1 (page number not for citation purpose) Blockchain in Healthcare Today ISSN 2573-8240 EDITORIAL/DISCUSSION Predictions for 2025: Artificial Intelligence in Modern Drug Development, Quantum-Proof Encryption, and Health Data Monetization 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 DOI: https://doi.org/10.30953/bhty.v7.361 Corresponding Author : Ingrid Vasiliu-Feltes, Email: ivfeltes@miami.edu Keywords: AI, artificial technology, drug development, health data monetization, healthcare, healthcare finance, quantum-proof encryption Abstract 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 Quan- tum 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. Received: October 15, 2024; Accepted: November 13, 2024; Published: December 16, 2024 Ingrid Vasiliu-Feltes, MD, EMBA In 2025, blockchain technology will be uniquely positioned to become a fundamental component of healthcare’s digital infrastructure, with the integration of quantum-proof en- cryption 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 encryp- tion, such as lattice-based cryptography or post-quantum al- gorithms, 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 dis- tributed data, bridging various healthcare systems and platforms. The combination of blockchain, data mesh, and data fabric could create a robust decentralized archi- tecture that optimizes interoperability and ensures data consistency across the healthcare ecosystem. Decentralized identity management powered by block- chain will grant patients greater control over their health data. This patient-centric approach can restore trust, in- crease transparency, and enforce accountability. With the rapid development of quantum computing, the cryptographic protocols underpinning traditional block- chain solutions must be fortified. The ability of blockchain to adopt quantum-resistant cryptography, such as lat- tice-based cryptography or hash-based signatures, will be https://orcid.org/0000-0001-7276-354X https://orcid.org/0000-0002-8461-7037 https://doi.org/10.30953/bhty.v7.361 mailto:ivfeltes@miami.edu 2 (page number not for citation purpose) Ingrid Vasiliu-Feltes et al. Citation: Blockchain in Healthcare Today 2024, 7: 361 - https://doi.org/10.30953/bhty.v7.361 crucial in ensuring the security and longevity of healthcare data. These advanced cryptographic techniques are designed to withstand the immense computational power of quan- tum computers, ensuring optimal privacy and security. Jennifer Hinkel, MSc, CHW, FRSA 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 financ- ing 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. Olga Kubassova, PhD The year 2024 was challenging for biotechnology compa- nies, 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 com- panies 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 infrastruc- ture) 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 pub- lished 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 proba- bility 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 productiv- ity 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 im- provements 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 comprehen- sive strategies that address these obstacles. Looking into 2025, we predict that AI will power the change in mindset in clinical drug development and clini- cal operations, with greater reliance on technological platforms. Modern data interoperability approaches and use of surrogate endpoints and companion biomarkers in clin- ical 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 pri- vacy, collection, and retention of data. Once adopted, these predictive tools will become the norm in person- alized medicine and a key differentiator for companies that want to prove the value of their drugs to secure na- tion-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 strat- egies into pharmaceutical research and development. Conclusion 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 de- velopment of novel healthcare standards, as well as re- vised healthcare best practices, new healthcare delivery models, new healthcare financing instruments, and the evolution of a secure, trustworthy, precision healthcare ecosystem. https://doi.org/10.30953/bhty.v7.361 3 (page number not for citation purpose) AI in drug development Citation: Blockchain in Healthcare Today 2024, 7: 361 - https://doi.org/10.30953/bhty.v7.361 Funding None. Financial and non-financial relationships and activities Jennifer Hinkel is co-Editor-in-Chief, BHTY Editorial Board. Ingrid Vasiliu-Feltes is a member of the BHTY Editorial Board. Contributors The authors contributed their sections, development, and approval of the final content of this article. Data availability statement (DAS), data sharing, reproducibility, and data repositories None were used in the development of this article. Application of AI-generated text or related technology None were used in the development of this article. References 1. Bookbinder, M. (2017, September 29). The intelligent trial: AI comes to clinical trials. [cited 2018 Apr 11]. Available from: http://www.clinicalinformaticsnews.com/2017/09/29/the- intelligent-trial-ai-comes-to-clinical-trials.aspx 2. Brynjolfsson, E, Mcafee, A. (2018, February 01). The business of artificial intelligence. [cited 2018 Apr 12]. Available from: https://hbr.org/cover-story/2017/07/the-business-of-artificial- intelligence 3. Ronanki, R, Davenport, TH. Artificial intelligence for the real world. Harvard Business Review. 2018;108–116. 4. Collins L, Costello RA. Glucagon-like peptide-1 recep- tor agonists. [Updated 2024 Feb 29]. In: StatPearls [Inter- net]. Treasure Island (FL): StatPearls Publishing; [cited 2018 Apr 12]. Available from: https://www.ncbi.nlm.nih.gov/books/ NBK551568/ Copyright Ownership: This is an open-access article distributed in accordance with the Creative Commons Attribution Non-Com- mercial (CC BY-NC 4.0) license, which permits others to distribute, adapt, enhance this work non-commercially, and license their deriva- tive works on different terms, provided the original work is properly cited, and the use is non-commercial. 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