Chapter 1 · Context
Historical Perspective
This chapter traces how today's drug discovery and development arrived, following four threads that converge on the present.
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- The paradigms of scientific discovery, from empirical observation to theory, computation, and data
- The four industrial revolutions and how each reshaped industry and the organisation of work
- The four healthcare revolutions and the shift from communal care to industrialised medicine
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- The evolution of information technology, from vertical integration to specialisation and open standards
- The growing role of data through the digital age
- The development of AI in waves, from symbolic reasoning through machine learning and deep learning to generative and foundation models, and the open question of generalisation
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- The technology life cycle, and why established companies are positioned to adopt and scale innovation rather than originate it
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- Small and large molecule therapies, and the emerging modalities and platforms that extend them
- The move towards precision medicine, supported by biomarkers and diagnostics
- The rise of digital health and the return of care towards the patient