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  1. Drug Diaries
  2. AI in Pharma: Why The Hype Doesn't Match Reality
AI in Pharma: Why The Hype Doesn't Match Reality

AI in Pharma: Why The Hype Doesn't Match Reality

Drug Diaries · Jul 29, 2026

Sanofi's Florian Edouard says pharma AI hype fails without clean data, redesigned workflows, agentic integration, and human judgment.

AI-generated analysis risks becoming AI validating AI

Florian Edouard warns that AI can turn nine months of consulting work into a three-day deck, but people do not read long documents. If another AI then summarizes and approves that output, AI ends up confirming itself. He says humans must know when their brain is needed in the process.

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AI in Pharma: Why The Hype Doesn't Match Reality

Drug Diaries·3 months ago

MLR automation stalls on accountability, not just technology

Florian Edouard notes vendors have promised to shrink MLR from six weeks to one day for years, yet cannot show customers who did it. He says the blocker is human: approvers ask who goes to jail if something goes wrong, so they demand near-perfect certainty before approving AI.

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AI in Pharma: Why The Hype Doesn't Match Reality

Drug Diaries·3 months ago

Data is an asset every business function must own

Florian Edouard says everyone calls data gold, yet people assume it belongs to someone else. He insists business and digital functions treat data as a company asset, alongside cash flow. Sanofi's move to Snowflake with one governed mesh and a responsible-AI framework made clean data the base for scaling.

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AI in Pharma: Why The Hype Doesn't Match Reality

Drug Diaries·3 months ago

Agentic AI pitches often hide frontends with no backend

Florian Edouard now hears 'AI agents' from many vendors and immediately asks what the backend does and whether it can plug into Sanofi's agent layer. He ignores widgets and shiny front ends; half the solutions disappear because there is little business value underneath. He wants specs and a live test.

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AI in Pharma: Why The Hype Doesn't Match Reality

Drug Diaries·3 months ago

CRM must shift from message blasting to relationships

Florian Edouard predicts rep-delivered marketing messages may have little impact in 24 months as physicians use LLMs. Old CRM mostly pushed message volume and monitored rep frequency; future CRM should help HCPs improve their practice. Natural-language interfaces may also replace customized screens and buttons.

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AI in Pharma: Why The Hype Doesn't Match Reality

Drug Diaries·3 months ago

AI security and misuse are the risks leaders underweight

Florian Edouard says his biggest AI worry is security and misuse, not the usual productivity debate. As models improve, scams, fraud, and attacks improve too, and small groups or governments can gain disproportionate power. Ethical frameworks help, but he is unsure how much control organizations really have.

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AI in Pharma: Why The Hype Doesn't Match Reality

Drug Diaries·3 months ago

Japan taught Florian that another successful path exists

Florian Edouard says working in Japan forced him to reconsider leadership. He arrived thinking he knew how to run a team, then saw a centuries-successful culture solve problems differently. He learned to watch and adapt, and now encourages others to take the same experience abroad.

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AI in Pharma: Why The Hype Doesn't Match Reality

Drug Diaries·3 months ago

AI pilots often fail at scale on dirty enterprise data

Florian Edouard says 87% of AI pilots do not scale. Pilots succeed because teams carefully curate and maintain their data sets, but scaling exposes years of neglected structured and unstructured data. He argues organizations must fix the data layer before they expect enterprise-wide AI adoption.

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AI in Pharma: Why The Hype Doesn't Match Reality

Drug Diaries·3 months ago

Digital transformation redesigns workflows around agents, not tools

Florian Edouard distinguishes giving people cloud or ChatGPT access from redesigning their work. Real transformation, he says, comes from sitting with business users and asking how an agent could take over parts of a workflow. Moving from typewriters to PowerPoint alone is just digitizing existing work.

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AI in Pharma: Why The Hype Doesn't Match Reality

Drug Diaries·3 months ago

Build organizations for three-year cycles, not ten-year permanence

Florian Edouard describes watching a strong organization he built slowly dismantle after he moved. People had joined for the vision and journey, and new leaders brought different ideas. He now says groups should be designed for three or four years, because business conditions change too fast for ten-year structures.

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AI in Pharma: Why The Hype Doesn't Match Reality

Drug Diaries·3 months ago

Vendors lose credibility claiming to know pharma better

Florian Edouard says the fastest way for a vendor to destroy credibility is to claim they know the client's business better than the client. He accepts bold expertise, but says it must come with humility: bring your specific capability, not a claim to run pharma better.

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AI in Pharma: Why The Hype Doesn't Match Reality

Drug Diaries·3 months ago

Patients using LLMs will force physicians into the data loop

Florian Edouard describes patients logging symptoms in ChatGPT for a year, then bringing a complete history to physicians who lack equivalent data. He expects patients to challenge diagnoses and asks whether pharma apps can beat the ChatGPT already on their phones; he doubts they can.

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AI in Pharma: Why The Hype Doesn't Match Reality

Drug Diaries·3 months ago