SEBRA

2025 Therapeutic Targets Honorable Mention

Sebra is an AI-powered platform that streamlines rare disease clinical trials by accelerating patient recruitment, automating regulatory documentation, and enhancing patient retention using GPT-4, NLP, and automation. It significantly reduces costs and time by cutting manual screening from 86 to 12 minutes per patient, lowering dropout rates, and boosting global recruitment through multilingual support. With projected savings of up to $3 million per trial and faster regulatory timelines, Sebra is reshaping the future of drug development for rare diseases.

PROJECT SUMMARY

Clinical trial inefficiencies have long been a bottleneck in drug development, particularly in rare diseases, where small patient populations and rigid eligibility criteria make recruitment an arduous process. As of today, 80% of trials fail to meet enrollment targets on time, a delay that translates into billions of dollars in added costs and lost revenue. On average, a single day of delay in a drug’s development costs pharmaceutical companies between $600,000 and $8 million. With a significant portion of clinical trials suffering from slow recruitment, the financial burden is staggering. Sebra is an AI-powered software platform that directly addresses these inefficiencies by accelerating patient recruitment, automating compliance documentation, and improving accessibility for rare disease trials through machine learning (ML), natural language processing (NLP), and automation. 

The challenge of patient identification in rare disease trials is particularly dire. Manual screening of electronic health records (EHRs) takes an average of 86 minutes per patient, costing trial sponsors an estimated $1,400 per manual review. With Sebra’s GPT-4-powered NLP technology, this process is reduced to just 12 minutes, slashing costs by over 80% while ensuring greater accuracy. Additionally, Sebra’s partial matching system increases the pool of eligible candidates by 20–30%, ensuring that more patients are identified while maintaining compliance with strict trial criteria. This improvement is crucial in diseases such as Spinal Muscular Atrophy (SMA), Cystic Fibrosis, and Hemophilia B, where fewer than 10,000 patients in the U.S. may qualify for trials at any given time. In ultra-rare conditions, such as Batten disease or Hutchinson-Gilford Progeria Syndrome (HGPS), which each affect fewer than 500 individuals in the U.S., Sebra's ability to broaden patient identification pipelines is not just an optimization—it is a necessity. 

Beyond recruitment, Sebra tackles the regulatory and documentation challenges that further contribute to trial delays. The pharmaceutical industry spends billions annually on compliance, with an estimated $5 billion spent each year on regulatory documentation alone. Through Intelligent Document Processing (IDP), Sebra automates the generation of FDA-compliant forms, reducing documentation errors that currently lead to 25% of all trial delays. By eliminating manual errors and expediting trial setup, Sebra can shrink trial startup timelines by weeks, leading to earlier market entry and potential first-mover advantages for drug developers. 

Patient retention is another critical issue that Sebra addresses. Clinical trials, particularly for rare diseases, experience dropout rates of 30%, jeopardizing data integrity and leading to costly protocol amendments. Sebra’s remote patient monitoring system, powered by AI-driven chatbots and automated follow-ups, has been shown to reduce dropout rates by 15–25%. In diseases such as Duchenne Muscular Dystrophy (DMD), where lengthy, multi-year trials require high patient adherence, reducing dropout rates ensures more complete datasets and better statistical power for drug approvals. Moreover, Sebra’s multi-language NLP capabilities enable global patient recruitment, a critical advantage in diseases like Gaucher disease or Fabry disease, where patient populations are spread across multiple continents. 

The financial impact of Sebra is substantial. With the average cost of a clinical trial ranging from $15 million to $30 million, Sebra’s efficiencies are projected to yield 10% cost savings per trial, amounting to savings of up to $3 million per study. Additionally, pharmaceutical companies can expect an increase in enrollment speed by 15–20%, allowing trials to complete recruitment in 9–10 months instead of 12. Faster recruitment directly translates to earlier regulatory submissions, giving companies a competitive edge in bringing life-saving therapies to market. 

However, as with any transformative technology, challenges remain. Ensuring tokenized data remains secure while still usable for AI-driven analysis requires advanced encryption methodologies. Moreover, interoperability with different EHR systems, including Epic, Cerner, and Allscripts, demands continued refinement of data standardization techniques. Furthermore, AI decision-making in clinical trials must maintain transparency and adhere to regulatory standards, with the FDA’s Good Machine Learning Practices (GMLP) emphasizing the need for bias mitigation and explainability in AI-driven patient selection. 

Looking ahead, Sebra’s roadmap includes expanding interoperability through FHIR-based data exchange, integrating Optical Character Recognition (OCR) for digitizing paper-based medical records, and developing blockchain-based consent management for secure, immutable patient-trial consent tracking. With these advancements, Sebra is not just modernizing clinical trial recruitment—it is fundamentally reshaping how life-saving therapies reach the patients who need them most. 

The funding raised for Sebra will be strategically allocated toward pilot testing in leading hospitals and research centers, refining AI-matching algorithms, expanding EHR integrations, and further enhancing compliance automation. These efforts will validate Sebra’s impact and position it as the premier AI-driven clinical trial recruitment platform. 

In an era where AI is rapidly transforming healthcare, Sebra stands at the forefront of innovation, accelerating drug development and revolutionizing the way rare disease trials operate. By automating recruitment, compliance, and patient engagement, Sebra significantly reduces the barriers to clinical trial accessibility, ultimately driving faster breakthroughs and improving patient outcomes worldwide. 

References 

  1. Emmes. White Paper: Recruitment and Retention in Rare Disease Trials 

  2. IQVIA. Finding All the Needles in the Haystack: Technology-Enabled Patient Identification 3. MD Group. The True Cost of Patient Dropouts in Clinical Trials 

  3. NIH. TrialGPT: AI for Clinical Trial Matching 

  4. Applied Clinical Trials. Intelligent Document Processing in Pharma Trials 

  5. Google Cloud Healthcare API. Secure PHI Storage & Tokenization 

  6. Axelerist. Common Clinical Trial Delays & Compliance Bottlenecks 

  7. RingCentral. Omnichannel Communication to Improve Trial Retention 

  8. Pharmacy Times. AI Use in Clinical Trial Patient Recruitment 

  9. IEEE. OCR & NLP for Medical Document Digitization 

  10. ONC. Challenges in EHR Integration for AI & NLP 

  11. IMI Trials@Home. AI in Virtual & Remote Trial Models 

  12. HL7 Organization. FHIR Standard for Interoperability 

  13. Deloitte. Decentralized Trials & AI’s Role in Expanding Global Recruitment

MEET THE TEAM

David Oleksy
Harvard College
Undergraduate (2028)
Pre-Medical

Suchi Patel
University of Pennsylvania
Undergraduate (2028)
Finance & Biology

Alvin Wang
University of California, San Diego
Undergraduate (2028)
Bioengineering