MedNova

AI-assisted IND gap analysis

Know where you stand before you file.

MedNova analyzes your IND against regulatory requirements and your supporting evidence, surfacing potential gaps and reviewer-style questions before submission.

If an algorithm reads your filing first, run one before you send it.

  • Gap Analysis
  • Evidence Traceability
  • Reviewer Questions
  • FDA / EMA Sources

Why now

Regulators now review with AI. Sponsors are still filing blind.

“Submissions that are disorganized, that bury key data, or that require reviewers to synthesize inputs may fare poorly when the first pass is algorithmic.”
Steve Silverman, former Director, FDA CDRH Office of Compliance · What the FDA?
“Elsa's algorithms may detect patterns or anomalies that human reviewers might overlook, leading to new types of information requests or queries that are more data-driven or granular.”
Kimberly Chew, Odette Hauke & Kathleen Snyder, regulatory attorneys and consultants · Clinical Leader

Their advice: anticipate likely questions and supplement your initial filing with responsive data before submission. Agency officials at the 2026 FDLI Annual Meeting were just as direct: expect AI to be applied to your submission and prepare accordingly, per Skadden's meeting report.

The agency sees the gaps first

FDA officials report AI-assisted review now completes certain scientific review tasks in minutes that once took days. Gaps, weak justifications, and inconsistencies that a team missed surface as amendments and information requests after filing. FDA press announcement, May 2025

Less room to clarify after the fact

Counsel advising sponsors on FDA's AI systems expect less opportunity for iterative clarification with a reviewer. Ambiguity a human might have resolved in a call can arrive instead as a formal information request, on the agency's clock.

The flags land on what looked routine

Normally-occurring animal study findings. Cross-references that almost line up. A conclusion any reader would infer that the document never actually states. Charles River Laboratories' chief scientific officer for discovery and safety assessment reports the CRO is getting questions on background findings from pharma companies after their regulatory submissions, per Drug Discovery News. Your team stopped noticing these years ago.

The response

So run the review yourself, before you send it.

An example IND section, reviewed the way MedNova reviews it: each finding mapped to its regulatory basis, the evidence located or not located, and the question a reviewer is likely to ask.

MedNova gap analysis Demonstration Ready

Findings

Regulatory basis
21 CFR 312.23(a)(7)(iv)(b) · USP <1207> FDA Phase 1 IND content guidance, 1995 · FDA CCIT guidance, 2008
CMC evidence
  • CCIT method validation/qualification data not located in supplied documents
  • Method detection capability/sensitivity not identified in documents reviewed
  • Shelf-life CCIT data not located in supplied documents
Regulatory precedent

FDA has cited failure to demonstrate container-closure integrity throughout the labeled shelf life in a CGMP warning letter issued after an inspection of a sterile drug manufacturer. FDA warning letter to Lernapharm (Loris) Inc., 2018

Potential reviewer question (predicted)

Provide data demonstrating container-closure integrity throughout the proposed shelf life and describe the CCIT method, including its qualification/validation and detection capability.

Recommended action

Provide qualified/validated CCIT methodology and supporting data covering the proposed container-closure configuration and shelf life.

Resolution type Additional validation data

Regulatory basis
21 CFR 312.23(a)(7)(iv)(b) · FD&C Act 501(a)(2)(B) FDA Phase 1 CGMP guidance, 2008 (§VI.C) · FDA aseptic processing guidance, 2004
CMC evidence
  • Microbial retention (bacterial challenge) study not located in supplied documents
  • Filter validation under worst-case process conditions not identified in documents reviewed
  • Filter integrity test data not located in supplied documents
Potential reviewer question (predicted)

Provide the microbial retention study validating your sterilizing filter, including the challenge organism and worst-case conditions.

Recommended action

Provide a microbial retention study and filter validation data under worst-case process conditions.

Resolution type Additional validation data

Regulatory basis
CMC evidence
  • Media fill report covering worst-case conditions not located in supplied documents
  • Worst-case intervention data not identified in documents reviewed
  • Media fill batch records not located in supplied documents
Potential reviewer question (predicted)

Did your media fill cover worst-case conditions, including interventions and shift changes?

Recommended action

Run media fills covering worst-case conditions (interventions and shift changes) and provide the reports.

Resolution type Additional validation data

Regulatory basis
21 CFR 312.42(b)(1)(i) · 21 CFR 312.23 FDA maximum safe starting dose guidance · ICH M3(R2)
Nonclinical evidence
  • NOAEL determination for the most sensitive species not located in supplied documents
  • Human equivalent dose scaling calculation not identified in documents reviewed
  • Toxicokinetic exposure data supporting the NOAEL not located in supplied documents
Potential reviewer question (predicted)

Identify the NOAEL in each species tested, state which species was selected as most relevant, and show the scaling and safety factor used to derive the proposed starting dose.

Recommended action

Provide the NOAEL for each species with supporting toxicokinetic exposure data, and document the human equivalent dose derivation and safety factor applied.

Resolution type Additional analysis and documentation

Regulatory basis
21 CFR 312.42(b)(1)(i) · 21 CFR 312.42(b)(1)(iv) FDA grounds for clinical hold
Clinical evidence
  • Dose-limiting toxicity definition not located in supplied documents
  • Cohort-level escalation and de-escalation rules not identified in documents reviewed
  • Individual and study-level stopping criteria not located in supplied documents
Potential reviewer question (predicted)

Define dose-limiting toxicity for this protocol, and specify the criteria for escalating, holding, de-escalating, and stopping dosing at both the individual subject and study level.

Recommended action

Add an explicit DLT definition, cohort escalation and de-escalation rules, an observation interval between cohorts, and individual and study-level stopping criteria to the protocol.

Resolution type Protocol amendment

Material findings are source-linked and traceable.

"Not found" means not located in the supplied documents, not that the evidence does not exist.

The platform

One workspace. From gap to filing language.

Upload an IND section. MedNova runs the gap analysis, maps each finding to its regulatory basis, retrieves your supporting evidence, and recommends remediation, all in one traceable loop.

  1. 01

    Your gap

    What is missing, inconsistent, unsupported, or insufficiently explained.

  2. 02

    Regulatory basis

    The applicable regulation, guidance, or standard, with its citation.

  3. 03

    Your evidence

    The supporting data in your documents, or what was not located.

  4. 04

    Reviewer question

    A predicted question an agency reviewer may raise.

  5. 05

    Remediation

    A recommended action, from a writing fix to additional data.

What MedNova does

  • Identifies potential filing and evidence gaps
  • Checks consistency across submission content and supporting documents
  • Maps findings to applicable regulatory sources
  • Retrieves supporting evidence with document-level traceability
  • Distinguishes documentation issues from missing-data gaps
  • Generates potential reviewer-style questions
  • Recommends remediation
  • Assists with revised filing language for qualified human review

MedNova supports, it doesn't replace, regulatory judgment

MedNova does not:

  • Predict every agency question
  • Guarantee filing acceptance or approval
  • Treat regulatory precedent as a substitute for sponsor data
  • Replace qualified regulatory review

How it works

Rules check. AI reasons. Humans approve.

MedNova separates deterministic checks from AI-assisted regulatory reasoning, and it tells you the difference between a writing fix and a missing-data gap.

  1. 01

    Upload your submission material

    Select an IND section and relevant supporting source documents.

  2. 02

    Regulatory gap analysis

    Deterministic rules and AI-assisted regulatory reasoning evaluate completeness, consistency, support, and applicable regulatory expectations.

  3. 03

    Evidence retrieval

    MedNova traces findings to supporting source documents and distinguishes documentation deficiencies from missing supporting data.

  4. 04

    Reviewer-style assessment

    MedNova generates potential reviewer questions and recommended remediation, with traceability to the underlying finding and regulatory basis.

  5. 05

    Human review

    Qualified regulatory professionals review and approve material before it is used in a submission.

Every output lands in one of three states

  • Clear

    No material gap identified against the evaluated rule set and documents reviewed.

  • Conditionally clear

    A potential deficiency appears addressable with existing evidence, clarification, or improved filing language.

  • Evidence required

    The gap cannot reasonably be resolved by rewriting alone and appears to need additional data, analysis, or validation.

“Clear” does not mean FDA will accept or approve the submission.

Data sources

Every reviewer question has an answer. We bring it to the gap.

Regulatory teams hunt across a dozen databases to back a single claim. MedNova queries them all in one pass, so the evidence is already waiting at the gap.

  • Sources current through Aug 2026
  • 600K+ studies
  • 20K+ products
  • 40M+ citations
  • 2,800+ guidances
  • FDA decision letters
  • licensed intelligence

The 80/20 of regulatory evidence

600K+

ClinicalTrials.gov

registered studies and posted results

20K+

Drugs@FDA

approved products with review packages

40M+

PubMed

biomedical citations and abstracts

Three sources cover most of what a reviewer looks for. MedNova queries all three, plus your own documents, FDA guidance, and licensed regulatory and drug-development intelligence, in one pass.

FDA decision letters. On the roadmap: analysis of the Complete Response Letters FDA has begun publishing and of refuse-to-file letters that have become public, to sharpen what a reviewer will ask.

The gap: the filing does not demonstrate container closure integrity. MedNova pulls the evidence from every source at once. 5 sources queried · 3 cited
Evidence flowing from data sources into a regulatory gap Six sources, ClinicalTrials.gov, your documents, Drugs@FDA, PubMed, FDA guidance, and licensed intelligence, connect to one gap: the filing does not demonstrate container closure integrity. The gap lists its evidence, regulatory basis, and precedent. ClinicalTrials.gov 600K+ registered studies Your documents your filing + source records Drugs@FDA 20K+ approved products PubMed 40M+ citations FDA guidance 2,800+ active guidances Licensed intelligence curated answers + drug history THE GAP Container closure integrity is not validated. TRACEABLE SOURCES EVIDENCE CCIT method validation REGULATORY BASIS 21 CFR 312.23(a)(7)(iv)(b) · USP <1207> PRECEDENT Comparable vial products
The gap: the filing does not demonstrate container closure integrity.
  • Evidence: CCIT method validation · your documents
  • Basis: 21 CFR 312.23(a)(7)(iv)(b) · USP <1207> · FDA guidance
  • Precedent: Comparable vial products · Drugs@FDA

Counts are public figures as of August 2026. Licensed regulatory and drug-development intelligence extends the public sources. Not every gap needs every source; MedNova queries them all and cites only what applies.

A general-purpose chatbot

  • Trained on the open internet
  • No source traceability
  • Can invent references
  • No regulatory playbooks
  • Your data feeds a shared model

MedNova

  • Grounded in curated regulatory and clinical sources
  • Every claim cites its source
  • Deterministic rules check consistency and completeness
  • Section-specific regulatory playbooks
  • Private deployment, your data stays yours

Compliance & security

Built for regulated work.

  • 21 CFR Part 11e-signatures, audit trail, controlled documents
  • Private deploymentyour data stays in a dedicated Nebius environment
  • Model independenceprivate mode by default; external models only with approval
  • Source traceabilityevery claim ties back to its source passage
  • Human approvala qualified expert reviews every output
  • Audit historycomplete, versioned, inspection-ready

Programs

Start with a gap snapshot.

Early-stage biotech

A credible FDA path for pre-seed to Series A teams, scoped to one lead program, with expert review and eCTD-ready output.

Enterprise & retainers

Project-based engagements or ongoing retainers for teams with continuous submission and gap-analysis needs.

See your gaps before FDA does.

A short session to walk your team through MedNova and find the right first program.

Louis Lalas, Founder & CEO, Amia.ai