI-COPE works

Three steps. No new scales.

AI-COPE produces a Live Placebo Responsiveness Score (LPRS) per patient. The score enters the analysis as a pre-specified ANCOVA covariate, dramatically reducing variance and improving detection of true treatment efficacy — with no risk to data analysis or study conduct.

i.

Assess

Baseline patient psychology and expectation are extracted from the standard doctor-patient interview — no new instruments required.

ii.

Predict

Agentic models combine baseline behavioral signals with comorbidity and disease-intensity data to score individual placebo responsiveness.

iii.

Update

Wearable signals and brief automated check-ins update the LPRS over the trial. The score enters analysis as a pre-specified covariate.

AI-COPE can be incorporated into any clinical trial regardless of size, design, or context — including decentralized and virtual trials.

§ 03 — Regulatory pathway

ISTAND DDT. Built for qualification.

We are preparing a Letter of Intent for the FDA's Innovative Science and Technology Approaches for New Drugs (ISTAND) Drug Development Tool pathway — designed for transformational technologies that augment, rather than replace, established endpoints.

Run AI-COPE in your next trial.

Pre-IND consultations, ISTAND DDT collaboration, direct sponsor engagements, or retrospective re-analysis of completed studies — we're ready to talk.