A running log

Field Notes

I read every paper twice. Once as the scientist building the models. Once as the operator who used to decide which programs lived or died. Those two readings rarely agree, and the disagreement is usually the interesting part. Short entries, one paper at a time, with the part most summaries skip: what it would take to matter outside the lab.

#003 · Regulatory

The FDA just rewrote “animal” out of its rulebook

U.S. Food and Drug Administration · Direct final rule, Sep 22, 2026 · FDA NAMs page

In one line: The FDA replaced “animal” with “nonclinical” across its drug safety regulations, so organ chips and computer models now count as legitimate safety testing before first-in-human trials.

Takeaways

  • It is a terminology rule, not a new requirement: parts 312, 314, 315, 361, and 601 of 21 CFR now say “nonclinical” where they said “animal.” Effective Feb 4, 2027, unless significant adverse comments arrive by Dec 7, 2026.
  • The bar did not move. Sponsors must still show a drug is reasonably safe before human trials. What changed is that a validated chip or model can now be part of that showing, and sponsors can request feedback on a specific NAM through a Type D meeting.
  • The quieter story: the FDA published a database of 25 real cases where non-animal data was already accepted in past reviews. Precedent, in writing, from the agency itself.

The bridge

I have sat in the sponsor’s seat. Policy does not move pipelines; precedent and de-risked validation do. The 25-example database is the real story here. It is the beginning of a qualification playbook. Anyone building organ-on-chip platforms should be mapping their validation data against those 25 cases right now, because that is exactly where the BD conversations will happen next year.

  • NAMs
  • regulatory

#002 · Paper

Eighteen ways immune cells misbehave in sepsis, counted one cell at a time

Luke Brown et al. · Science (2026) · doi:10.1126/science.adv0377

In one line: They turned microscope movies of immune cells into behavioral data, found 18 distinct behavior clusters during sepsis, and showed an existing asthma drug can break up the dangerous ones.

Takeaways

  • The method is the headline: “cellular behavioromics.” Shape, speed, and direction per cell, quantified and run through a bioinformatics pipeline. Imaging treated as a data modality, not a picture.
  • Heterogeneity is the story again. Eighteen behavior clusters in immune swarms during sepsis, some protective and some pathogenic. Phenotype first, molecule second.
  • In mice, a well-known asthma medication prevented the pathogenic clustering. Same repurposing logic as my 2025 paper: match the mechanism to the subgroup, then pick from the approved shelf.

The bridge

For industry, the drug hint is not the interesting part. The assay logic is. If behavior is quantifiable, it is screenable. A microfluidic platform that reads out 18 behavioral clusters instead of one viability number is a far stronger validation tool for AI-predicted compounds. That is the direction NAMs validation has to go: richer readouts, not just animal-free ones.

  • sepsis
  • drug repurposing
  • AI

#001 · Note

Why I’m keeping field notes

In one line: Fourteen years deciding which drug programs deserved funding, now building the assays those decisions depend on. This log is where the two perspectives meet.

The bridge

Most paper summaries stop at what the authors found. I want to write down the next question: what would it take for this to survive contact with a real development program? Throughput, validation, cost, regulatory precedent. If an entry here ever helps someone build that case, it did its job.

  • from the bench

Nothing under that tag yet. Check back soon.